Cataract surgery with lens implant
Facility: St. Catherine Hospital - Garden City
Billing Code: 66984 (CPT)
- CPT Billing Code: 66984
- Insurance Median: $524
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.22x 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 |
|---|---|---|
| Kansas Health | $479 | 20% |
| Blue Cross Blue Shield | $479 - $3,524 | 20% |
| Medicare (plans) | $479 - $524 | 20% |
| Humana | $479 - $524 | 20% |
| UnitedHealthcare | $479 - $524 | 20% |
| Cigna | $479 - $524 | 20% |
| Kaiser | $479 - $524 | 20% |
| Aetna | $479 - $524 | 20% |
| Devoted Health | $524 | 22% |
| Innovage | $524 | 22% |
Consumer Guidance & Cost Commentary
For cataract surgery with lens implant at St. Catherine Hospital in Garden City, Kansas, the negotiated rates for in-network payers range from $479 to $524, with a median of $524. This negotiated amount is significantly higher than the Medicare benchmark of $2,357.81, reflecting the standard administrative markup inherent in commercial contracts. While the facility is a voluntary non-profit church-owned hospital, patients should be aware that cash-pay options may offer a lower total cost if their insurance negotiated rate exceeds the cash price, though specific cash rates are not listed for this procedure. It is crucial to verify "self-pay" or "prompt-pay" discounts directly with the hospital before scheduling, as these upfront payment incentives can bypass the higher administrative costs associated with insurance billing cycles.
When reviewing your final invoice, ensure you request a detailed itemized bill rather than accepting a summary statement, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered that can be corrected through a formal written audit. Although the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, it is essential to confirm that all ancillary services, such as laboratory tests or imaging, are billed at the facility's negotiated rates rather than the provider's full chargemaster. By comparing the facility's negotiated rate against the Medicare benchmark and actively seeking itemized billing and prompt-pay discounts, patients can avoid unexpected costs and ensure they are paying a fair price for their care.