CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Akron Children's Hospital

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 66984
Insurance Median: $756
Cash Discount Price: $1,131
vs. Medicare Baseline: 0.32x Medicare

The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Akron Children's Hospital is $756. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,131. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 0.32x the Medicare baseline. Located in 1 Perkins Square, Akron, OH.

Cash / Self-Pay

$1,131

Average discount available for prompt cash payment at this facility.

Insurance Median

$756

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: $1,131 (48%)

Insurance Median: $756 (32%)

Cash: $1,131 (48% of Medicare)

Ins. Median: $756 (32% 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
Autlcare	$494 - $748	21%
Summacare	$511 - $964	22%
UnitedHealthcare	$553 - $1,886	23%
Aetna	$560 - $1,834	24%
Blue Cross Blue Shield	$571 - $1,834	24%
Buckeye Community Health Plan	$571 - $1,834	24%
Caresource	$571 - $1,799	24%
Molina	$571 - $1,834	24%
Humana	$576 - $1,851	24%
Amerihealth Caritas Ohio	$587 - $1,886	25%
Cigna	$833 - $1,588	35%
Mmo	$863 - $1,381	37%
Cenpatico	$1,834	78%

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 $1,131.
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 Akron Children's Hospital 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.