Cataract surgery with lens implant
Facility: University Of Kansas Hospital
Billing Code: 66984 (CPT)
- CPT Billing Code: 66984
- Insurance Median: $1,659
- Cash Discount Price: $2,282
- vs. Medicare Baseline: 0.70x 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 - $1,379 | 32% |
| Blue Cross Blue Shield | $755 - $888 | 32% |
| Lasso Healthcare [503999926] | $862 | 37% |
| Ku Athletics [503200094] | $862 | 37% |
| Workers Comp [503999901] | $862 - $3,842 | 37% |
| Humana | $862 - $2,155 | 37% |
| Devoted [503200068] | $862 | 37% |
| Medicare (plans) | $862 - $879 | 37% |
| Aetna | $862 | 37% |
| Allwell [503200078] | $888 | 38% |
| American Health Plans [503200968] | $905 | 38% |
| Oscar [503201609] | $1,034 | 44% |
| Centurion [5032000966] | $1,120 | 48% |
| Ambetter / Centene | $1,465 | 62% |
| Centivo [5032000982] | $1,638 | 69% |
| Wellfit [503301514] | $1,638 | 69% |
| 6 Degrees Health [503999050] | $1,681 - $2,155 | 71% |
| Alt Wppa [5032000964] | $1,724 | 73% |
| Fort Hays State Student Athletes [5032000960] | $1,810 | 77% |
| Occunet [503999930] | $1,810 | 77% |
| Triwest [503201703] | $2,155 | 91% |
| Tricare | $2,155 | 91% |
| Multiplan [503200057] | $2,327 | 99% |
| Claimdoc [503301509] | $2,327 | 99% |
| Advanced Medical Pricing Solutions [503301513] | $2,586 | 110% |
| Alt Bnsf Railway Co [503301503] | $3,842 | 163% |
| Sedgwick Claims Management Services [53201618] | $3,842 | 163% |
| Gallagher Bassett [5032000103] | $3,842 | 163% |
| Prime Health Services [503999912] | $3,842 | 163% |
Consumer Guidance & Cost Commentary
For the CPT code 66984 (Cataract surgery with lens implant) at University Of Kansas Hospital, the cash median price is $2,282, while the median negotiated rate across payers is $1,659. Although the facility's cash price is higher than the negotiated rates, this dynamic can be advantageous for patients with high-deductible plans or those without insurance, as the cash price remains significantly lower than the gross charge of $11,408. It is important to note that commercial negotiated rates often include administrative overhead and contract structures that can inflate the baseline price by 20% to 40% compared to the true cost of care. Patients should verify their specific plan's allowed amount before scheduling, as in-network rates vary widely among the 30 payers listed, ranging from $755 for Medicaid/KanCare to $3,842 for workers' compensation and self-pay entities.
When evaluating costs, it is crucial to compare rates against the Medicare benchmark rather than the hospital's gross chargemaster, as Medicare rates represent a scientifically validated baseline for the "true cost" of delivery. For this procedure, the Medicare amount is $2,357.81, which serves as the objective standard for assessing pricing fairness. While the facility's cash price of $2,282 is slightly below the Medicare rate, many commercial negotiated rates exceed this benchmark due to multi-layered contract dynamics. To maximize savings, patients should inquire about "self-pay" or "prompt-pay" discounts, which can reduce bills by 20% to 50% when paid upfront, bypassing the costly claims processing cycle.