CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Mercy Hospital Lebanon

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 66984
Insurance Median: $2,170
Cash Discount Price: $3,631
vs. Medicare Baseline: 0.92x Medicare

The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Mercy Hospital Lebanon is $2,170. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,631. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 0.92x the Medicare baseline. Located in 100 Hospital Drive, Lebanon, MO.

Cash / Self-Pay

$3,631

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,170

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: $3,631 (154%)

Insurance Median: $2,170 (92%)

Cash: $3,631 (154% of Medicare)

Ins. Median: $2,170 (92% 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.

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	$475 - $15,029	20%
Indian Health Service Contracted [320198]	$475	20%
Medicaid / KanCare	$755 - $3,208	32%
Health Systems Inc Contracted [320174]	$1,381	59%
Insurance System Inc Contracted [320465]	$1,381	59%
Point C Contracted [320238]	$1,673	71%
Point C [20238]	$1,673	71%
Medicare (plans)	$2,088 - $2,212	89%
Aetna	$2,170	92%
Champva [20065]	$2,170	92%
Cherokee Nation Health Serv Contracted [320066]	$2,170	92%
Cigna	$2,170	92%
Cross Timbers Hospice [20098]	$2,170	92%
Dept Of Veteran Affairs Contracted [320106]	$2,170	92%
Elara Caring Aspire Hospice [20433]	$2,170	92%
Globalhealth Contracted [320145]	$2,170	92%
Halo Hcr Inc Hospice Contracted [320432]	$2,170	92%
Halo Hcr Inc Hospice [20432]	$2,170	92%
Humana	$2,170	92%
Kindful Hospice Contracted [320434]	$2,170	92%
Kindful Hospice [20434]	$2,170	92%
Mercy Hospice Okc [20252]	$2,170	92%
Mercy Mgd Behavioral Health Contracted [320259]	$2,170	92%
Pace Of The Ozarks Contracted [320518]	$2,170	92%
Provider Partners Health Plans Contracted [320450]	$2,170	92%
Qual Choice Contracted [320325]	$2,170	92%
Tricare	$2,170	92%
UnitedHealthcare	$2,170 - $2,916	92%
Healthscope Contracted [320182]	$2,766	117%
Centivo Contracted [320505]	$3,650	155%

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 $3,631.
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 Mercy Hospital Lebanon 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.