CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Shands Jacksonville

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 66984
  • Insurance Median: $2,494
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Shands Jacksonville is $2,494. 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 1.06x the Medicare baseline. Located in 655 W 8Th St, Jacksonville, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,494

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: $2,494 (106%)
Ins. Median: $2,494 (106% 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.

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 $1,220 - $2,290 52%
Carelon Health $1,224 52%
Humana $1,224 - $2,434 52%
Florida Community Care $1,279 54%
Simply Healthcare $1,331 56%
Amerihealth Caritas Florida $1,335 57%
Community Care Plan $1,335 57%
Molina $1,335 - $2,976 57%
Ameri-Plus Preferred Care $2,410 102%
Blue Cross Blue Shield $2,410 - $4,808 102%
Capital Health Plan $2,410 102%
Beacon Health Strategies $2,482 105%
Careplus Health Plan $2,482 105%
Florida Health Care Plan $2,482 - $4,121 105%
UnitedHealthcare $2,506 106%
Positive Healthcare Partners $2,518 - $2,651 107%
Devoted Health Plan $2,531 - $2,651 107%
Wellcare Of Florida $2,820 120%
Florida Complete Care $3,013 128%
Wellpath $3,777 160%
Ambetter / Centene $3,800 161%
Cigna $8,980 381%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 655 W 8Th St, Jacksonville, FL 32209
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals