Cataract surgery with lens implant
Facility: Saint John Hospital
Billing Code: 66984 (CPT)
- CPT Billing Code: 66984
- Insurance Median: $2,218
- Cash Discount Price: $2,174
- vs. Medicare Baseline: 0.94x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicaid / KanCare | $755 | 32% |
| UnitedHealthcare | $755 - $3,044 | 32% |
| Celtic | $770 - $3,479 | 33% |
| Healthy Blue | $770 - $2,283 | 33% |
| Comp Alliance Workers Comp | $1,256 | 53% |
| Blue Cross Blue Shield | $1,353 - $2,706 | 57% |
| Cigna | $2,174 | 92% |
| Midland Care Connection | $2,174 | 92% |
| Tricare | $2,174 | 92% |
| Medicare (plans) | $2,174 | 92% |
| Aetna | $2,174 - $4,489 | 92% |
| Kansas Superior Select | $2,218 | 94% |
| Employer Direct Healthcare | $3,044 | 129% |
| Corizon | $3,044 | 129% |
| Well Path | $3,044 | 129% |
| Centurion | $3,261 | 138% |
| Naphcare | $3,370 | 143% |
| Oha Networks | $3,727 | 158% |
| Worker Compensation | $3,842 | 163% |
Consumer Guidance & Cost Commentary
For Cataract surgery with lens implant at Saint John Hospital in Leavenworth, KS, the cash price of $2,174 is significantly lower than the facility's gross charge of $7,833. While the hospital's negotiated rates for in-network payers range from $755 to $4,489, the cash price remains the most affordable option for patients without insurance. It is important to note that cash payment can sometimes be cheaper than using insurance if your plan has a high deductible or if the insurer's negotiated rate exceeds the cash price. To secure the lowest possible cost, patients should explicitly ask the hospital for "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can bypass administrative costs and lower the final bill.
When evaluating the cost of this procedure, it is essential to compare rates against the Medicare benchmark rather than the hospital's inflated list prices. The Medicare amount for this service is $2,357.81, which serves as an objective baseline for fair pricing; commercial negotiated rates often average between 200% and 300% of this figure, though fair pricing is typically defined as 120% to 150%. If you receive a bill that includes charges for services not rendered, unbundled codes, or double-billing, you should request a full itemized audit before paying. Under federal protections like the No Surprises Act, you may also be entitled to dispute balance billing for out-of-network services at in-network facilities, ensuring you are not held responsible for unexpected costs.