Cataract surgery with lens implant
Facility: Minneola District Hospital
Billing Code: 66984 (CPT)
- CPT Billing Code: 66984
- Insurance Median: $3,267
- Cash Discount Price: $2,541
- vs. Medicare Baseline: 1.39x 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 | $2,432 - $3,630 | 103% |
| Va Community Care Program-All Plans | $2,432 | 103% |
| Humana | $2,432 | 103% |
| Blue Cross Blue Shield | $2,706 | 115% |
| Corporate Plan Management-All Plans | $3,086 | 131% |
| Providrs Care Network-All Plans | $3,086 | 131% |
| Preferred Health Care (Coventry)-All Other Plans | $3,267 | 139% |
| Triwest-All Plans | $3,267 | 139% |
| Health Partners Of Kansas-All Plans | $3,448 | 146% |
| Phc (Coventry) Leased Network | $3,448 | 146% |
| Aetna | $3,448 - $3,630 | 146% |
| Medicaid / KanCare | $3,630 | 154% |
Consumer Guidance & Cost Commentary
For this cataract surgery with lens implant at Minneola District Hospital in Kansas, the facility's cash median rate is $2,541, which is lower than the negotiated rates paid by most insurance plans. While the gross charge listed is $3,630, commercial payers like UnitedHealthcare and Aetna have negotiated rates ranging from $2,432 to $3,630, and the median negotiated amount across all plans is $3,267. This means that for patients with high-deductible plans who have not yet met their out-of-pocket maximum, paying the cash price of $2,541 upfront could result in significant savings compared to having insurance cover the higher negotiated amount. Because the hospital is a Critical Access Hospital owned by a government district, it is important to verify if "self-pay" or "prompt-pay" discounts are available before scheduling, as these upfront incentives can further reduce the final cost.
To ensure you are not overcharged, it is recommended to request an itemized billing audit rather than accepting a summary bill, as over 80% of hospital bills contain errors such as unbundled codes or charges for services not rendered. Additionally, while the No Surprises Act protects patients from balance billing for emergency care and non-emergency services from out-of-network providers at in-network facilities, it is crucial to review any consent waivers carefully to avoid signing away rights to dispute out-of-network ancillary services. When evaluating the facility's pricing, comparing the commercial negotiated rate to the Medicare amount of $2,357.81 provides a clearer picture of the markup, as commercial rates often exceed Medicare benchmarks due to administrative costs and contract