CMS Price Transparency Data
Cataract surgery with lens implant
Facility: Scripps Green Hospital
Billing Code: 66984 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 66984
- Insurance Median: $1,570
- Cash Discount Price: $1,944
- vs. Medicare Baseline: 0.67x Medicare
The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Scripps Green Hospital is $1,570. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,944. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 0.67x the Medicare baseline. Located in 10666 North Torrey Pines Road, La Jolla, CA.
Cash / Self-Pay
$1,944
Average discount available for prompt cash payment at this facility.
Insurance Median
$1,570
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: $1,944 (82%)
Insurance Median: $1,570 (67%)
Cash: $1,944 (82% of Medicare)
Ins. Median: $1,570 (67% 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
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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 | $502 - $2,968 | 21% |
| UnitedHealthcare | $502 - $3,117 | 21% |
| Radys Cpmg [803] | $622 | 26% |
| Blue Cross Blue Shield | $1,166 - $2,968 | 49% |
| Cigna | $1,166 - $2,968 | 49% |
| Mc Alignment [917] | $1,166 | 49% |
| Mc Blue Shield Promise Health Plan [914] | $1,166 | 49% |
| Mc Blue Shield [902] | $1,166 | 49% |
| Mc Health Net [904] | $1,166 | 49% |
| Mc Scan [905] | $1,166 | 49% |
| Mc United [906] | $1,166 | 49% |
| Sharp Comm Med Grp [812] | $1,306 - $1,570 | 55% |
| Sharp Rees Stealy Med Grp [811] | $1,306 - $1,570 | 55% |
| Ucsd [807] | $1,306 - $1,570 | 55% |
| Uh [819] | $1,322 | 56% |
| Bc [814] | $1,345 | 57% |
| Imperial County Phys Med Group [855] | $1,345 - $1,399 | 57% |
| Integrated Health Partners [894] | $1,345 | 57% |
| Perlman Med Group [899] | $1,345 | 57% |
| Blue Shield [230] | $1,353 - $1,462 | 57% |
| Health Net [340] | $1,384 - $7,421 | 59% |
| Hn [815] | $1,384 | 59% |
| Bs [816] | $1,399 - $1,462 | 59% |
| Centivo [581] | $1,399 | 59% |
| Palomar Health [892] | $1,570 | 67% |
| Veba Med Grp [813] | $1,570 | 67% |
| Astiva Mcr Adv [464] | $2,968 | 126% |
| Bc Mcr Adv [830] | $2,968 | 126% |
| Bs Mcr Adv [829] | $2,968 | 126% |
| Central Health Mcr Adv [441] | $2,968 | 126% |
| Clever Care Mcr Adv [465] | $2,968 | 126% |
| D-Snp Mcr Adv [889] | $2,968 | 126% |
| Dsnp/Csnp - Generic [458] | $2,968 | 126% |
| Family Health Centers Pace Mcr Adv Hmo [556] | $2,968 | 126% |
| Family Health Centers Pace Medi-Cal [555] | $2,968 | 126% |
| Gary And Mary West Pace Medi-Cal Hmo [557] | $2,968 | 126% |
| Gpmg/Altura - Mcr Adv [888] | $2,968 | 126% |
| Hn Mcr Adv [832] | $2,968 | 126% |
| Humana | $2,968 | 126% |
| Integrated Health Partners - Mcr Adv [895] | $2,968 | 126% |
| Kaiser Northern Ca Region Mcr Adv [386] | $2,968 | 126% |
| La Care Mcr Adv Hmo [612] | $2,968 | 126% |
| Medicare (plans) | $2,968 | 126% |
| San Diego Pace Medi-Cal [553] | $2,968 | 126% |
| Scan Mcr Adv [835] | $2,968 | 126% |
| Scan [500] | $2,968 | 126% |
| Scan [818] | $2,968 | 126% |
| Sharp Comm Med Grp Mcr Adv [840] | $2,968 | 126% |
| Sharp Health Plan Mcr Adv [531] | $2,968 | 126% |
| Sharp Health Plan Mcr Adv [897] | $2,968 | 126% |
| Sharp Rees Stealy Med Grp Mcr Adv [841] | $2,968 | 126% |
| St Paul'S Pace Medi-Cal [551] | $2,968 | 126% |
| Ucsd Mcr Adv [873] | $2,968 | 126% |
| Uh Mcr Adv [831] | $2,968 | 126% |
| Uh Palomar Health Mcr Adv [885] | $2,968 | 126% |
| Alignment Health Plan [443] | $3,057 | 130% |
| Rady Children'S Hospital [825] | $3,187 | 135% |
| Kaiser Northern Ca Region Hmo/Ppo [384] | $4,229 | 179% |
| Kaiser [380] | $4,229 | 179% |
| Kaiser [383] | $4,229 | 179% |
| Prime Healthcare [614] | $5,046 | 214% |
| Prospect Med Group [893] | $5,194 | 220% |
| Multi Plan Network [470] | $5,520 | 234% |
| First Health Network [330] | $5,831 | 247% |
| Pnoa [615] | $5,831 | 247% |
| Choice Care Network [270] | $6,219 | 264% |
| Healthsmart [350] | $6,219 | 264% |