CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Morristown Medical Center

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 66984
  • Insurance Median: $2,646
  • Cash Discount Price: $3,043
  • vs. Medicare Baseline: 1.12x Medicare
The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Morristown Medical Center is $2,646. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,043. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 1.12x the Medicare baseline. Located in 100 Madison Ave, Morristown, NJ.
Cash / Self-Pay
$3,043

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,646

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: $3,043 (129%)
Insurance Median: $2,646 (112%)
Cash: $3,043 (129% of Medicare)
Ins. Median: $2,646 (112% 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
Wtc Health Program [5273] $1,095 46%
Aetna $2,646 - $3,705 112%
Ambetter / Centene $2,646 112%
Amerihealth Administrators Supplemental [5512] $2,646 112%
Amerihealth Medigap [5049] $2,646 112%
Bankers Life & Casualty Supplemental [5058] $2,646 112%
Blue Cross Blue Shield $2,646 112%
Bollinger [5065] $2,646 112%
Champva [5354] $2,646 112%
Chubb Health [5073] $2,646 112%
Cigna $2,646 112%
Claim Watcher/Homestead [5488] $2,646 112%
Claimdoc [5434] $2,646 112%
Concern Non Employee [5086] $2,646 112%
Continental Casualty [5093] $2,646 112%
Cosmetic Surgery/Lap Band/Gastric Bypass [5289] $2,646 112%
Fairos [5491] $2,646 112%
Generic Commercial [5015] $2,646 112%
Generic No Fault [5017] $2,646 112%
Ghi Emblem Health [5122] $2,646 112%
Health Net [5137] $2,646 112%
Highmark Wholecare Health Plan Ip Splits [5464] $2,646 112%
Highmark Wholecare Health Plan [5413] $2,646 112%
Karen Ann Quinlan [5285] $2,646 112%
Kessler Institute for Rehab [5166] $2,646 112%
Luminare Health AHS Retiree [5013] $2,646 112%
Magellan [5176] $2,646 112%
Medicaid / KanCare $2,646 112%
Medicare (plans) $2,646 - $2,739 112%
Mutual of Omaha [5195] $2,646 112%
Out of Country Insurance Plan [5215] $2,646 112%
Runnells Specialized Hospital [5233] $2,646 112%
Sedgwick Wtc Health Program Wc [5514] $2,646 112%
Specialty Imaging [5433] $2,646 112%
The Health Plan [5451] $2,646 112%
Tricare $2,646 112%
UPMC [5455] $2,646 112%
Us Family Health Plan [5258] $2,646 112%
VA Community Care Network [5403] $2,646 112%
Wellcare Behavioral Health [5335] $2,646 112%
Wellcare Health Plans Ip Splits [5475] $2,646 112%
Wellcare Health Plans [5269] $2,646 112%
Work Med [5271] $2,646 112%
Amerihealth Caritas Vip Care Ip Splits [5460] $2,673 113%
Amerihealth Caritas Vip Care [5313] $2,673 113%
Kindred Giralda Hospital [5341] $2,911 123%
Horizon Nj Health [5021] $3,074 130%
Amerihealth [5008] $5,253 - $6,049 223%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 Madison Ave, Morristown, NJ 07962
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals