CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Blount Memorial Hospital

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 66984
Insurance Median: $2,940
Cash Discount Price: $1,650
vs. Medicare Baseline: 1.25x Medicare

The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Blount Memorial Hospital is $2,940. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,650. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 1.25x the Medicare baseline. Located in 907 E Lamar Alexander Parkway, Maryville, TN.

Cash / Self-Pay

$1,650

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,940

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: $1,650 (70%)

Insurance Median: $2,940 (125%)

Cash: $1,650 (70% of Medicare)

Ins. Median: $2,940 (125% 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
Medicaid / KanCare	$820 - $2,092	35%
UnitedHealthcare	$820 - $2,944	35%
Prisma Health Seniorcare Pace - Midlands [5400]	$1,235	52%
Prisma Health Seniorcare Pace-Upstate [5200]	$1,235	52%
Blue Cross Blue Shield	$1,707 - $2,256	72%
Promise Health Plan Contracted [2401]	$1,863 - $3,194	79%
Cigna	$2,112 - $2,940	90%
Tricare	$2,124	90%
Orangeburg Senior Helping Center Pace [5401]	$2,130	90%
Humana	$2,169	92%
Medicare (plans)	$2,169 - $2,257	92%
Mvp Health Care [3037]	$2,940	125%
Golden Rule Insurance Company [2991]	$2,944	125%
Oxford Health Plans [2992]	$2,944	125%
Bob Jones Univ-Pai [821]	$3,194	135%
Ambetter / Centene	$3,396	144%
Preferred Administrators Contracted [2839]	$3,727	158%
Medcost [2940]	$3,940 - $4,419	167%
Atlantic Packaging Contracted [4833]	$3,993	169%
Aps Healthcare System [2981]	$4,259	181%
Multiplan/Phcs Contracted [2950]	$4,738	201%
Aetna	$4,792	203%
Meritain Health Contracted [2200]	$4,792	203%
Nippon [2300]	$4,792	203%
Vsp Vision Care [2986]	$4,792	203%
Consociate Health Contracted [4835]	$4,820	204%
First Health Contracted [2952]	$4,951	210%
Furman Int/Allen University Student [2951]	$4,951	210%
Quiktrip-First Health [3067]	$4,951	210%
Fairos/Occunet Contracted [4837]	$5,039	214%

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 $1,650.
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 Blount Memorial 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.