CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Shore Medical Center

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 66984
Insurance Median: $2,493
Cash Discount Price: $2,866
vs. Medicare Baseline: 1.06x Medicare

The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Shore Medical Center is $2,493. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,866. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 1.06x the Medicare baseline. Located in 100 Medical Center Way, Somers Point, NJ.

Cash / Self-Pay

$2,866

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,493

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: $2,866 (122%)

Insurance Median: $2,493 (106%)

Cash: $2,866 (122% of Medicare)

Ins. Median: $2,493 (106% 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	$507 - $12,214	22%
Fidelis Care	$507	22%
Horizon	$507 - $3,500	22%
UnitedHealthcare	$507 - $4,736	22%
Amerihealth	$2,100 - $2,493	89%
Wellpoint	$2,479 - $3,575	105%
Clover	$2,493	106%
Oxford	$4,736	201%
Cigna	$14,839	629%

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 $2,866.
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 Shore 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.