CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Chelsea Hospital

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 66984
  • Insurance Median: $3,630
  • Cash Discount Price: $8,821
  • vs. Medicare Baseline: 1.54x Medicare
The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Chelsea Hospital is $3,630. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,821. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 1.54x the Medicare baseline. Located in 775 S Main St, Chelsea, MI.
Cash / Self-Pay
$8,821

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,630

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: $8,821 (374%)
Insurance Median: $3,630 (154%)
Cash: $8,821 (374% of Medicare)
Ins. Median: $3,630 (154% 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%
Asr Health Benefits $2,087 89%
Caresource $2,087 89%
Hap $2,087 89%
Varipro $2,087 89%
Blue Cross Blue Shield $2,223 - $4,052 94%
Medicaid / KanCare $2,309 - $2,354 98%
Priority Health $2,562 - $2,847 109%
Bcn Domestic $3,630 154%
Blue Benefit Administrators Of Massachusetts $3,630 154%
Blue Care Network $3,630 154%
Blue Distinction Transplant $3,630 154%
Blue Shield - Ca $3,630 154%
Blue Shield - Id (Regence) $3,630 154%
Blue Shield - Ny Highmark Northeastern $3,630 154%
Blue Shield - Ny Highmark Western $3,630 154%
Blue Shield - Pa (Highmark) $3,630 154%
Blue Shield - Wa (Regence) $3,630 154%
Health Choices $3,630 154%
Kaiser Domestic $3,630 154%
Aetna $4,052 172%
Blue Care Network Advantage $4,052 172%
Medicare (plans) $4,052 - $4,134 172%
Align Senior Care $4,134 175%
Angela Hospice $4,134 175%
Arbor Hospice $4,134 175%
Heartland Hospice $4,134 175%
UnitedHealthcare $4,258 181%
Cca - Zing Health $4,376 186%
Longevity Ipa Of Michigan Llc Health Plan Isnp $4,659 198%
Molina Marketplace $5,375 228%
Health Cost Solutions $6,408 272%
Vitalcore $6,408 272%
Wellpath $6,408 272%
Employee Benefit Logistic $9,302 395%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 775 S Main St, Chelsea, MI 48118
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals