CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Intermountain Health Heber Valley Hospital

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 66984
  • Insurance Median: $4,182
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.77x Medicare
The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Intermountain Health Heber Valley Hospital is $4,182. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 1.77x the Medicare baseline. Located in 454 East Medical Way, Heber City, UT.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,182

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%)
Insurance Median: $4,182 (177%)
Ins. Median: $4,182 (177% 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
Triwest $363 - $779 15%
Aetna $3,602 153%
Selecthealth $3,819 - $4,182 162%
Awh Connected $4,182 177%
Blue Cross Blue Shield $4,182 177%
Byu Athletics $4,182 177%
Campbell Scientific $4,182 177%
Cigna $4,182 177%
Deseret Mutual $4,182 177%
Emi $4,182 177%
Emi Health $4,182 177%
Franklin County $4,182 177%
Ifit $4,182 177%
Intermountain Caregiver Plan $4,182 177%
Juniper Systems $4,182 177%
Lw Miller $4,182 177%
Managed Care Admin $4,182 177%
Motivhealth $4,182 177%
Pehp $4,182 177%
Prodegi Corp Benefit $4,182 177%
Tanner Llc $4,182 177%
UnitedHealthcare $4,182 177%
Utah Tech $4,182 177%
Wise Network $4,182 177%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 454 East Medical Way, Heber City, UT 84032
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals