CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Incline Village Community Hospital

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 66984
Insurance Median: $2,651
Cash Discount Price: $2,946
vs. Medicare Baseline: 1.12x Medicare

The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Incline Village Community Hospital is $2,651. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,946. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 1.12x the Medicare baseline. Located in 880 Alder Street, Incline Village, NV.

Cash / Self-Pay

$2,946

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,651

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: $2,946 (125%)

Insurance Median: $2,651 (112%)

Cash: $2,946 (125% of Medicare)

Ins. Median: $2,651 (112% 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
Medicare (plans)	$460	20%
Healthnet - All Plans	$621	26%
Blue Cross Blue Shield	$694 - $2,651	29%
Ca Hlth And Wellness - All Plans	$708	30%
UnitedHealthcare	$1,073	46%
Aetna	$2,592	110%
Prominence Healthfirst - All Plans	$2,592	110%
Admar Multiplan - All Plans	$2,651	112%
First Health - All Plans	$2,651	112%
Great West/One Health - All Plans	$2,651	112%
Hometown Hp - All Plans	$2,651	112%
Humana	$2,651	112%
Interplan - All Plans	$2,651	112%
Multiplan - All Plans	$2,651	112%
Phcs - All Plans	$2,651	112%
Cigna	$2,710	115%
Beech Street/Capp Care - All Plans	$2,799	119%
Uhn - All Plans	$2,799	119%
Sierra Health - All Plans	$2,858	121%

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 $2,946.
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 Incline Village Community 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.