CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Sarasota Memorial Hospital

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 66984
Insurance Median: $1,122
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.48x Medicare

The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Sarasota Memorial Hospital is $1,122. 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 0.48x the Medicare baseline. Located in 1700 S Tamiami Trl, Sarasota, FL.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,122

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: $1,122 (48%)

Ins. Median: $1,122 (48% 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
Simply Healthcare Oncology	$303 - $649	13%
Sunshine State Oncology	$303 - $649	13%
Molina Oncology	$311 - $667	13%
Amerihealth Caritas Oncology	$317 - $680	13%
Community Care Plan Oncology	$317 - $680	13%
Blue Cross Blue Shield	$355 - $7,930	15%
UnitedHealthcare	$377 - $6,935	16%
Florida Community Care Oncology	$381 - $970	16%
Wellcare Oncology	$393 - $842	17%
Simply Freedom Optimum Oncology	$394 - $845	17%
Aetna	$475 - $7,683	20%
Oscar Oncology	$619 - $1,326	26%
Simply Healthcare	$1,112 - $1,168	47%
Sunshine State	$1,168	50%
Molina	$1,201	51%
Amerihealth Caritas	$1,224	52%
Community Care Plan	$1,224	52%
Florida Community Care	$1,224 - $2,518	52%
Ambetter / Centene	$1,406 - $6,181	60%
Simply Freedom Optimum	$2,404	102%
Wellcare	$2,404	102%
Careworks	$4,378 - $4,687	186%
Enlyte	$4,378 - $4,687	186%
Oscar Health	$6,934	294%

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 Sarasota Memorial Hospital 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.