CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Robert Wood Johnson University Hospital

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 66984
Insurance Median: $4,565
Cash Discount Price: $5,741
vs. Medicare Baseline: 1.94x Medicare

The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Robert Wood Johnson University Hospital is $4,565. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,741. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 1.94x the Medicare baseline. Located in One Robert Wood Johnson Place, New Brunswick, NJ.

Cash / Self-Pay

$5,741

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,565

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: $5,741 (243%)

Insurance Median: $4,565 (194%)

Cash: $5,741 (243% of Medicare)

Ins. Median: $4,565 (194% 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
Wellpoint	$534 - $2,646	23%
Blue Cross Blue Shield	$775 - $2,646	33%
Aetna	$2,646 - $7,865	112%
Clover Health	$2,646	112%
Fidelis Care	$2,646	112%
Humana	$2,646	112%
UnitedHealthcare	$2,699 - $5,671	114%
Wellcare	$5,266	223%
Emblem Health	$5,557	236%
Cigna	$13,514 - $14,234	573%

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 $5,741.
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 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.