Cataract surgery with lens implant
Facility: Great Plains Of Sabetha
Billing Code: 66984 (CPT)
- CPT Billing Code: 66984
- Insurance Median: $3,902
- Cash Discount Price: $4,107
- vs. Medicare Baseline: 1.65x 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 |
|---|---|---|
| Celtic Mcr Adv | $2,136 | 91% |
| Aetna | $2,157 - $4,148 | 91% |
| Celtic Comm Exchange-All Other Plans | $2,670 | 113% |
| Great West Healthcare-All Plans | $3,491 | 148% |
| UnitedHealthcare | $3,820 - $4,107 | 162% |
| Multiplan-Phcs-All Plans | $3,902 | 165% |
| Century/Wppa/Providers-All Plans | $3,902 | 165% |
| Cigna | $3,902 | 165% |
| Humana | $3,902 | 165% |
| Federated Mutual Ins-All Plans | $3,943 | 167% |
| Medicaid / KanCare | $4,107 | 174% |
| Blue Cross Blue Shield | $4,107 | 174% |
Consumer Guidance & Cost Commentary
For cataract surgery with lens implant at Great Plains Of Sabetha, the cash price is $4,107, which matches the facility's gross charge and the cash median. This rate is significantly higher than the state average, as indicated by a 1.7x multiplier compared to Medicare's benchmark of $2,357.81. While commercial insurance plans like Aetna and UnitedHealthcare negotiate rates ranging from $2,136 to $4,107, these negotiated amounts often exceed the cash price. Patients with high-deductible plans may find it financially advantageous to pay the cash price directly, as the insurance negotiated rate could be higher than what they would pay out-of-pocket. It is important to verify your specific plan's deductible status and allowed amounts before scheduling, as paying the full negotiated rate without meeting your deductible can result in substantial out-of-pocket costs.
To ensure you are not overcharged, you should request a detailed, itemized bill before finalizing payment, as summary bills often obscure individual line items and potential errors. Since over 80% of hospital bills contain mistakes such as unbundled codes or services not rendered, a formal written audit dispute sent to the billing supervisor is the most effective way to reduce medical debt. Additionally, ask the hospital about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if paid in full upfront. These discounts bypass the administrative costs of insurance claims processing and provide immediate liquidity to the facility. If you receive a surprise balance bill from an out-of-network provider, remember that the No Surprises Act protects you from being billed for the difference between the