CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Caromont Regional Medical Center

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 66984
Insurance Median: $2,786
Cash Discount Price: $8,033
vs. Medicare Baseline: 1.18x Medicare

The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Caromont Regional Medical Center is $2,786. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,033. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 1.18x the Medicare baseline. Located in 2525 Court Dr, Gastonia, NC.

Cash / Self-Pay

$8,033

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,786

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: $8,033 (341%)

Insurance Median: $2,786 (118%)

Cash: $8,033 (341% of Medicare)

Ins. Median: $2,786 (118% 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	$1,209 - $3,694	51%
Carolina Complete Health	$1,209	51%
Partners Behavioral Health	$1,209	51%
Alliance Behavioral Health	$1,233	52%
Amerihealth Caritas	$1,233	52%
Carolina Complete Health Tailored Plans	$1,233	52%
UnitedHealthcare	$1,233 - $9,971	52%
Vaya Behavioral Health	$1,233	52%
Wellcare	$1,233	52%
Gaston County Jail	$2,418	103%
Aetna	$2,452 - $3,976	104%
Devoted Health	$2,476	105%
Healthteam	$2,476	105%
Longevity Health	$2,476	105%
Molina	$2,476 - $2,786	105%
Humana	$2,523 - $7,069	107%
Absolute Total Care	$2,786	118%
Self Pay	$4,016	170%
Surgery Plus	$4,126	175%
Cigna	$4,386 - $5,792	186%
Medcost	$5,462	232%
Carolina Caring	$5,895 - $6,362	250%
Corporate Benefits Service	$6,343	269%
Beech Street	$6,587	279%
Multiplan	$6,587	279%
First Health Network	$7,631	324%

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 $8,033.
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 Caromont Regional 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.