CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Lutheran Hospital of Indiana

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 66984
  • Insurance Median: $2,442
  • Cash Discount Price: $667
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Lutheran Hospital of Indiana is $2,442. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $667. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 1.04x the Medicare baseline. Located in 7950 W Jefferson Blvd, Fort Wayne, IN.
Cash / Self-Pay
$667

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,442

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: $667 (28%)
Insurance Median: $2,442 (104%)
Cash: $667 (28% of Medicare)
Ins. Median: $2,442 (104% 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
One Call Care Diagnostics $438 19%
Physicians Health Plan Of Northern Indiana $458 - $11,014 19%
Ky Work Comp $467 - $7,030 20%
Veterans Eval Services $492 21%
Amish Aid $556 - $8,370 24%
Lutheran Preferred Network $556 - $16,739 24%
Self Pay $556 - $8,370 24%
Cigna $599 - $10,127 25%
Php Freedom Network $615 - $9,260 26%
Blue Cross Blue Shield $688 - $10,350 29%
Aetna $742 - $13,280 31%
Lutheran Preferred $742 - $2,491 31%
Sagamore $845 - $15,093 36%
Encore Ppo $907 - $13,642 38%
Lutheran Network $927 - $13,949 39%
Multiplan $1,353 - $23,156 57%
Prime Health Services $1,390 - $20,924 59%
Encore Health Network $1,520 - $25,109 64%
Advantage Health Solutions $1,539 - $23,156 65%
Allied Benefit Systems $1,669 - $25,109 71%
Evolutions $1,669 - $25,109 71%
UnitedHealthcare $2,162 - $8,192 92%
Tricare $2,320 98%
Humana $2,403 - $4,316 102%
Iu Health Plan $2,403 102%
Managed Health Services $2,403 - $4,883 102%
Medicare (plans) $2,403 102%
Department Of Veterans Affairs $2,442 104%
Node Hospice Non Par Agree $2,442 104%
Node Va $2,442 104%
Node Devoted Health Mcr Adv $2,451 104%
In Dept Of Correction $2,539 108%
Node Pphp Mcr Adv $2,564 109%
Us Department Of Labor $3,052 129%
Lutheran Advanced Network $3,663 155%
Node Lutheran Network $3,663 - $4,273 155%
Node Lutheran Preferred Fixed 2 $3,663 155%
Align Network $3,907 166%
Care Source $4,316 183%
Medicaid / KanCare $4,316 183%
Encore Work Comp In $4,395 186%
Node Encore Kba Epo $5,860 249%
Node Encore Kba Ppo $7,325 311%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7950 W Jefferson Blvd, Fort Wayne, IN 46804
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals