CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Union Hospital

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 66984
  • Insurance Median: $2,107
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.89x Medicare
The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Union Hospital is $2,107. 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 0.89x the Medicare baseline. Located in 659 Boulevard, Dover, OH.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,107

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: $2,107 (89%)
Ins. Median: $2,107 (89% 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
Buckeye $1,156 49%
Caresource $1,156 49%
Blue Cross Blue Shield $1,213 - $2,107 51%
Molina $1,213 51%
United $1,236 - $2,107 52%
Amerihealth $1,271 54%
Aultcare $1,791 76%
Aetna $2,107 89%
Devoted Health $2,107 89%
Humana $2,107 89%
Mmo $2,107 - $2,171 89%
Summacare $2,107 89%
UnitedHealthcare $2,107 89%
Upmc $2,107 89%
Valor $2,107 89%
Cigna $2,171 92%
Communicare $2,213 94%
Perennial Health $2,276 97%
Pphp $2,318 98%
Zing Health $2,318 98%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 659 Boulevard, Dover, OH 44622
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals