Cataract surgery with lens implant
Facility: Menorah Medical Center
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 |
|---|---|---|
| United | $755 - $6,496 | 32% |
| Amerigroup | $755 | 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 patients undergoing cataract surgery with lens implant at Menorah Medical Center in Overland Park, KS, understanding the difference between insurance negotiated rates and cash prices is essential for budgeting. While the facility's median negotiated rate across 15 payers is $3,308, the Medicare benchmark for this procedure is significantly lower at $2,357.81. This indicates that commercial insurance contracts often result in payments nearly 1.4 times higher than the federal baseline, which represents the true cost of care. For individuals with high-deductible plans, paying the cash price directly may be more financially advantageous than relying on insurance, as the negotiated rate frequently exceeds the cash amount. Patients should proactively contact the hospital to confirm "self-pay" or "prompt-pay" discounts, which can offer immediate fee reductions by bypassing administrative processing costs.
It is important to remain vigilant regarding billing practices, as commercial rates can sometimes lead to unexpected costs if not carefully managed. Although the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, patients should still request a detailed, itemized bill to verify that all charges align with the procedure code and avoid errors such as double-billing or unbundled services. Since over 80% of hospital bills contain inaccuracies, reviewing the line-by-line statement before payment is the most effective way to prevent medical debt. By comparing the facility's specific rates against the state average and utilizing prompt-pay options, patients can ensure they are paying a fair, transparent price for their healthcare services.