CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Mc Donough District Hospital

Billing Code: 66984 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$758
about 0.3× the $2,358 Medicare rate · typically $447–$1,594
modeled estimate · not a bill or quote
What this hospital charges insurers
$758
About the fair price
0.3× Medicare
Medicare pays $2,358 Fair price $758 This hospital $758

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

On the higher side — 7 of 8 other IL hospitals charge less.

Cheapest $483 Priciest $794

Black dot = this hospital, among the 9 IL hospitals with a price for this procedure. Full list below.

A fair price for a Cataract surgery with lens implant is about $758 (about 0.3× the $2,358 Medicare rate). Mc Donough District Hospital charges insurers about $758 — about the fair price. Located in Macomb, IL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $329 - $2,546 14%
Blue Cross Blue Shieldmajor $2,142 91%
Aetnamajor $354 - $2,546 15%
Humanamajor $354 - $2,546 15%
Meridian $354 - $2,546 15%
Molina $354 - $758 15%
+ 3 smaller / regional plans $212 - $2,546
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 525 East Grant Street, Macomb, IL 61455
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals