CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Jefferson County Health Center

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 66984
  • Insurance Median: $545
  • Cash Discount Price: $712
  • vs. Medicare Baseline: 0.23x Medicare
The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Jefferson County Health Center is $545. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $712. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 0.23x the Medicare baseline. Located in 2000 S Main, Fairfield, IA.
Cash / Self-Pay
$712

Average discount available for prompt cash payment at this facility.

Insurance Median
$545

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$2,357.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $2,357.81 (100%)
Cash / Self-Pay: $712 (30%)
Insurance Median: $545 (23%)
Cash: $712 (30% of Medicare)
Ins. Median: $545 (23% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $2,357.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
UnitedHealthcare $404 - $1,068 17%
Tricare $461 20%
Amerigroup Mcr Adv $475 20%
Humana $475 20%
Iowa Total Care Comm - All Other Plans $475 20%
Iowa Total Care Mcr $475 20%
Molina Mcr Adv $475 20%
Iowa Total Care Mcaid $499 21%
Molina Mcaid/Chip $499 21%
Medicaid / KanCare $509 22%
Aetna $582 - $1,068 25%
Medicare (plans) $582 25%
Midlands New Product $973 41%
Coventry Commercial Hmo $1,009 43%
Coventry Commercial Ppo - All Other Plans $1,068 45%
Midlands Choice-All Other Plans $1,068 45%
Molina Marketplace - All Other Plans $1,187 50%
Wellmark Hmo $4,065 172%
Wellmark Indemnity/Ppo - All Other Plans $4,472 190%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2000 S Main, Fairfield, IA 52556
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals