CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Robert Wood Johnson University Hospital at Rahway

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 66984
Insurance Median: $4,045
Cash Discount Price: $4,627
vs. Medicare Baseline: 1.72x Medicare

The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Robert Wood Johnson University Hospital at Rahway is $4,045. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,627. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 1.72x the Medicare baseline. Located in 865 Stone St, Rahway, NJ.

Cash / Self-Pay

$4,627

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,045

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: $4,627 (196%)

Insurance Median: $4,045 (172%)

Cash: $4,627 (196% of Medicare)

Ins. Median: $4,045 (172% 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	$990 - $2,493	42%
Aetna	$2,493 - $7,627	106%
Clover Health	$2,493	106%
Fidelis Care	$2,493	106%
Humana	$2,493	106%
Wellpoint	$2,493	106%
UnitedHealthcare	$2,542 - $4,759	108%
Cigna	$4,188 - $5,605	178%
Emblem Health	$4,362	185%
Wellcare	$4,960	210%

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 $4,627.
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 Robert Wood Johnson University Hospital at Rahway 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.