CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Ochsner St Anne General Hospital

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 66984
Insurance Median: $4,955
Cash Discount Price: $2,907
vs. Medicare Baseline: 2.10x Medicare

The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Ochsner St Anne General Hospital is $4,955. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,907. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 2.10x the Medicare baseline. Located in 4608 Highway 1, Raceland, LA.

Cash / Self-Pay

$2,907

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,955

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: $2,907 (123%)

Insurance Median: $4,955 (210%)

Cash: $2,907 (123% of Medicare)

Ins. Median: $4,955 (210% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 210% of the Medicare baseline (a markup of 110%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Humana	$864 - $2,048	37%
UnitedHealthcare	$864 - $7,611	37%
Healthy Blue (Healthy Louisiana)	$881	37%
Louisiana Healthcare Connections (Healthy Louisiana)	$881	37%
Aetna	$890 - $5,687	38%
Amerihealth Caritas Louisiana (Healthy Louisiana)	$890	38%
Medicaid / KanCare	$1,727	73%
Tricare	$1,839 - $2,044	78%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$2,048	87%
Blue Cross Blue Shield	$2,048 - $8,449	87%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$2,048	87%
Medicare (plans)	$2,048	87%
Ochsner Health Plan	$2,048	87%
Healthcomp & Personify Health (Formerly Gilsbar)	$4,954	210%
Louisiana Workers' Compensation Corporation (Lwcc)	$4,954	210%
Mississippi Physicians Care Network	$4,954	210%
Employers Health Network (Ehn)	$5,615	238%
First Health Network	$5,615	238%
Prime Health Services Ppo	$5,615	238%
Claritev D/B/A Multiplan/Phcs/American Life Care	$5,945	252%
Usa Managed Care Network	$5,945	252%
Zelis	$5,945	252%
Cigna	$6,322	268%

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 $2,907.
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 St Anne General Hospital 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.