CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Mangum Regional Medical Center

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 66984
Insurance Median: $5,574
Cash Discount Price: $4,436
vs. Medicare Baseline: 2.36x Medicare

The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Mangum Regional Medical Center is $5,574. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,436. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 2.36x the Medicare baseline. Located in 1 Wickersham Drive, Mangum, OK.

Cash / Self-Pay

$4,436

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,574

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: $4,436 (188%)

Insurance Median: $5,574 (236%)

Cash: $4,436 (188% of Medicare)

Ins. Median: $5,574 (236% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 236% of the Medicare baseline (a markup of 136%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
UnitedHealthcare	$1,014 - $5,028	43%
Aetna	$2,800 - $10,474	119%
Tricare	$3,075 - $4,022	130%
Blue Cross Blue Shield	$3,844 - $8,903	163%
Ok Cmplte Wellcare	$3,844 - $5,028	163%
Humana	$3,883 - $10,474	165%
Healthchoice Ip/Op Only- All Plans	$4,044	172%
Hs Technology - All Plans	$4,325 - $5,656	183%
Ambetter / Centene	$5,574 - $7,290	236%
Cigna	$5,606 - $7,332	238%
Preferred Community Ppo Ip/Op Only- All Plans	$6,407 - $8,379	272%
Ok Cmplte Soonerselect Mcaid	$8,009 - $10,474	340%

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 $4,436.
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 Mangum 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.