CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Northeast Regional Medical Center

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 66984
  • Insurance Median: $3,472
  • Cash Discount Price: $3,735
  • vs. Medicare Baseline: 1.47x Medicare
The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Northeast Regional Medical Center is $3,472. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,735. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 1.47x the Medicare baseline. Located in 315 S Osteopathy, Kirksville, MO.
Cash / Self-Pay
$3,735

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,472

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: $3,735 (158%)
Insurance Median: $3,472 (147%)
Cash: $3,735 (158% of Medicare)
Ins. Median: $3,472 (147% 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
Veterans Eval Services $484 21%
Medicaid / KanCare $1,944 - $3,169 82%
Node Champva $2,331 99%
Tricare $2,331 99%
Medicare (plans) $2,436 103%
Node Hospice Non Par Agree $2,476 105%
Node Va $2,476 105%
UnitedHealthcare $2,476 - $11,673 105%
Blue Cross Blue Shield $2,485 - $4,747 105%
Healthlink $2,500 - $3,000 106%
Node Devoted Health Mcr Adv $2,558 108%
Blue Pathway/Pathway X $2,761 117%
Centurion Correctional $3,095 131%
Us Department Of Labor $3,095 131%
Self Pay $3,735 158%
Home State Exchange $4,456 189%
Naphcare $4,704 200%
Immergrun $4,951 210%
Cigna $5,292 - $6,086 224%
Blue Prefrerred $5,779 245%
Aetna $5,790 - $12,981 246%
Blue Access $5,952 252%
Access Health Services, Llc $10,117 429%
Multiplan $11,673 - $12,452 495%
Coventry Wc $12,452 528%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 315 S Osteopathy, Kirksville, MO 63501
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals