CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Henry Ford Allegiance Health

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 66984
Insurance Median: $495
Cash Discount Price: $700
vs. Medicare Baseline: 0.21x Medicare

The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Henry Ford Allegiance Health is $495. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $700. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 0.21x the Medicare baseline. Located in 205 N East Ave, Jackson, MI.

Cash / Self-Pay

$700

Average discount available for prompt cash payment at this facility.

Insurance Median

$495

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: $700 (30%)

Insurance Median: $495 (21%)

Cash: $700 (30% of Medicare)

Ins. Median: $495 (21% 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	$265 - $6,547	11%
Hap Caresource	$265 - $2,304	11%
Mclaren	$265	11%
Meridian Health Plan Of Mi	$265 - $3,111	11%
Priority Health	$265 - $3,561	11%
Aetna	$279 - $2,304	12%
Mclaren Health Plan Inc.	$344 - $495	15%
Meridian	$344	15%
Molina	$357 - $1,320	15%
Priority	$361 - $495	15%
Humana	$417 - $2,350	18%
Hap	$421 - $2,327	18%
Bcn	$495 - $2,304	21%
Cca Health Mi	$495	21%
Health Alliance Plan Of Michigan	$495	21%
Thomas Pace	$495 - $2,304	21%
Vaccn	$508	22%
United Behavioral Health, Inc.	$532	23%
Vitalcore Physicians Group Of Mi	$644 - $5,140	27%
Cigna	$953	40%
Cofinity	$1,026	44%
Frontpath	$1,800	76%
Veterans Evaluation Services	$1,976	84%
Molina Mi Health Link	$2,115	90%
UnitedHealthcare	$2,115 - $2,304	90%
Cca Health Michigan	$2,304	98%
Mclaren Health	$2,304	98%

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 $700.
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 Henry Ford Allegiance Health 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.