CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Greater Baltimore Medical Center

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 66984
Insurance Median: $569
Cash Discount Price: $1,106
vs. Medicare Baseline: 0.24x Medicare

The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Greater Baltimore Medical Center is $569. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,106. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 0.24x the Medicare baseline. Located in 6701 North Charles Street, Baltimore, MD.

Cash / Self-Pay

$1,106

Average discount available for prompt cash payment at this facility.

Insurance Median

$569

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: $1,106 (47%)

Insurance Median: $569 (24%)

Cash: $1,106 (47% of Medicare)

Ins. Median: $569 (24% 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	$503 - $734	21%
Md Physician Care [237]	$503	21%
Medicaid / KanCare	$503	21%
Priority Partners [241]	$503	21%
UnitedHealthcare	$503 - $855	21%
Wellpoint [235]	$503	21%
Alterwood Health [290]	$513	22%
Jai Medical Services [236]	$528	22%
Carefirst Maryland Health Advantage Mca [264]	$569	24%
Carefirst [201]	$569 - $1,095	24%
Cfchp Mco [239]	$569	24%
Cigna	$569 - $730	24%
Communicare Advantage [300]	$569	24%
Humana	$569	24%
Johns Hopkins [213]	$569 - $763	24%
Keycare Advantage [299]	$569	24%
Medicare (plans)	$569	24%
Provider Partners Health Plan [298]	$569	24%
Carefirst Blue Choice Hmo [253]	$584 - $1,007	25%
Carefirst Administrator [252]	$635 - $1,095	27%
First Health Network [268]	$740	31%
Multiplan/Phcs [296]	$740	31%
Kaiser Permanente Hmo [231]	$803	34%
Usa Managed Care Organization [301]	$871	37%

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 $1,106.
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 Greater Baltimore Medical Center 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.