CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Long Island Community Hospital

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 66984
  • Insurance Median: $2,220
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.94x Medicare
The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Long Island Community Hospital is $2,220. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 0.94x the Medicare baseline. Located in 101 Hospital Road, Patchogue, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,220

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%)
Insurance Median: $2,220 (94%)
Ins. Median: $2,220 (94% 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.

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
Local 1199 $1,110 47%
Magellan $1,443 61%
Multiplan $1,443 61%
Oscar Health Exchange $1,510 64%
Coventry $1,643 70%
Longevity Health $1,776 75%
Galaxy $1,998 85%
Aarp $2,220 94%
Aetna $2,220 - $10,035 94%
Beacon Health Options $2,220 94%
Blue Cross Blue Shield $2,220 - $8,356 94%
Centerlight $2,220 94%
Cigna $2,220 94%
Emblem Ghi $2,220 94%
Fidelis $2,220 94%
Humana $2,220 94%
Integra $2,220 94%
Medicare (plans) $2,220 94%
UnitedHealthcare $2,220 - $5,699 94%
Agewell $2,298 97%
Elderplan Inc. $2,442 104%
Wellcare $2,442 104%
Emblem $5,035 214%
Nexus Nyu $5,035 214%
Empire Mediblue $8,356 354%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 101 Hospital Road, Patchogue, NY 11772
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals