CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Charlevoix Area Hospital

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 66984
  • Insurance Median: $577
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.24x Medicare
The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Charlevoix Area Hospital is $577. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 0.24x the Medicare baseline. Located in 14700 Lakeshore Drive, Charlevoix, MI.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$577

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%)
Insurance Median: $577 (24%)
Ins. Median: $577 (24% 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
Blue Cross Blue Shield $157 - $1,629 7%
Mclaren Health Plan $344 - $1,629 15%
Meridian $344 - $1,629 15%
Priority Health $344 - $1,629 15%
UnitedHealthcare $344 - $1,629 15%
Aetna $447 19%
Blue Care Network $447 19%
Hap (Health Alliance Plan) $447 - $3,465 19%
Medicare (plans) $447 19%
Michigan Amish Medical Board $447 19%
Molina $447 19%
Northern Michigan Mennonite Group $447 19%
Asr Physicians Care Network $671 28%
Nomi Health $716 30%
Employee Benefits Logistics $761 32%
Cigna $941 40%
Provider Network Of America/Hma Group Health $3,234 137%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 14700 Lakeshore Drive, Charlevoix, MI 49720
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals