CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Lower Keys Medical Center

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 66984
  • Insurance Median: $2,581
  • Cash Discount Price: $7,087
  • vs. Medicare Baseline: 1.09x Medicare
The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Lower Keys Medical Center is $2,581. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,087. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 1.09x the Medicare baseline. Located in 5900 College Road, Key West, FL.
Cash / Self-Pay
$7,087

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,581

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%)
Cash / Self-Pay: $7,087 (301%)
Insurance Median: $2,581 (109%)
Cash: $7,087 (301% of Medicare)
Ins. Median: $2,581 (109% 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
UnitedHealthcare $62 - $20,184 3%
Veterans Eval Services $514 22%
Florida Childrens Medical Services $1,697 72%
Medicaid / KanCare $1,697 - $1,866 72%
South Florida Community Care Network $1,697 72%
Humana $1,748 - $2,540 74%
Amerigroup $1,866 79%
Positive Healthcare $1,866 79%
Simply Healthcare $1,866 - $3,000 79%
Wellcare $1,866 79%
Wellcare Healthease $1,866 79%
Molina $1,917 81%
Prestige Health Choice $1,968 83%
Magellan $2,036 86%
Tricare $2,452 104%
Blue Cross Blue Shield $2,540 - $22,054 108%
Medicare (plans) $2,540 108%
Ultimate Health $2,540 108%
Node Champva $2,581 109%
Node Non Par Hospice Agree $2,581 109%
Node United Behavioral Va Ccn $2,581 109%
Node Va $2,581 109%
Correct Care Solutions $2,839 120%
Node Us Dept Of Labor $3,226 137%
Prime Health Work Comp Fl $4,151 176%
Fl Work Comp $4,279 181%
Heritage Summit Work Comp Fl $4,279 181%
State Auto Insurance Fl $5,162 219%
Self Pay $7,087 301%
Cigna $15,486 657%
Aetna $18,320 777%
Monroe County $19,685 835%
Evolutions Healthcare Systems $20,997 - $24,935 891%
Keys Energy $20,997 891%
Prime Health Ppo $20,997 891%
Avmed Health Plan $22,310 946%
Direct Healthcare $26,247 1113%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5900 College Road, Key West, FL 33040
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals