CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Methodist Healthcare - Olive Branch Hospital

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 66984
Insurance Median: $3,490
Cash Discount Price: $3,876
vs. Medicare Baseline: 1.48x Medicare

The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Methodist Healthcare - Olive Branch Hospital is $3,490. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,876. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 1.48x the Medicare baseline. Located in 4250 Bethel Road, Olive Branch, MS.

Cash / Self-Pay

$3,876

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,490

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: $3,876 (164%)

Insurance Median: $3,490 (148%)

Cash: $3,876 (164% of Medicare)

Ins. Median: $3,490 (148% 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
Medicaid / KanCare	$297 - $3,343	13%
Blue Cross Blue Shield	$897 - $3,684	38%
UnitedHealthcare	$1,072 - $5,820	45%
Molina Healthcare [350012]	$2,158	92%
Cigna	$3,120 - $7,690	132%
Tricare	$3,637	154%
American Health Advantage Mcr Adv [450117]	$3,684	156%
Carecentrix [450200]	$3,684	156%
Devoted Health [450111]	$3,684	156%
Generic Hospice Vbid [10940000101]	$3,684	156%
Humana	$3,684	156%
Medicare (plans)	$3,684	156%
Va Hospital [600005]	$3,684	156%
Langston Performance Health [100405]	$6,652	282%
United Food & Commercial Workers [100309]	$7,690	326%

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 $3,876.
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 Methodist Healthcare - Olive Branch Hospital 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.