Cataract surgery with lens implant
Facility: Overland Park Reg Med Ctr
Billing Code: 66984 (CPT)
- CPT Billing Code: 66984
- Insurance Median: $3,308
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.40x 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 |
|---|---|---|
| Amerigroup | $755 | 32% |
| United | $755 - $6,026 | 32% |
| Healthyblue | $770 | 33% |
| Medicaid / KanCare | $778 | 33% |
| Unicare | $785 | 33% |
| Aetna | $785 - $9,823 | 33% |
| Universal Healthcare | $1,995 | 85% |
| Home State Health Plan | $2,041 - $3,062 | 87% |
| Nhc Advantage | $2,550 | 108% |
| Multiplan | $3,074 - $9,328 | 130% |
| Humana | $3,308 - $4,106 | 140% |
| Corvel Corporation | $3,650 | 155% |
| Oha Network | $3,803 | 161% |
| Cigna | $7,500 - $11,181 | 318% |
| Oscar | $9,241 | 392% |
Consumer Guidance & Cost Commentary
For the cataract surgery with lens implant procedure (CPT 66984) at Overland Park Reg Med Ctr, the facility's negotiated rates range from $755 to $9,328 across 15 payers, with a median negotiated rate of $3,308. While the facility is located in Overland Park, KS, and operates as an acute care hospital, the provided data does not include specific state or county average figures for comparison. It is important to note that commercial negotiated rates often exceed cash prices due to administrative costs and contract structures; therefore, patients with high-deductible plans or those without insurance may find paying out-of-pocket cheaper if the facility offers a self-pay or prompt-pay discount. Always verify the specific "self-pay" rate with the hospital before scheduling to ensure you are not paying the full insurance negotiated amount.
The Medicare benchmark for this service is $2,357.81, which serves as a baseline for evaluating the facility's pricing markup. The data indicates a ratio of 1.4 compared to Medicare, suggesting the negotiated rates are significantly higher than the federal government's fixed reimbursement rate. Because over 80% of hospital bills contain errors, patients should request a detailed, itemized CPT-coded bill rather than accepting a summary invoice to identify any unbundled charges or services not rendered. If you receive a balance bill for out-of-network ancillary services at this in-network facility, you may have protections under the No Surprises Act; in such cases, do not pay immediately and instead dispute the bill in writing to request an audit.