CMS Price Transparency Data
Cataract surgery with lens implant
Facility: Uc San Diego Health Hillcrest - Hillcrest Med Ctr
Billing Code: 66984 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 66984
- Insurance Median: $22,567
- Cash Discount Price: $37,599
- vs. Medicare Baseline: 9.57x Medicare
The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Uc San Diego Health Hillcrest - Hillcrest Med Ctr is $22,567. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $37,599. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 9.57x the Medicare baseline. Located in 200 West Arbor Drive, San Diego, CA.
Cash / Self-Pay
$37,599
Average discount available for prompt cash payment at this facility.
Insurance Median
$22,567
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: $37,599 (1595%)
Insurance Median: $22,567 (957%)
Cash: $37,599 (1595% of Medicare)
Ins. Median: $22,567 (957% 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 957% of the Medicare baseline (a markup of 857%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Aetna | $140 - $34,591 | 6% |
| Alternate Medi-Cal [2001] | $140 | 6% |
| Blue Cross Blue Shield | $140 - $40,087 | 6% |
| Brand New Day [1089] | $140 - $1,442 | 6% |
| Caremore [2028] | $140 | 6% |
| Community Eldercare [1027] | $140 | 6% |
| Medi-Cal [1048] | $140 | 6% |
| Vantage [1092] | $140 - $41,017 | 6% |
| Ximed [2016] | $140 | 6% |
| Alternate Molina [1240] | $176 | 7% |
| Molina [1055] | $176 - $2,898 | 7% |
| Community Health Group [1022] | $181 | 8% |
| Health Net [1039] | $189 - $44,435 | 8% |
| Champva [1020] | $590 | 25% |
| Mid County Physicians Med Grp [1054] | $590 | 25% |
| Alameda Alliance For Health [2027] | $1,442 | 61% |
| Alignment Health Plan [2020] | $1,442 | 61% |
| California Department Of Public Health [1237] | $1,442 | 61% |
| California Health & Wellness Medi-Cal [1122] | $1,442 | 61% |
| Cms - County Medical Services [1025] | $1,442 - $44,435 | 61% |
| Community Care Ipa [1131] | $1,442 | 61% |
| Federal Prison [1031] | $1,442 | 61% |
| Gold Coast Health Plan [2031] | $1,442 | 61% |
| Health Plan Of San Joaquin [2032] | $1,442 | 61% |
| Hemet Community Med Grp - Promisecare [1040] | $1,442 | 61% |
| Imperial Health Holdings [1132] | $1,442 | 61% |
| Kern Health Systems [2033] | $1,442 | 61% |
| La Care Health Plan [2025] | $1,442 | 61% |
| Medicaid / KanCare | $1,442 | 61% |
| Regal Mg 'Heritage Provider Network' [2019] | $1,442 | 61% |
| San Diego County [1071] | $1,442 - $34,181 | 61% |
| Sd Physicians Med Grp [1076] | $1,442 - $44,435 | 61% |
| State Of California [1082] | $1,442 | 61% |
| UnitedHealthcare | $1,442 - $47,853 | 61% |
| Unlisted Mcal Hmo Non-Contract [1049] | $1,442 | 61% |
| Inland Empire Health Plan Transplant [1126] | $2,019 | 86% |
| Inland Empire Health Plan [1121] | $2,019 | 86% |
| Cal Optima [1016] | $2,091 | 89% |
| Alternate Scan Health [2088] | $2,898 | 123% |
| Pace [2044] | $2,898 | 123% |
| San Diego Pace [2046] | $2,898 | 123% |
| Scan Health [1072] | $2,898 | 123% |
| Cigna | $8,203 - $41,017 | 348% |
| Humana | $8,203 - $58,107 | 348% |
| Mc Blue Shield Generic Payor [164016] | $8,203 | 348% |
| Mc Blue Shield Hmo [164015] | $8,203 | 348% |
| Mc Brand New Day Generic Payor [164031] | $8,203 | 348% |
| Mc Brand New Day Hmo [164030] | $8,203 | 348% |
| Mc Healthnet Generic Payor [164010] | $8,203 | 348% |
| Mc Healthnet Hmo [164004] | $8,203 | 348% |
| Mc Hnet Blue&Gold Aco [164017] | $8,203 | 348% |
| Mc Scan Generic Payor [164034] | $8,203 | 348% |
| Mc Scan Hmo [164035] | $8,203 | 348% |
| Uc Aff Blue Shield Sr/Sdsm [164037] | $8,203 | 348% |
| Padres Workers Compensation [2013] | $11,006 | 467% |
| Padres [2014] | $11,006 | 467% |
| Ucr Prompt Pay Payor [8240] | $13,877 | 589% |
| Blue Shield [1014] | $17,609 - $28,999 | 747% |
| Alternate Blue Shield [2002] | $22,567 | 957% |
| Blue Shield Transplants [1113] | $22,567 | 957% |
| Alternate Healthnet [1007] | $23,721 - $33,155 | 1006% |
| Multicultural Med Grp [1057] | $24,815 | 1052% |
| Elizabeth Hospice [2018] | $27,344 | 1160% |
| Scripps Clinic [1073] | $27,344 - $41,017 | 1160% |
| Blue Shield Promise [1017] | $30,762 | 1305% |
| Alternate Health Net Bh [2059] | $33,155 | 1406% |
| Healthnet Transplants [1114] | $33,155 | 1406% |
| Usoc - Us Olympic Committee [1123] | $33,770 | 1432% |
| Global Excel [1036] | $34,181 | 1450% |
| Sharp Health Plan [1079] | $34,181 - $34,522 | 1450% |
| Graybill Med Grp [1037] | $34,522 | 1464% |
| Sharp Community Med Grp [1078] | $34,522 | 1464% |
| Sharp Rees Stealy [1080] | $34,522 | 1464% |
| Olympus Managed Healthcare Inc [1102] | $34,591 | 1467% |
| Scripps Health Plan Services [1075] | $41,017 | 1740% |
| Alternate Sheriff Custody [1106] | $44,435 | 1885% |
| Arch Health Partners [2000] | $44,435 | 1885% |
| Axa Assistance [1098] | $44,435 | 1885% |
| Cassidy Med Grp [1019] | $44,435 | 1885% |
| Cmn - Canadian Medical Network [1024] | $44,435 | 1885% |
| Ets - Lifetrac Network [1103] | $44,435 | 1885% |
| Health Net Bh (Mhn) [1038] | $44,435 | 1885% |
| Health Net Bh (Mhn) [2010] | $44,435 | 1885% |
| Interlink Health Services Transplant [1124] | $44,435 | 1885% |
| Interlink Health Transplant [2085] | $44,435 | 1885% |
| Mgm Resorts [1053] | $44,435 | 1885% |
| National Healthcare Solutions Inc [1100] | $44,435 | 1885% |
| Quality Health [1069] | $44,435 | 1885% |
| San Diego County Sheriff Custody [2012] | $44,435 | 1885% |
| Scripps Coastal Med Grp [1074] | $44,435 | 1885% |
| Tri-City [1085] | $44,435 | 1885% |
| Kaiser [1046] | $45,802 | 1943% |
| Embassy Sponsored [1101] | $46,486 - $47,853 | 1972% |
| Interplan [1045] | $47,853 | 2030% |
| Mercy Physicians Med Grp [1052] | $47,853 | 2030% |
| Pacific Foundation [1063] | $47,853 | 2030% |
| Beech Street [1012] | $51,271 | 2175% |
| First Health [1032] | $51,271 | 2175% |
| Admar [1001] | $52,638 | 2232% |
| Bps - Benefit Plan Services [1015] | $52,638 | 2232% |
| Multiplan [1058] | $52,638 | 2232% |
| Private Healthcare Systems [1067] | $52,638 - $68,361 | 2232% |
| Carnival Cruises [1018] | $54,689 | 2319% |
| Alternate Kaiser Rad Onc [2089] | $68,361 | 2899% |
| Sharp Healthcare Transplant [1119] | $92,287 | 3914% |