CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Muscogee (Creek) Nation Medical Center

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 66984
Insurance Median: $2,331
Cash Discount Price: $1,673
vs. Medicare Baseline: 0.99x Medicare

The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Muscogee (Creek) Nation Medical Center is $2,331. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,673. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 0.99x the Medicare baseline. Located in 1401 Morris Drive, Okmulgee, OK.

Cash / Self-Pay

$1,673

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,331

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: $1,673 (71%)

Insurance Median: $2,331 (99%)

Cash: $1,673 (71% of Medicare)

Ins. Median: $2,331 (99% 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
Humana	$415 - $4,236	18%
Aetna	$437 - $4,660	19%
Community Care Mcr Adv	$437 - $2,220	19%
Global Health Mcr Adv	$437 - $4,236	19%
UnitedHealthcare	$437 - $3,228	19%
Blue Cross Blue Shield	$513 - $5,380	22%
Community Care Comm - All Other Plans	$546 - $4,772	23%
Global Health Comm - All Other Plans	$568 - $2,885	24%
Healthchoice-All Plans	$682 - $3,997	29%
First Health-All Plans	$4,871	207%

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 $1,673.
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 Muscogee (Creek) Nation 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.