CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Good Samaritan Hospital of Suffern

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 66984
Insurance Median: $5,877
Cash Discount Price: Unavailable
vs. Medicare Baseline: 2.49x Medicare

The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Good Samaritan Hospital of Suffern is $5,877. 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 2.49x the Medicare baseline. Located in 255 Lafayette Avenue, Suffern, NY.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,877

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: $5,877 (249%)

Ins. Median: $5,877 (249% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 249% of the Medicare baseline (a markup of 149%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
World Trade Center Fdny	$2,867	122%
Hamaspik (McR)	$2,867	122%
World Trade Center Other	$2,867	122%
Mvp Gold (McR)	$2,867	122%
Medicare (plans)	$2,867 - $3,067	122%
Affinity By Molina McR	$3,010	128%
Beacon Exchange	$3,440	146%
Beacon Commercial	$3,727	158%
Blue Cross Blue Shield	$4,607 - $5,681	195%
Oxford Commercial	$6,073	258%
Oxford Exchange	$6,146	261%
UnitedHealthcare	$6,146 - $7,230	261%
Self-Pay	$6,388	271%
Tricare	$6,435	273%
Cigna	$8,311	352%
Magnacare Preferred	$8,760	372%
Geisinger Health Commercial/Exchange	$9,460	401%
Mvp Exchange	$12,212	518%
Mvp Hmo/Ppo	$14,367	609%
Aetna	$15,625 - $17,361	663%

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 Good Samaritan Hospital of Suffern 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.