CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Tennova Healthcare - Newport Medical Center

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 66984
  • Insurance Median: $2,273
  • Cash Discount Price: $3,226
  • vs. Medicare Baseline: 0.96x Medicare
The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Tennova Healthcare - Newport Medical Center is $2,273. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,226. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 0.96x the Medicare baseline. Located in 435 2Nd St, Newport, TN.
Cash / Self-Pay
$3,226

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,273

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: $3,226 (137%)
Insurance Median: $2,273 (96%)
Cash: $3,226 (137% of Medicare)
Ins. Median: $2,273 (96% 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
Veterans Eval Services $486 21%
Amerigroup $1,394 - $2,317 59%
Medicaid / KanCare $1,625 69%
UnitedHealthcare $1,625 - $13,729 69%
Bluecare $1,704 - $1,761 72%
Tricare $1,989 84%
Blue Cross Blue Shield $2,027 - $3,397 86%
Node Champva $2,094 89%
Humana $2,207 94%
Medicare (plans) $2,207 94%
Node Bluecare Plus Tn Mcr Adv $2,242 95%
Node Hospice Non Par Agree $2,242 95%
Node Va $2,242 95%
Node Devoted Health Mcr Adv $2,251 95%
Node Farm Bureau Mcr Adv $2,251 95%
Aetna $2,273 - $8,539 96%
Node Healthspring Mcr Adv $2,273 96%
Node Wellcare Mcr Adv $2,295 97%
Windsor Health Plan $2,317 98%
Node Nhc Mcr Adv $2,427 103%
Us Department Of Labor $2,803 119%
Self Pay $3,226 137%
Novanet Work Comp Tn $3,387 144%
Tn Work Comp $3,421 145%
Ambetter / Centene $4,149 176%
Point Comfort Underwriters $4,855 206%
Cigna $7,578 321%
Multiplan $10,708 454%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 435 2Nd St, Newport, TN 37821
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals