CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Sanford Jackson Medical Center

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 66984
Insurance Median: $6,170
Cash Discount Price: $7,164
vs. Medicare Baseline: 2.62x Medicare

The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Sanford Jackson Medical Center is $6,170. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,164. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 2.62x the Medicare baseline. Located in 1430 North Highway, Jackson, MN.

Cash / Self-Pay

$7,164

Average discount available for prompt cash payment at this facility.

Insurance Median

$6,170

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: $7,164 (304%)

Insurance Median: $6,170 (262%)

Cash: $7,164 (304% of Medicare)

Ins. Median: $6,170 (262% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 262% of the Medicare baseline (a markup of 162%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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	$2,168 - $8,285	92%
Ucare	$2,395 - $7,868	102%
Sanford Health Plan Align	$2,812	119%
Wellmark Sd	$3,018	128%
Aetna	$3,045 - $7,782	129%
Health Partners	$3,045 - $7,164	129%
Medicare (plans)	$3,045	129%
UnitedHealthcare	$3,045 - $7,477	129%
Primewest	$3,103 - $3,349	132%
Sanford Health Plan	$4,798 - $5,644	203%
Security Health Plan	$4,925	209%
Medica	$7,871 - $8,471	334%
Cigna	$8,060	342%
First Choice Health Network	$8,060	342%
Healthez	$8,060	342%
Multiplan	$8,060	342%

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 $7,164.
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 Sanford Jackson Medical Center 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.