CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Harlan County Health System

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 66984
  • Insurance Median: $3,688
  • Cash Discount Price: $3,242
  • vs. Medicare Baseline: 1.56x Medicare
The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Harlan County Health System is $3,688. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,242. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 1.56x the Medicare baseline. Located in 717 Brown St, Alma, NE.
Cash / Self-Pay
$3,242

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,688

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: $3,242 (138%)
Insurance Median: $3,688 (156%)
Cash: $3,242 (138% of Medicare)
Ins. Median: $3,688 (156% 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
Medica Mcr Adv $2,189 93%
Medica Prime Solution $2,189 93%
Humana $2,716 115%
Tricare $2,716 115%
Aetna $2,837 120%
Great Plains Mcr Adv-All Plans $2,851 121%
Medica Chi Aco - All Other Plans $3,688 156%
Medica Chi Health $3,688 156%
Medica Choice $3,688 156%
Blue Cross Blue Shield $3,850 - $3,891 163%
Ohara Llc Wc- All Plans $3,850 163%
Medica Ifb Aco $3,891 165%
Medica Ifb Open Access $3,891 165%
UnitedHealthcare $3,891 165%
Phcs/Multiplan-All Plans $3,972 168%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 717 Brown St, Alma, NE 68920
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals