CMS Price Transparency Data
Cataract surgery with lens implant
Facility: Bluffton Regional Medical Center
Billing Code: 66984 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 66984
- Insurance Median: $2,403
- Cash Discount Price: $1,020
- vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Bluffton Regional Medical Center is $2,403. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,020. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 1.02x the Medicare baseline. Located in 303 S Main St, Bluffton, IN.
Cash / Self-Pay
$1,020
Average discount available for prompt cash payment at this facility.
Insurance Median
$2,403
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: $1,020 (43%)
Insurance Median: $2,403 (102%)
Cash: $1,020 (43% of Medicare)
Ins. Median: $2,403 (102% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Amish Aid | $445 - $5,938 | 19% |
| Self Pay | $445 - $5,938 | 19% |
| Physicians Health Plan | $449 - $5,997 | 19% |
| Veterans Eval Services | $492 | 21% |
| Lutheran Preferred Network | $554 - $19,793 | 23% |
| Php Freedom Network | $581 - $7,754 | 25% |
| Cigna | $588 - $8,758 | 25% |
| Php | $591 - $7,882 | 25% |
| Aetna | $671 - $11,034 | 28% |
| Php Management Systems | $718 - $9,580 | 30% |
| Lutheran Trma | $742 - $2,242 | 31% |
| UnitedHealthcare | $868 - $12,222 | 37% |
| Encore Ppo | $907 - $12,098 | 38% |
| Sagamore Sebt | $947 - $12,643 | 40% |
| Sagamore Health Newtork Inc | $994 - $13,261 | 42% |
| Consumer Life | $1,149 - $15,339 | 49% |
| Ahg Dana Employees | $1,205 - $6,104 | 51% |
| Align Networks | $1,298 - $17,319 | 55% |
| Prime Health Services | $1,390 - $18,556 | 59% |
| Private Healthcare Systems Inc | $1,390 - $18,556 | 59% |
| Multiplan | $1,483 - $19,793 | 63% |
| Encore Health Network | $1,520 - $22,267 | 64% |
| Advantage 360 | $1,539 - $20,535 | 65% |
| Community Health Alliance | $1,576 - $21,030 | 67% |
| First Health | $1,594 - $21,277 | 68% |
| Allied Benefit Systems | $1,669 - $22,267 | 71% |
| Cardinal Health Alliance | $1,669 - $22,267 | 71% |
| Ppom | $1,669 - $22,267 | 71% |
| Tricare | $2,320 | 98% |
| Blue Cross Blue Shield | $2,403 - $10,034 | 102% |
| Medicare (plans) | $2,403 | 102% |
| Node Iu Health Mcr Adv | $2,403 | 102% |
| Node Mhs Mcr Adv | $2,403 | 102% |
| Department Of Veterans Affairs | $2,442 | 104% |
| Humana | $2,442 - $4,316 | 104% |
| Node Non Par Hospice Agree | $2,442 | 104% |
| Node Va | $2,442 | 104% |
| Northeast Hospice | $2,442 | 104% |
| Node Caresource Mcr Adv | $2,450 | 104% |
| Node Devoted Health Mcr Adv | $2,451 | 104% |
| County Jail Health Care | $2,539 | 108% |
| 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% |
| Lutheran Three Rivers Preferred Plus 150 | $3,663 | 155% |
| Lutheran Three Rivers Preferred Plus 175 | $4,273 | 181% |
| Caresource | $4,316 | 183% |
| Medicaid / KanCare | $4,316 | 183% |
| Mhs | $4,316 | 183% |
| Mhs In Hip | $4,316 | 183% |
| Encore Work Comp In | $4,395 | 186% |
| Lutheran Northwest Health Preferred | $4,883 | 207% |
| Managed Health Services Exchange | $4,883 | 207% |
| Workers Compensation | $4,883 | 207% |
| Encore Kba Epo | $5,860 | 249% |
| Encore Kba Ppo | $7,325 | 311% |