CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Mary Hitchcock Memorial Hospital

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 66984
Insurance Median: $2,440
Cash Discount Price: $3,447
vs. Medicare Baseline: 1.03x Medicare

The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Mary Hitchcock Memorial Hospital is $2,440. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,447. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 1.03x the Medicare baseline. Located in 1 Medical Center Drive, Lebanon, NH.

Cash / Self-Pay

$3,447

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,440

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: $3,447 (146%)

Insurance Median: $2,440 (103%)

Cash: $3,447 (146% of Medicare)

Ins. Median: $2,440 (103% 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	$370 - $9,931	16%
Martin's Point Generations Advantage	$370 - $2,552	16%
Mvp	$370 - $7,548	16%
UnitedHealthcare	$370 - $9,197	16%
Aetna	$381 - $7,908	16%
Cigna	$381 - $12,403	16%
Martin's Point Health Care	$381 - $3,886	16%
Wellsense Health Plan	$381 - $2,680	16%
Wellcare Health Plans	$385 - $2,654	16%
Harvard Pilgrim Health Care of Ne	$388 - $8,302	16%
Ambetter / Centene	$389 - $5,491	16%
Granite State Health Plan	$428 - $1,418	18%
Amerihealth Caritas Nh	$526 - $1,276	22%
Beacon Health Strategies/Carelon	$526 - $1,375	22%
Mass General Brigham Health Plan	$1,494 - $7,007	63%
Tufts Health Plan	$1,925 - $6,572	82%
Maine Community Health Options	$7,176 - $8,280	304%
Coventry	$9,801	416%
First Health/Hcvm	$9,801	416%
PHCS	$10,138	430%
Corvel	$10,364	440%
Ccmsi	$10,702	454%

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 $3,447.
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 Mary Hitchcock Memorial 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.