CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Gibson General Hospital

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 66984
Insurance Median: $689
Cash Discount Price: $1,344
vs. Medicare Baseline: 0.29x Medicare

The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Gibson General Hospital is $689. 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 0.29x the Medicare baseline. Located in 1808 Sherman Drive, Princeton, IN.

Cash / Self-Pay

$1,344

Average discount available for prompt cash payment at this facility.

Insurance Median

$689

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: $689 (29%)

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

Ins. Median: $689 (29% 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	$492 - $1,401	21%
Blue Cross Blue Shield	$492 - $766	21%
Caresource Just For Me	$492	21%
Medicare (plans)	$492	21%
Meridiancomplete (Il)	$492	21%
Mytruadvantage	$492	21%
UnitedHealthcare	$492 - $966	21%
Va Ccn	$492	21%
Caresource	$498	21%
Mdwise Plans	$498	21%
Mhs	$498	21%
Medicaid / KanCare	$512	22%
Meridiancare (Il)	$512	22%
Meridianhealth (Il)	$512	22%
Ambetter / Centene	$615	26%
Caresource In Marketplace	$639	27%
Alliance Coal	$689	29%
Claimdoc	$689	29%
Hopetrust	$738	31%
Hstechnology	$738	31%
Encircle/Encore Combined	$785	33%
Encircle/Encore Prime	$785	33%
Noncontracted	$787	33%
Deaconess Onecare	$812 - $5,035	34%
Ky Racing Health & Welfare Fund	$1,344	57%
Self-Pay	$1,344	57%
Cigna	$1,401	59%
First Health	$1,401	59%
Healthlink Hmo	$1,401	59%
Healthlink Ppo	$1,401	59%
Sagamore (Ppo, Oap-Open Access Plus, Epo, Choice Fund Oap+)	$1,401	59%
Chambercare	$2,305	98%
Gibson County Sheriff	$3,265	138%
Integrated Health	$3,457	147%
Principal Health Care	$3,457	147%

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 Gibson General 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.