CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Multicare Auburn Medical Center

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 66984
Insurance Median: $3,336
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.41x Medicare

The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Multicare Auburn Medical Center is $3,336. 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 1.41x the Medicare baseline. Located in 202 North Division Street Plaza One, Auburn, WA.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,336

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: $3,336 (141%)

Ins. Median: $3,336 (141% 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
Molina	$1,196 - $4,602	51%
Community Health Plan Of Washington	$1,292 - $4,194	55%
Coordinated Care	$1,292	55%
UnitedHealthcare	$1,292 - $2,587	55%
Wellpoint	$1,292	55%
Aetna	$2,562 - $10,640	109%
Regence	$2,562	109%
Wellcare	$2,612	111%
First Choice	$3,336 - $6,066	141%
Premera	$4,045 - $10,700	172%
Ambetter / Centene	$4,976	211%
Kaiser	$9,193	390%
Cigna	$12,766	541%

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 $X.
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 Multicare Auburn 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.