Cataract surgery with lens implant
Facility: Ascension Via Christi Rehabilitation Hospital Inc
Billing Code: 66984 (CPT)
- CPT Billing Code: 66984
- Insurance Median: $2,667
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.13x 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 |
|---|---|---|
| Aetna | $2,667 | 113% |
Consumer Guidance & Cost Commentary
For cataract surgery with lens implant at Ascension Via Christi Rehabilitation Hospital Inc in Wichita, KS, the facility's negotiated rate of $2,667 is significantly higher than the Medicare benchmark of $2,357.81, reflecting a markup of 110% above the federal baseline. While this facility has a single payer contract with Aetna, patients should be aware that cash-pay options may offer lower out-of-pocket costs if their insurance negotiated rate exceeds the cash price, though no specific cash rate is listed for this service. Because commercial rates often include administrative overhead and contract dynamics that inflate the baseline price, it is advisable to verify your specific plan's allowed amount before scheduling to ensure you are not paying more than necessary.
To protect yourself from unexpected costs, always request a full itemized bill containing specific CPT codes before finalizing payment, as summary bills can obscure individual charges or unbundled services. Even if you have insurance, you should explicitly ask about "self-pay" or "prompt-pay" discounts, which can reduce the total by 20% to 50% if you pay in full upfront, bypassing the administrative costs associated with claims processing. If you receive a balance bill for out-of-network services at this in-network facility, remember that the No Surprises Act generally prohibits these charges for emergency and non-emergency care, so you should dispute any surprise invoices with your insurer rather than paying immediately.