CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Trinity Health Livingston Hospital

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 66984
  • Insurance Median: $3,572
  • Cash Discount Price: $8,639
  • vs. Medicare Baseline: 1.51x Medicare
The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Trinity Health Livingston Hospital is $3,572. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,639. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 1.51x the Medicare baseline. Located in 620 Byron Rd, Howell, MI.
Cash / Self-Pay
$8,639

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,572

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: $8,639 (366%)
Insurance Median: $3,572 (151%)
Cash: $8,639 (366% of Medicare)
Ins. Median: $3,572 (151% 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
U Of M Health Plan $1,142 48%
Blue Cross Blue Shield $1,289 - $6,650 55%
Medicaid / KanCare $1,289 - $1,314 55%
Asr Health Benefits $2,095 89%
Caresource $2,095 89%
Hap $2,095 89%
Varipro $2,095 89%
Huron Valley Pace $2,189 93%
Aetna $2,258 96%
Blue Care Network Advantage $2,258 96%
Hospice Of Lansing $2,258 96%
Medicare (plans) $2,258 - $2,304 96%
Align Senior Care $2,304 98%
Angela Hospice $2,308 98%
UnitedHealthcare $2,374 101%
Cca - Zing Health $2,439 103%
Priority Health $2,562 - $5,693 109%
Longevity Ipa Of Michigan Llc Health Plan Isnp $2,597 110%
Molina Marketplace $2,996 127%
Health Cost Solutions $3,572 151%
Vitalcore $3,572 151%
Wellpath $3,572 151%
Employee Benefit Logistic $5,185 220%
Bcn Domestic $5,320 - $6,650 226%
Blue Benefit Administrators Of Massachusetts $5,320 - $6,650 226%
Blue Care Network $5,320 - $6,650 226%
Blue Distinction Transplant $5,320 - $6,650 226%
Blue Shield - Ca $5,320 - $6,650 226%
Blue Shield - Id (Regence) $5,320 - $6,650 226%
Blue Shield - Ny Highmark Northeastern $5,320 - $6,650 226%
Blue Shield - Ny Highmark Western $5,320 - $6,650 226%
Blue Shield - Pa (Highmark) $5,320 - $6,650 226%
Blue Shield - Wa (Regence) $5,320 - $6,650 226%
Health Choices $5,320 - $6,650 226%
Kaiser Domestic $5,320 - $6,650 226%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 620 Byron Rd, Howell, MI 48843
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals