CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Newark Beth Israel Medical Center

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 66984
  • Insurance Median: $4,220
  • Cash Discount Price: $4,881
  • vs. Medicare Baseline: 1.79x Medicare
The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Newark Beth Israel Medical Center is $4,220. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,881. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 1.79x the Medicare baseline. Located in 201 Lyons Ave, Newark, NJ.
Cash / Self-Pay
$4,881

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,220

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: $4,881 (207%)
Insurance Median: $4,220 (179%)
Cash: $4,881 (207% of Medicare)
Ins. Median: $4,220 (179% 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
UnitedHealthcare $284 - $5,113 12%
Blue Cross Blue Shield $1,544 - $2,559 65%
Aetna $2,559 - $7,484 109%
Clover Health $2,559 109%
Fidelis Care $2,559 109%
Humana $2,559 109%
Wellpoint $2,559 - $3,266 109%
Wellcare $5,092 216%
Emblem Health $5,118 217%
Cigna $6,408 - $8,576 272%
Qualcare Inc $7,929 336%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 201 Lyons Ave, Newark, NJ 07112
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals