CMS Price Transparency Data

Cataract surgery with lens implant

Facility: The Women's Hospital

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 66984
Insurance Median: $786
Cash Discount Price: $1,344
vs. Medicare Baseline: 0.33x Medicare

The contracted insurance negotiated median rate for a Cataract surgery with lens implant at The Women's Hospital is $786. 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 0.33x the Medicare baseline. Located in 4199 Gateway Blvd, Newburgh, IN.

Cash / Self-Pay

$1,344

Average discount available for prompt cash payment at this facility.

Insurance Median

$786

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: $786 (33%)

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

Ins. Median: $786 (33% 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	$424 - $1,401	18%
Humana	$424 - $2,077	18%
Passport Molina Ky	$424	18%
UnitedHealthcare	$424 - $7,419	18%
Wellcare Ky	$424 - $2,077	18%
Blue Cross Blue Shield	$492 - $7,608	21%
Caresource	$492 - $2,077	21%
Iu Health	$492 - $2,077	21%
Meridian Health Il	$492 - $2,077	21%
Mhs	$492 - $2,077	21%
Molina Il	$492 - $2,077	21%
Molina Ky	$492 - $2,077	21%
Molina Ky Dual	$492 - $2,077	21%
Caresource Hip	$498	21%
Caresource In	$498	21%
Mdwise Hip	$498	21%
Mhs Behavioral	$498	21%
Ambetter / Centene	$566 - $3,220	24%
Immergrun	$598 - $2,493	25%
Caresource Marketplace (Just4Me)	$639 - $3,116	27%
Hst	$664 - $3,116	28%
Alliance Coal	$679	29%
Allied National/Zelis - Freedom Plan	$689 - $5,089	29%
Claimdoc	$713 - $3,012	30%
Patoka Valley Health Care (80/20 Plan)	$738	31%
Patoka Valley Health Care (90/10 Plan)	$738	31%
Encorecombined	$785	33%
Encoreprime	$785	33%
Hope Trust	$787 - $3,427	33%
Noncontracted	$787 - $3,324	33%
One Care	$812	34%
Chamber Care	$822	35%
Amish	$831 - $1,344	35%
Self Pay	$1,344	57%
Cigna	$1,401	59%
Claritev (Formerly Phcs/Mulitplan)	$1,401	59%
First Health/Coventry	$1,401	59%
Healthlink	$1,401	59%
Sagamore	$1,401	59%
Center Care	$2,305	98%

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 The Women's Hospital 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.