CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Artesia General Hospital

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 66984
Insurance Median: $1,461
Cash Discount Price: $953
vs. Medicare Baseline: 0.62x Medicare

The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Artesia General Hospital is $1,461. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $953. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 0.62x the Medicare baseline. Located in 702 N 13Th Street, Artesia, NM.

Cash / Self-Pay

$953

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,461

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: $953 (40%)

Insurance Median: $1,461 (62%)

Cash: $953 (40% of Medicare)

Ins. Median: $1,461 (62% 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
Zelis	$434 - $2,652	18%
First Health	$613 - $1,429	26%
Blue Cross Blue Shield	$953 - $2,456	40%
Geha	$1,112 - $2,210	47%
Omni Networks	$1,112	47%
Three Rivers Provider Network	$1,191	51%
Cigna	$1,350 - $1,429	57%
Galaxy Health	$1,429	61%
One Health Plan	$1,429	61%
Multiplan	$1,445	61%
United Payors & United Providers	$1,477	63%
Providence Risk & Insurance Services	$1,509 - $4,420	64%
Molina Healthcare Of New Mexico	$1,985 - $3,713	84%
Presbyterian Health Plan	$1,985 - $2,292	84%
UnitedHealthcare	$1,985 - $2,210	84%
Triwest	$2,166	92%
Humana	$2,210 - $2,431	94%
Vistacare Hospice	$2,210	94%
New Mexico Health Connections	$3,757	159%

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 $953.
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 Artesia General 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.