CMS Price Transparency Data

Cataract surgery with lens implant

Facility: St Luke's Nampa Medical Center

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 66984
Insurance Median: $4,479
Cash Discount Price: $5,599
vs. Medicare Baseline: 1.90x Medicare

The contracted insurance negotiated median rate for a Cataract surgery with lens implant at St Luke's Nampa Medical Center is $4,479. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,599. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 1.90x the Medicare baseline. Located in 9850 West St Lukes Drive, Nampa, ID.

Cash / Self-Pay

$5,599

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,479

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: $5,599 (237%)

Insurance Median: $4,479 (190%)

Cash: $5,599 (237% of Medicare)

Ins. Median: $4,479 (190% 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
UnitedHealthcare	$2,448 - $4,591	104%
Blue Cross Blue Shield	$2,462 - $7,061	104%
Commercial [1028]	$2,462 - $7,061	104%
Mountain Health Co-Op [1067]	$2,462 - $3,639	104%
Pacificsource [1020]	$2,462 - $4,199	104%
Select Health [1063]	$2,462 - $3,639	104%
Slplan Tap Mc St Lukes Health Plan [1641000001]	$2,462 - $3,639	104%
St Lukes Health Plan [1046]	$2,462 - $3,639	104%
Aetna	$4,479 - $5,039	190%
Cigna	$4,479	190%
Providence [1022]	$4,479	190%
Webtpa [1071]	$4,479 - $4,759	190%
Geha [1065]	$4,591	195%
United Medical Resources [1051]	$4,591	195%
First Health [1064]	$4,619 - $4,759	196%
Moda [1055]	$4,927	209%
Blue Shield Alt [100401]	$7,061	299%
Regence Out Of State [1004]	$7,061	299%
Regence [1005]	$7,061	299%

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 $5,599.
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 St Luke's Nampa Medical Center 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.