CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Milton S Hershey Medical Center

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 66984
Insurance Median: $2,669
Cash Discount Price: $4,912
vs. Medicare Baseline: 1.13x Medicare

The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Milton S Hershey Medical Center is $2,669. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,912. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 1.13x the Medicare baseline. Located in 500 University Drive, Hershey, PA.

Cash / Self-Pay

$4,912

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,669

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: $4,912 (208%)

Insurance Median: $2,669 (113%)

Cash: $4,912 (208% of Medicare)

Ins. Median: $2,669 (113% 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
[Amerihealth Caritas]	$2,080 - $2,448	88%
[Highmark Wholecare]	$2,080 - $2,448	88%
[Geisinger]	$2,203 - $11,048	93%
[Health Partners Plans]	$2,276 - $2,497	97%
[Pa Health & Wellness]	$2,289 - $2,521	97%
[Highmark]	$2,423 - $13,163	103%
Aetna	$2,472 - $10,041	105%
Humana	$2,472	105%
[Healthspring]	$2,472	105%
UnitedHealthcare	$2,497 - $10,689	106%
[Upmc]	$2,497 - $10,953	106%
[Cbc]	$2,668 - $9,819	113%
[Point Comfort Underwriters]	$3,060	130%
[Highmark Aca]	$9,214	391%
Cigna	$9,478	402%
[Highmark Choice Blue]	$10,530	447%
[Preferred Healthcare Systems]	$11,119	472%
[First Health]	$11,860	503%
[Multiplan]	$11,860	503%

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 $4,912.
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 Milton S Hershey 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.