CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Decatur County Memorial Hospital

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 66984
Insurance Median: $4,610
Cash Discount Price: $4,890
vs. Medicare Baseline: 1.96x Medicare

The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Decatur County Memorial Hospital is $4,610. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,890. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 1.96x the Medicare baseline. Located in 720 North Lincoln Street, Greensburg, IN.

Cash / Self-Pay

$4,890

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,610

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: $4,890 (207%)

Insurance Median: $4,610 (196%)

Cash: $4,890 (207% of Medicare)

Ins. Median: $4,610 (196% 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
Blue Cross Blue Shield	$1,891 - $6,520	80%
Choice Care Mcr Adv	$1,891	80%
Siho Mcr Adv	$1,891	80%
UnitedHealthcare	$1,891 - $5,620	80%
Caresource Mcr Adv	$1,985	84%
Aetna	$2,217 - $4,955	94%
Caresource Just4Me-All Other Plans	$3,214	136%
Cigna	$5,020	213%
Sagamore Health-All Plans	$5,216	221%
Encircle-All Plans	$5,542	235%
Healthsource Indiana-All Plans	$5,868	249%
Choicecare Commercial-All Other Plans	$6,064	257%
Thcg/Encore-All Plans	$6,129	260%
Siho-All Other Plans	$6,324	268%
Medicaid / KanCare	$6,520	277%

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 $4,890.
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 Decatur County Memorial 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.