CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Camc Greenbrier Valley Medical Center, Inc

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 66984
Insurance Median: $384
Cash Discount Price: $1,919
vs. Medicare Baseline: 0.16x Medicare

The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Camc Greenbrier Valley Medical Center, Inc is $384. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,919. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 0.16x the Medicare baseline. Located in 1320 Maplewood Avenue, Ronceverte, WV.

Cash / Self-Pay

$1,919

Average discount available for prompt cash payment at this facility.

Insurance Median

$384

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: $1,919 (81%)

Insurance Median: $384 (16%)

Cash: $1,919 (81% of Medicare)

Ins. Median: $384 (16% 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
Aetna	$353 - $1,881	15%
Blue Cross Blue Shield	$353 - $868	15%
Caresource	$353 - $1,535	15%
Sentra Health	$353 - $384	15%
The Health Plan	$353 - $1,727	15%
Unicare	$353	15%
Humana	$374 - $1,727	16%
Multiplan	$374	16%
UnitedHealthcare	$374 - $1,535	16%
Clear Spring Health	$385	16%
Ally Align	$392	17%
Integrated Medical Solutions	$523	22%
Naphcare	$747	32%
Greenbrier Resort	$1,343	57%
Healthsmart	$1,535	65%
Fedmed	$1,727	73%

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 $1,919.
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 Camc Greenbrier Valley Medical Center, Inc 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.