CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Ohio Valley Surgical Hospital

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 66984
  • Insurance Median: $2,174
  • Cash Discount Price: $5,490
  • vs. Medicare Baseline: 0.92x Medicare
The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Ohio Valley Surgical Hospital is $2,174. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,490. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 0.92x the Medicare baseline. Located in 100 West Main Street, Springfield, OH.
Cash / Self-Pay
$5,490

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,174

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: $5,490 (233%)
Insurance Median: $2,174 (92%)
Cash: $5,490 (233% of Medicare)
Ins. Median: $2,174 (92% 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
Aetna $652 - $2,174 28%
Geha $652 28%
Genworth $652 28%
Mail Handlers $652 28%
Meritain $652 28%
Meritain Heatlh $652 28%
Mhbp $652 28%
Ngs Coresource $652 28%
Nippon Life $652 28%
Pacific Source $652 28%
Personify Health $652 28%
Aarp $2,174 92%
Aarp Supplemental $2,174 92%
American Continental Insurance $2,174 92%
American Continental Life $2,174 92%
American Republic $2,174 92%
American Retirement $2,174 92%
Aultcare Primetime Health Plan $2,174 92%
Bankers Fidelity $2,174 92%
Bankers Life And Casualty $2,174 92%
Blue Cross Blue Shield $2,174 - $9,013 92%
Central States $2,174 92%
Champus $2,174 92%
Cigna $2,174 - $3,482 92%
Communicare Advantage $2,174 92%
Everest $2,174 92%
Gateway Health Plan $2,174 92%
Humana $2,174 92%
Medicare (plans) $2,174 - $5,490 92%
Medigold $2,174 92%
Mmoh $2,174 - $5,764 92%
Molina $2,174 92%
Molina Dual Mcr $2,174 92%
Molina Marketplace $2,174 92%
Molina Dual Mcr $2,174 92%
Molina Mcr $2,174 92%
Molina Mcr Mcd $2,174 92%
Molina Mcr+Mcd $2,174 92%
Patient No Pay $2,174 92%
Prosperity Supplement $2,174 92%
Self Pay Imaging $2,174 92%
UnitedHealthcare $2,174 - $5,431 92%
Wellcare By Allwell $2,174 92%
Wraparound Pl Supp $2,174 92%
The Health Plan $2,282 97%
Devoted Health $2,430 103%
Employer Direct $2,500 106%
Caresource $3,261 138%
Caresourse $3,261 138%
Medicaid / KanCare $3,261 138%
Healthgram $3,482 148%
Nalc $3,482 148%
Samba $3,482 148%
Sbma $3,482 148%
Unified Group $3,482 148%
Mmoh (Supermed) $4,255 180%
Mmo Cin. Hmo $5,764 244%
Luminare Health $8,235 349%
Medben $8,235 349%
Ohio Health $8,235 349%
Preferred Health $8,235 349%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 West Main Street, Springfield, OH 45502
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals