CMS Price Transparency Data

Cataract surgery with lens implant

Facility: HCA Florida Aventura Hospital

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 66984
Insurance Median: $4,809
Cash Discount Price: Unavailable
vs. Medicare Baseline: 2.04x Medicare

The contracted insurance negotiated median rate for a Cataract surgery with lens implant at HCA Florida Aventura Hospital is $4,809. 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 2.04x the Medicare baseline. Located in 20900 Biscayne Blvd, Aventura, FL.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,809

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: $4,809 (204%)

Ins. Median: $4,809 (204% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 204% of the Medicare baseline (a markup of 104%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Molina	$1,950 - $2,702	83%
Health Sun Health Plan	$2,050	87%
Simply Healthcare Plans	$2,160	92%
Mmm Of Fl (Health Advantage Plan)	$2,250	95%
Freedom Health	$2,350	100%
Optimum	$2,350	100%
Aids Healthcare	$2,450	104%
Medica Healthcare	$2,750	117%
Avmed	$4,175 - $9,160	177%
Corvel Corporation	$4,399 - $4,710	187%
Careworks (Rockport)	$4,492 - $4,809	191%
Prime Health	$4,492 - $4,809	191%
Simply Healthcare	$5,360	227%
Blue Cross Blue Shield	$5,866 - $7,480	249%
Oscar	$5,933	252%
Cigna	$6,802	288%
United	$7,197	305%
Amerihealth Caritas	$8,727	370%

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 HCA Florida Aventura 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.