CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Garden City Hospital

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 66984
  • Insurance Median: $2,289
  • Cash Discount Price: $2,289
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Garden City Hospital is $2,289. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,289. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 0.97x the Medicare baseline. Located in 6245 Inkster Rd, Garden City, MI.
Cash / Self-Pay
$2,289

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,289

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: $2,289 (97%)
Insurance Median: $2,289 (97%)
Cash: $2,289 (97% of Medicare)
Ins. Median: $2,289 (97% 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 $1,227 - $2,289 52%
Beacon Health Strategies $1,227 52%
Harbor Health Plan $1,227 - $2,289 52%
Mclaren Health Plan $1,227 - $2,289 52%
Medicaid / KanCare $1,227 - $1,350 52%
Priority Health $1,227 52%
Total Health Care Priority Health $1,227 - $2,289 52%
Blue Cross Blue Shield $2,289 - $3,905 97%
Honest Hmo $2,289 97%
Humana $2,289 97%
Medicare (plans) $2,289 97%
Sunrise $2,289 97%
Tricare $2,289 97%
UnitedHealthcare $2,289 97%
Zing $2,404 102%
Longevity Hp $2,427 103%
Employer Direct Healthcare $3,205 136%
Naphcare Residential Inmate Treatment Center $3,548 150%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6245 Inkster Rd, Garden City, MI 48135
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals