CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Bay Area Hospital

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 66984
Insurance Median: $1,157
Cash Discount Price: $1,166
vs. Medicare Baseline: 0.49x Medicare

The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Bay Area Hospital is $1,157. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,166. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 0.49x the Medicare baseline. Located in 1775 Thompson Road, Coos Bay, OR.

Cash / Self-Pay

$1,166

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,157

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: $1,166 (49%)

Insurance Median: $1,157 (49%)

Cash: $1,166 (49% of Medicare)

Ins. Median: $1,157 (49% 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
Healthnet Mcr Adv	$502	21%
Moda Hlth Mcr Adv	$502	21%
Southwest Oregon Ipa - All Plans	$646	27%
Nasomah Hlth Grp - All Plans	$933	40%
Blue Cross Blue Shield	$1,068	45%
Providence - All Other Plans	$1,082	46%
Providence Pebb	$1,082	46%
Moda Beacon - All Other Plans	$1,232	52%
Pacificsource - All Plans	$1,236	52%
Ods Ppo/Pos - All Plans	$1,267	54%
Moda Connexus/Synergy	$1,369	58%
Healthnet Comm- All Other Plans	$1,477	63%
Healthnet Mcaid	$1,555	66%
Prov Behav Hlth	$1,944	82%

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 $1,166.
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 Bay Area 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.