CMS Price Transparency Data

Cataract surgery with lens implant

Facility: HCA Florida Trinity Hospital

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 66984
  • Insurance Median: $4,385
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.86x Medicare
The contracted insurance negotiated median rate for a Cataract surgery with lens implant at HCA Florida Trinity Hospital is $4,385. 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 1.86x the Medicare baseline. Located in 9330 Sr 54, Trinity, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,385

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: $4,385 (186%)
Ins. Median: $4,385 (186% 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
Access 2 Healthcare Physicians Freedom Optimum Group Members $1,638 69%
Access 2 Healthcare Physicians Freedom Health $1,950 83%
Access 2 Healthcare Physicians Optimum $1,950 83%
Freedom Health Care $1,950 83%
Molina $1,950 - $2,702 83%
Optimum Healthcare $1,950 83%
Simply Healthcare $2,250 - $5,253 95%
Blue Cross Blue Shield $3,902 - $8,518 165%
Corvel Corporation $4,096 - $4,385 174%
Rockport Healthcare Group $4,096 - $4,385 174%
Prime Health $4,182 - $4,477 177%
Avmed $4,922 - $12,418 209%
Truli $5,377 - $343,376 228%
United $5,675 241%
Cigna $7,480 317%
Oscar $7,522 319%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9330 Sr 54, Trinity, FL 34655
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals