CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Kings County Hospital Center

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 66984
  • Insurance Median: $2,449
  • Cash Discount Price: $2,668
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Kings County Hospital Center is $2,449. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,668. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 1.04x the Medicare baseline. Located in 451 Clarkson Avenue, Brooklyn, NY.
Cash / Self-Pay
$2,668

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,449

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: $2,668 (113%)
Insurance Median: $2,449 (104%)
Cash: $2,668 (113% of Medicare)
Ins. Median: $2,449 (104% 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
Emblem $213 - $4,821 9%
Oxford $236 - $3,052 10%
Oscar $251 - $4,454 11%
United $284 - $3,774 12%
Healthfirst $303 - $5,511 13%
Affinity $534 - $5,511 23%
Blue Cross Blue Shield $607 - $5,511 26%
Centerlight $607 - $4,425 26%
Elderplan $607 - $2,699 26%
Fidelis $607 - $5,511 26%
Wellcare $616 - $655 26%
Centers Plan For Healthy Living $631 - $2,807 27%
Hamaspik $637 27%
Aetna $758 - $3,502 32%
Local 1199 $766 - $7,522 32%
Metroplus $1,200 - $5,511 51%
Amidacare $2,449 104%
Carelon $2,449 - $5,752 104%
Senior Whole Health $2,449 104%
United Behavioral Health $2,449 - $2,694 104%
Carelon (Amida Care) $2,498 106%
Vnsny $2,498 - $2,699 106%
Vaccn $2,699 114%
Cigna $4,285 - $6,637 182%
Magnacare $6,637 281%
Multiplan $7,080 300%
Villagecare Max $7,522 319%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 451 Clarkson Avenue, Brooklyn, NY 11203
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals