CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Anmed Health

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 66984
  • Insurance Median: $513
  • Cash Discount Price: $500
  • vs. Medicare Baseline: 0.22x Medicare
The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Anmed Health is $513. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $500. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 0.22x the Medicare baseline. Located in 800 N Fant St, Anderson, SC.
Cash / Self-Pay
$500

Average discount available for prompt cash payment at this facility.

Insurance Median
$513

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: $500 (21%)
Insurance Median: $513 (22%)
Cash: $500 (21% of Medicare)
Ins. Median: $513 (22% 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.

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
Medicaid / KanCare $356 - $460 15%
Humana $374 - $1,904 16%
Select Health Of Sc [637] $410 17%
Absolute Total Care [58] $469 20%
Employee Benefit Management Services [869] $480 - $720 20%
Aetna $489 - $782 21%
Blue Cross Blue Shield $489 - $1,335 21%
Medicare (plans) $489 - $555 21%
UnitedHealthcare $489 - $866 21%
Vaccn - Va Community Care Network [16] $489 21%
Veterans Administration [633] $489 21%
Devoted Health Alt Payer [9401] $498 21%
Devoted Health [94] $498 21%
Cigna $503 - $1,090 21%
Molina Dual Options Alt Payer [1501] $503 21%
Molina Dual Options [15] $503 21%
Absolute Total Care Mcr Plans Alt Payer [4101] $506 21%
Absolute Total Care Mcr Plans [41] $506 21%
Blue Choice Health Plan [922] $508 - $1,478 22%
Champva [604] $510 22%
Tricare $510 22%
First Choice Vip Careplus Alt Payer [3301] $513 22%
First Choice Vip [33] $513 22%
Nhc Advantage Alt Payer [6101] $513 22%
Nhc Advantage [61] $513 22%
Bright Health Alt Payer [1001] $555 24%
Preferred Administrators [19] $600 - $900 25%
Ambetter / Centene $699 30%
First Choice Next [96] $709 30%
Molina Marketplace [97] $709 30%
Mail Handlers Benefit Plan [327] $782 33%
Rural Carrier Benefit Plan [406] $782 33%
Workers Compensation [622] $789 33%
Bright Health [11] $801 34%
Edison Health Solutions [95] $855 36%
Healthscope [98] $855 36%
Geha [302] $866 37%
Golden Rule Ins Co [584] $866 37%
Phcs [940] $880 - $1,320 37%
Nalc Health Benefit Plan [291] $1,090 46%
Medcost [206] $1,282 54%
Planned Administrators [886] $1,335 57%
Thomas Cooper & Company [315] $1,335 57%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 800 N Fant St, Anderson, SC 29621
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals