CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Deaconess Henderson Hospital

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 66984
  • Insurance Median: $1,373
  • Cash Discount Price: $1,344
  • vs. Medicare Baseline: 0.58x Medicare
The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Deaconess Henderson Hospital is $1,373. 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 0.58x the Medicare baseline. Located in 1305 N Elm St, Henderson, KY.
Cash / Self-Pay
$1,344

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,373

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: $1,373 (58%)
Cash: $1,344 (57% of Medicare)
Ins. Median: $1,373 (58% 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
Aetna $424 - $2,047 18%
Medicaid / KanCare $424 - $498 18%
UnitedHealthcare $424 - $7,000 18%
Wellcare Ky $424 - $2,456 18%
Humana $428 - $2,047 18%
Blue Cross Blue Shield $478 - $2,047 20%
Medicare (plans) $478 - $2,047 20%
Mhs Mco $478 - $2,047 20%
Molina Healthcare Of Ky $478 - $2,047 20%
Molina Healthcare Of Ky - Exchange $478 - $2,047 20%
Mytru Advantage $478 - $2,047 20%
Umwa $478 - $2,047 20%
Wellcare Il $478 - $2,047 20%
Caresource In $498 21%
Caresource In Marketplace $622 - $3,070 26%
Wellcare Ky Commercial Exchange $622 - $4,196 26%
Alliance Coal $660 - $3,070 28%
Center Care Narrow $765 32%
Center Care Open Access $765 32%
Noncontracted $765 - $3,275 32%
Encircle/Encore Combined $785 33%
Encircle/Encore Prime $785 33%
Ky Racing Health & Welfare Fund $1,344 57%
Self-Pay $1,344 57%
First Health Network (Coventry) $1,401 59%
Healthlink $1,401 59%
Iu Health Plans $1,401 59%
Phcs/Multiplan $1,401 59%
Sagamore $1,401 59%
Cigna $2,305 98%
Claimdoc $2,305 - $4,912 98%
Hopetrust $2,305 - $4,912 98%
Hstechnology $2,305 - $4,912 98%
Amish And Mennonite Of Western Ky $2,497 - $3,070 106%
Coventry National Network $3,073 130%
Webster County Detention Center $3,073 130%
Henderson County Detention Center $3,457 147%
One Care $4,503 191%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1305 N Elm St, Henderson, KY 42420
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals