Cataract surgery with lens implant
Facility: Ascension Via Christi Hospital Manhattan, Inc
Billing Code: 66984 (CPT)
- CPT Billing Code: 66984
- Insurance Median: $676
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.29x 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 |
|---|---|---|
| UnitedHealthcare | $650 | 28% |
| Providrs Care | $667 | 28% |
| Medicaid / KanCare | $676 - $682 | 29% |
| Aetna | $676 | 29% |
| Tricare | $1,730 | 73% |
| Blue Cross Blue Shield | $2,930 - $3,085 | 124% |
Consumer Guidance & Cost Commentary
For the CPT code 66984 (Cataract surgery with lens implant) at Ascension Via Christi Hospital Manhattan, Inc, the negotiated rates vary significantly by payer, ranging from $650 for UnitedHealthcare and Providrs Care to $3,085 for Blue Cross Blue Shield. The median negotiated rate across all payers is $676, which is notably lower than the state average of $2,357.81 (Medicare amount). While commercial insurance contracts cap costs at these negotiated levels, patients with high-deductible plans may find that paying cash upfront is more cost-effective, as the cash price often falls below the insurance allowed amount. It is crucial to verify the specific cash or self-pay rate with the hospital before scheduling, as prompt-pay discounts can further reduce the final cost for those choosing to pay in full.
This facility, a voluntary non-profit acute care hospital in Manhattan, KS, offers a transparent pricing structure where the lowest negotiated rate of $650 is well below the state average. However, patients should be aware that balance billing is generally prohibited for in-network services under the No Surprises Act, meaning they should not be billed for the difference between the negotiated rate and the chargemaster. To ensure the lowest possible cost, consumers should request an itemized bill to review all CPT codes and avoid summary bills that may obscure unbundled charges or services not rendered. Always confirm whether your specific plan requires a deductible payment before the service, as the negotiated rate represents the maximum amount your insurer will pay, not necessarily the amount you owe.