CMS Price Transparency Data

Cataract surgery with lens implant

Facility: The University Hospital

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 66984
Insurance Median: $2,859
Cash Discount Price: $2,992
vs. Medicare Baseline: 1.21x Medicare

The contracted insurance negotiated median rate for a Cataract surgery with lens implant at The University Hospital is $2,859. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,992. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 1.21x the Medicare baseline. Located in 150 Bergen St, Newark, NJ.

Cash / Self-Pay

$2,992

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,859

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: $2,992 (127%)

Insurance Median: $2,859 (121%)

Cash: $2,992 (127% of Medicare)

Ins. Median: $2,859 (121% 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
Horizon	$1,339 - $5,211	57%
Amerihealth	$1,400 - $2,602	59%
Aetna	$2,028 - $4,246	86%
Fidelis	$2,028 - $2,602	86%
UnitedHealthcare	$2,028 - $2,602	86%
Wellpoint	$2,068	88%
Clover Health	$2,602	110%
United	$2,859	121%
First Health	$4,835	205%
Americare	$5,181	220%
Qualcare	$5,181	220%
Correctional Medical Services	$5,526	234%
Multiplan	$5,526	234%
First Trenton	$6,217	264%
Managed Care Inc	$6,217	264%
Consumer Health Network	$6,562	278%
Three Rivers	$6,562	278%

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 $2,992.
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 The 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.