CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Jamaica Hospital Medical Center

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 66984
Insurance Median: $3,039
Cash Discount Price: $2,719
vs. Medicare Baseline: 1.29x Medicare

The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Jamaica Hospital Medical Center is $3,039. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,719. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 1.29x the Medicare baseline. Located in 89Th Avenue and Van Wyck Expressway, Jamaica, NY.

Cash / Self-Pay

$2,719

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,039

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: $2,719 (115%)

Insurance Median: $3,039 (129%)

Cash: $2,719 (115% of Medicare)

Ins. Median: $3,039 (129% 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
Hotel Trades Council	$1,912	81%
Healthfirst	$2,437	103%
Fidelis	$2,723 - $2,867	115%
Aetna	$2,867 - $3,996	122%
Beacon Health Strategies	$2,867	122%
Centerlight Healthcare	$2,867	122%
Empire	$2,867 - $3,535	122%
Ghi	$2,867	122%
Hip	$2,867 - $5,159	122%
Metroplus	$2,867 - $3,153	122%
UnitedHealthcare	$2,867 - $4,215	122%
Elderplan	$2,924	124%
Vns	$2,924	124%
Wellcare of Ny	$2,981	126%
Empire Blue Priority	$3,005	127%
Villagecaremax	$3,010	128%
Humana	$3,039	129%
Senior Whole Health	$3,039	129%
Hamaspik Choice	$3,297	140%
Magnacare	$3,297 - $4,555	140%
Create Health Plan	$3,399	144%
Centers Plan for Healthy Living	$3,583	152%
1999 National Benefit Fund	$4,001	170%
Oscar	$4,018	170%
Cigna	$4,250	180%
Centivo	$4,679	198%
Emblemhealth	$4,730	201%

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 $2,719.
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 Jamaica Hospital 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.