CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Curry General Hospital

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 66984
Insurance Median: $605
Cash Discount Price: $1,113
vs. Medicare Baseline: 0.26x Medicare

The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Curry General Hospital is $605. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,113. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 0.26x the Medicare baseline. Located in 94220 Fourth Street, Gold Beach, OR.

Cash / Self-Pay

$1,113

Average discount available for prompt cash payment at this facility.

Insurance Median

$605

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: $1,113 (47%)

Insurance Median: $605 (26%)

Cash: $1,113 (47% of Medicare)

Ins. Median: $605 (26% 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
Tricare	$63 - $630	3%
Blue Cross Blue Shield	$103 - $2,024	4%
Medicaid / KanCare	$127 - $1,275	5%
Department Of Corrections [1051]	$131 - $1,316	6%
Coordinated Care Commercial [1649]	$172 - $1,720	7%
Pacificsource [1148]	$172 - $1,720	7%
Moda [512]	$173 - $1,822	7%
Multiplan [1131]	$184 - $1,842	8%
Asuris [1258]	$192 - $1,923	8%
Operating Engineers [1144]	$192 - $1,923	8%
Regence [1351]	$192 - $2,024	8%
Cigna	$198 - $2,024	8%
Coventry First Health Managed Care [1774]	$198 - $1,984	8%
Coventry Health [1046]	$198 - $1,984	8%
Providence Health Plan Plm Alt [1692]	$198 - $1,984	8%
Providence Health Plan [567]	$198 - $1,984	8%
Aetna	$202 - $2,024	9%
Employee Bene Admin Mgmt [525]	$202 - $2,024	9%
Geha [531]	$202 - $2,024	9%
Mailhandlers Benefit Pln [547]	$202 - $2,024	9%
Meritain [550]	$202 - $2,024	9%
Nw Sheet Metal Workers [597]	$202 - $2,024	9%
Trustmark [524]	$202 - $2,024	9%
UnitedHealthcare	$202 - $2,024	9%
Zenith Administrators [586]	$202 - $2,024	9%
Covid19 Hrsa Uninsured Testing And Treatment Fund [2271]	$579	25%
Medicare (plans)	$579	25%
First Choice Health Admin [1294]	$1,581	67%
First Choice [528]	$1,581	67%
Allcare Alt [2598]	$2,000	85%
Allcare [1695]	$2,000	85%

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 $1,113.
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 Curry General 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.