CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Neshoba County General Hospital

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 66984
Insurance Median: $2,131
Cash Discount Price: $2,554
vs. Medicare Baseline: 0.90x Medicare

The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Neshoba County General Hospital is $2,131. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,554. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 0.90x the Medicare baseline. Located in 1001 Holland Ave, Philadelphia, MS.

Cash / Self-Pay

$2,554

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,131

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: $2,554 (108%)

Insurance Median: $2,131 (90%)

Cash: $2,554 (108% of Medicare)

Ins. Median: $2,131 (90% 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
Magnolia Mcaid	$1,619	69%
Molina Mcaid	$1,619	69%
Mpcn Mcaid	$1,619	69%
UnitedHealthcare	$1,619 - $2,131	69%
Aetna	$1,824	77%
Tricare	$1,918	81%
Humana	$2,131	90%
Magnolia Mcr Adv-All Other Plans	$2,131	90%
Molina Comm-All Other Plans	$2,131	90%
Molina Mcr Adv	$2,131	90%
Wellcare Mcr Adv-All Plans	$2,131	90%
Cigna	$2,372	101%
First Choice Comm Ip/Op Only - All Plans	$2,664	113%
Affordable Health Care-All Plans	$3,101	132%
Health Choice Ip/Op Only-All Plans	$3,101	132%
Health Link Ip/Op Only-All Plans	$3,101	132%
Geha-All Plans	$3,284	139%
Multiplan-All Plans	$3,284	139%
Ahs Ip/Op Only-All Plans	$3,740	159%
Blue Cross Blue Shield	$3,869	164%
Mpcn Ip/Op Only-All Other Plans	$4,561	193%

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 $2,554.
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 Neshoba County General 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.