Cataract surgery with lens implant
Facility: Logan County Hospital
Billing Code: 66984 (CPT)
- CPT Billing Code: 66984
- Insurance Median: $4,120
- Cash Discount Price: $1,748
- vs. Medicare Baseline: 1.75x 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 |
|---|---|---|
| Humana | $2,471 | 105% |
| Blue Cross Blue Shield | $2,706 | 115% |
| Health Partners - All Plans | $5,534 | 235% |
| Medicaid / KanCare | $5,825 | 247% |
Consumer Guidance & Cost Commentary
For cataract surgery with lens implant at Logan County Hospital in Oakley, KS, the facility's cash price of $1,748 is significantly lower than the state average, offering a clear financial advantage for self-pay patients. While the hospital's negotiated rates with major payers like Humana and Blue Cross Blue Shield range from $2,471 to $2,706, these amounts often exceed the cash price, meaning patients with high-deductible plans might save money by paying out-of-pocket. However, patients should verify if their specific insurance plan covers this service and check for "self-pay" or "prompt-pay" discounts, which can further reduce the final bill by bypassing administrative fees associated with insurance claims.
This procedure carries a Medicare benchmark of $2,357.81, and the facility's cash rate is approximately 74% of that amount, indicating a substantial markup reduction compared to the federal baseline. Although the data does not provide specific county or state average negotiated rates for comparison, the gap between the cash price and the Medicare benchmark highlights the potential for significant savings when paying directly. To ensure you are not overcharged, it is recommended to request an itemized bill before finalizing payment, as summary invoices may obscure individual charges or unbundled services. If you receive a balance bill from an out-of-network provider, you may be entitled to protections under the No Surprises Act, and you should dispute any unexpected charges in writing rather than accepting them immediately.