CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Cheshire Medical Center

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 66984
Insurance Median: $2,834
Cash Discount Price: $3,109
vs. Medicare Baseline: 1.20x Medicare

The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Cheshire Medical Center is $2,834. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,109. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 1.20x the Medicare baseline. Located in 580 Court Street, Keene, NH.

Cash / Self-Pay

$3,109

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,834

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: $3,109 (132%)

Insurance Median: $2,834 (120%)

Cash: $3,109 (132% of Medicare)

Ins. Median: $2,834 (120% 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
Aetna	$381 - $7,705	16%
Ambetter / Centene	$390 - $2,119	17%
Blue Cross Blue Shield	$390 - $8,949	17%
Cigna	$390 - $5,576	17%
Martin'S Point Generations Advantage	$390 - $2,383	17%
Martin'S Point Health Care	$390 - $2,383	17%
Mvp	$390 - $5,576	17%
UnitedHealthcare	$390 - $8,550	17%
Wellcare Health Plans	$390 - $2,383	17%
Wellsense Health Plan	$390 - $2,550	17%
Amerihealth Caritas Nh	$526 - $1,379	22%
Granite State Health Plan	$526 - $1,881	22%
Mass General Brigham Health Plan	$1,711 - $11,265	73%
Tufts Health Plan	$1,981 - $7,190	84%
Harvard Pilgrim Health Care Of Ne	$2,128 - $5,122	90%
Maine Community Health Options	$5,069	215%
First Health/Hcvm	$9,575	406%
Phcs	$10,138	430%

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 $3,109.
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 Cheshire 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.