CMS Price Transparency Data

Cataract surgery with lens implant

Facility: University of Michigan Health System

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 66984
  • Insurance Median: $1,729
  • Cash Discount Price: $1,199
  • vs. Medicare Baseline: 0.73x Medicare
The contracted insurance negotiated median rate for a Cataract surgery with lens implant at University of Michigan Health System is $1,729. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,199. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 0.73x the Medicare baseline. Located in 1500 E Medical Center Drive, Spc 5474, Ann Arbor, MI.
Cash / Self-Pay
$1,199

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,729

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: $1,199 (51%)
Insurance Median: $1,729 (73%)
Cash: $1,199 (51% of Medicare)
Ins. Median: $1,729 (73% 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 $344 - $1,988 15%
Ambetter / Centene $344 15%
Blue Cross Blue Shield $344 - $859 15%
Buckeye Community Health Plan $344 15%
Hap Midwest $344 15%
Mclaren Health Plan Inc $344 - $1,807 15%
Medicaid / KanCare $344 - $1,506 15%
Molina Healthcare Of Michigan Inc $344 - $542 15%
Priority Health $344 - $3,012 15%
UnitedHealthcare $344 - $2,199 15%
Amerihealth Michigan Inc $361 - $425 15%
Huron Valley Pace $429 - $505 18%
Blue Care Network Of Michigan $452 - $859 19%
Health Alliance Plan $452 - $532 19%
Humana $452 - $532 19%
Medigold Trinity Health Plan Of Michigan $452 - $532 19%
Meridian Health Plan Of Michigan Inc $452 - $532 19%
Paramount Elite-Ohio $452 - $532 19%
Paramount Health Care $452 - $2,500 19%
Thome Pace $452 - $532 19%
Triwest $452 - $532 19%
Veteran Affairs Community Care Program $452 - $532 19%
Medicare (plans) $459 - $539 19%
Zing Health $474 - $558 20%
Employee Benefit Logistic $768 - $904 33%
Point Comfort Underwriters Unaccompanied Children Program $1,284 - $1,295 54%
Priority Health [1038] $1,373 - $2,018 58%
Metrocare $1,403 - $1,416 60%
Hap [1023] $1,639 - $2,259 70%
Plain Church Group $1,791 - $1,807 76%
First Health $1,940 - $1,958 82%
Cofinity $1,970 - $1,988 84%
Confinity Advantage $1,970 - $1,988 84%
Beaumont Health Network $2,090 - $2,108 89%
Nomi Health $2,090 - $2,108 89%
Provider Network Of America $2,090 - $2,108 89%
First Agency $2,239 - $2,259 95%
Parkview Health Plan Services $2,239 - $2,259 95%
Bronson Healthcare Group $2,537 - $2,560 108%
Multiplan $2,537 - $2,560 108%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1500 E Medical Center Drive, Spc 5474, Ann Arbor, MI 48109
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals