CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Baptist Medical Center Beaches

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 66984
  • Insurance Median: $1,335
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.57x Medicare
The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Baptist Medical Center Beaches is $1,335. 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 0.57x the Medicare baseline. Located in 1350 13Th Ave S, Jacksonville Beach, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,335

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: $1,335 (57%)
Ins. Median: $1,335 (57% 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
Amerigroup Of Georgia $1,112 47%
Daniel Memorial $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 $2,289 97%
Pace $2,289 97%
Tomorrow'S Rainbow $2,289 97%
Va Ccn $2,289 97%
UnitedHealthcare $2,312 98%
Devoted $2,427 103%
Upmc $2,518 107%
Corvel $4,162 177%
Ambetter / Centene $5,494 233%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1350 13Th Ave S, Jacksonville Beach, FL 32250
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals