CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Deaconess Illinois Crossroads

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 66984
Insurance Median: $1,936
Cash Discount Price: $1,344
vs. Medicare Baseline: 0.82x Medicare

The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Deaconess Illinois Crossroads is $1,936. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,344. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 0.82x the Medicare baseline. Located in 8 Doctors Park Rd, Mount Vernon, IL.

Cash / Self-Pay

$1,344

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,936

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: $1,344 (57%)

Insurance Median: $1,936 (82%)

Cash: $1,344 (57% of Medicare)

Ins. Median: $1,936 (82% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Aetna	$498 - $3,034	21%
Blue Cross Blue Shield	$498 - $2,377	21%
Humana	$498 - $2,996	21%
Meridian Health Plan	$498 - $2,377	21%
Molina Healthcare Of Illinois	$498 - $2,401	21%
Mytru Advantage	$498 - $2,377	21%
Umwa	$498 - $2,377	21%
UnitedHealthcare	$498 - $2,377	21%
Wellcare	$498 - $2,377	21%
Alliance Coal	$688 - $3,923	29%
Alter-Net Medical Services, Inc.	$798 - $6,776	34%
Noncontracted	$798 - $3,804	34%
Deaconess Onecare	$1,022	43%
Self-Pay	$1,344	57%
Cigna	$1,494	63%
Care Improvement Plus	$2,425	103%
Prime Health Services	$2,881	122%
Guardian Resources, Inc.	$3,226	137%
Healthcare'S Finest Network (Hfn)	$3,265	138%
Medicalcontrol Network Solutions	$3,265	138%
National Provider Network	$3,265	138%
Three Rivers Provider Network	$3,342	142%
Beech Street	$3,380	143%
Hope Trust	$6,776	287%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,344.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 66984.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Deaconess Illinois Crossroads is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 66984.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.