CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Coshocton Regional Medical Center

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 66984
Insurance Median: $2,574
Cash Discount Price: $2,172
vs. Medicare Baseline: 1.09x Medicare

The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Coshocton Regional Medical Center is $2,574. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,172. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 1.09x the Medicare baseline. Located in 1460 Orange Street, Coshocton, OH.

Cash / Self-Pay

$2,172

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,574

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: $2,172 (92%)

Insurance Median: $2,574 (109%)

Cash: $2,172 (92% of Medicare)

Ins. Median: $2,574 (109% 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
Standard Eapg Logic	$1,737	74%
Blue Cross Blue Shield	$2,173 - $2,625	92%
Care Source	$2,173 - $3,150	92%
Medicare (plans)	$2,173	92%
Molina	$2,173 - $3,150	92%
The Health Plan	$2,173	92%
Tricare	$2,173	92%
UnitedHealthcare	$2,173 - $2,676	92%
Med Mutual Of Oh	$2,216	94%
Buckeye Community Health Plan	$2,281 - $2,716	97%
Devoted Health	$2,281	97%
Valor Health Plan	$2,325	99%
Perennial Advantage	$2,390	101%
Medicaid / KanCare	$2,548	108%
Amerihealth Caritas	$2,676	113%
Paramount	$2,676	113%
Quality Care Partner	$2,676	113%
Employer Direct Healthcare	$3,042	129%
Americas Choice Provider Network	$3,252	138%
Corvel	$3,252	138%
Healthsmart	$3,252	138%
Multiplan	$3,252	138%
Provider Network Of America	$3,252	138%
Provider Select	$3,252	138%
Three Rivers	$3,252	138%
Workers Compensation	$3,252	138%

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 $2,172.
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 Coshocton Regional 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.