Cataract surgery with lens implant
Facility: University Of Ks Hlth System Great Bend Campus
Billing Code: 66984 (CPT)
- CPT Billing Code: 66984
- Insurance Median: $2,993
- Cash Discount Price: $1,669
- vs. Medicare Baseline: 1.27x 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 | $755 - $2,155 | 32% |
| Medicaid / KanCare | $755 | 32% |
| Blue Cross Blue Shield | $755 - $2,861 | 32% |
| Ku Athletics [503200094] | $2,155 | 91% |
| Workers Comp [503999901] | $2,155 - $3,842 | 91% |
| Medicare (plans) | $2,198 | 93% |
| Allwell [503200078] | $2,219 | 94% |
| Tricare | $2,273 | 96% |
| Humana | $2,273 | 96% |
| Triwest [503201703] | $2,273 | 96% |
| Centurion [5032000966] | $2,801 | 119% |
| Ambetter / Centene | $3,124 | 132% |
| Gallagher Bassett [5032000103] | $3,842 | 163% |
| Prime Health Services [503999912] | $3,842 | 163% |
| Sedgwick Claims Management Services [53201618] | $3,842 | 163% |
| Alt Bnsf Railway Co [503301503] | $3,842 | 163% |
| Fort Hays State Student Athletes [5032000960] | $4,525 | 192% |
| Occunet [503999930] | $4,525 | 192% |
| 6 Degrees Health [503999050] | $5,387 | 228% |
| Advanced Medical Pricing Solutions [503301513] | $6,819 | 289% |
Consumer Guidance & Cost Commentary
For CPT code 66984, cataract surgery with lens implant, the University of KS Health System Great Bend Campus lists a gross charge of $8,345.00, which is significantly higher than the facility's cash median of $1,669.00. While the facility's negotiated rates for various payers range from $755 to $6,819, these amounts often exceed the cash price, meaning patients with high-deductible plans or those paying out-of-pocket might save money by paying the cash rate directly. It is important to note that commercial insurance contracts can sometimes result in negotiated payments that are higher than the cash price due to administrative costs and contract dynamics, so verifying the specific allowed amount for your plan is essential before scheduling.
The facility's pricing is benchmarked against Medicare, which sets a standard rate of $2,357.81 for this procedure. The facility's cash rate of $1,669.00 is approximately 71% of the Medicare amount, representing a lower cost than the typical commercial negotiated rates that often average 200% to 300% of Medicare. To ensure you are not overcharged, patients should request an itemized billing audit to review every line item and confirm that no services were unbundled or double-billed, as over 80% of hospital bills contain errors. Additionally, if you are self-paying, ask the billing department about prompt-pay discounts, which can further reduce the final amount owed by offering immediate liquidity incentives.