CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Uva Health Haymarket Medical Center

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 66984
Insurance Median: $2,519
Cash Discount Price: $2,607
vs. Medicare Baseline: 1.07x Medicare

The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Uva Health Haymarket Medical Center is $2,519. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,607. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 1.07x the Medicare baseline. Located in 15225 Healthcote Boulevard, Haymarket, VA.

Cash / Self-Pay

$2,607

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,519

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: $2,607 (111%)

Insurance Median: $2,519 (107%)

Cash: $2,607 (111% of Medicare)

Ins. Median: $2,519 (107% 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
Champva [50002]	$1,281	54%
Tricare	$1,281	54%
Aetna	$1,370 - $3,573	58%
UnitedHealthcare	$1,613 - $7,383	68%
Geha [40009]	$1,792 - $4,674	76%
Multiplan Generic [40035]	$2,197 - $5,729	93%
Vhn Generic [40040]	$2,197 - $5,729	93%
Sentara Behavioral Health [40052]	$2,246 - $5,857	95%
Sentara [40021]	$2,246 - $5,857	95%
Cigna	$2,313 - $7,886	98%
Blue Cross Blue Shield	$2,388 - $7,383	101%
Medicare (plans)	$2,388	101%
VA Ccn [99926]	$2,388	101%
VA Ccn [99927]	$2,388	101%
Veterans Administration [99910]	$2,388	101%
Humana	$2,435	103%
Kaiser Permenente [40014]	$2,602 - $6,784	110%
Carefirst [30007]	$6,290 - $7,128	267%

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 $2,607.
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 Uva Health Haymarket 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.