CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Ochsner LSU Health Monroe

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 66984
Insurance Median: $2,073
Cash Discount Price: $3,549
vs. Medicare Baseline: 0.88x Medicare

The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Ochsner LSU Health Monroe is $2,073. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,549. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 0.88x the Medicare baseline. Located in 4864 Jackson Street, Monroe, LA.

Cash / Self-Pay

$3,549

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,073

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$2,357.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $2,357.81 (100%)

Cash / Self-Pay: $3,549 (151%)

Insurance Median: $2,073 (88%)

Cash: $3,549 (151% of Medicare)

Ins. Median: $2,073 (88% of 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

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	$888 - $2,447	38%
Amerihealth Caritas Louisiana (Healthy Louisiana)	$888	38%
Healthy Blue (Formerly Amerigroup Louisiana Inc.)	$888	38%
Humana	$888 - $2,073	38%
Louisiana Healthcare Connections (Healthy Louisiana)	$888	38%
UnitedHealthcare	$888 - $2,073	38%
(Healthy Louisiana) And Healthy Blue Dual Advantage (Hmo-D-Snp)	$2,073	88%
Blue Cross Blue Shield	$2,073 - $3,090	88%
Medicare (plans)	$2,073	88%
Cigna	$2,427	103%
First Health Network	$2,447	104%
Multiplan/Phcs/American Lifecare	$2,620	111%
Vantage Health Plan - Commercial	$3,420	145%
Zelis	$3,649	155%
Healthcomp Ppo (Formerly Gilsbar 360	$5,182	220%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $3,549.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 66984.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Ochsner LSU Health Monroe is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 66984.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.