CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Baptist Health Medical Center - Jacksonville

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 66984
Insurance Median: $1,808
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.77x Medicare

The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Baptist Health Medical Center - Jacksonville is $1,808. 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 0.77x the Medicare baseline. Located in 800 Prudential Dr, Jacksonville, FL.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,808

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: $1,808 (77%)

Ins. Median: $1,808 (77% 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
Amerigroup Of Georgia	$1,112	47%
Caresource Of Georgia	$1,112	47%
Daniel Memorial	$1,112	47%
Humana	$1,112 - $1,224	47%
Peach State Health Plan	$1,112	47%
Simply Healthcare Plans	$1,168 - $1,335	50%
Simply Healthcare Plans - Cha	$1,168	50%
Amerihealth Caritas	$1,224	52%
Florida Community Care	$1,224 - $2,404	52%
Sunshine State Health Plan	$1,224	52%
United Community Plan	$1,224	52%
Vivida Health	$1,224	52%
Molina Healthcare Of Florida	$1,324	56%
Aetna	$1,335 - $2,335	57%
Community Hospice Of Northeast Florida	$2,281 - $2,289	97%
Pace	$2,281 - $2,289	97%
Tomorrow'S Rainbow	$2,281 - $2,289	97%
Va Ccn	$2,281 - $2,289	97%
UnitedHealthcare	$2,304 - $2,312	98%
Devoted	$2,418 - $2,427	103%
Upmc	$2,509 - $2,518	106%
Corvel	$4,162	177%
Ambetter / Centene	$5,474 - $5,494	232%

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 Baptist Health Medical Center - Jacksonville 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.