CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Mercy Hospital South

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 66984
  • Insurance Median: $2,847
  • Cash Discount Price: $6,643
  • vs. Medicare Baseline: 1.21x Medicare
The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Mercy Hospital South is $2,847. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,643. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 1.21x the Medicare baseline. Located in 10010 Kennerly Road, Saint Louis, MO.
Cash / Self-Pay
$6,643

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,847

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: $6,643 (282%)
Insurance Median: $2,847 (121%)
Cash: $6,643 (282% of Medicare)
Ins. Median: $2,847 (121% 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.

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
Blue Cross Blue Shield $499 - $6,631 21%
Indian Health Service Contracted [320198] $499 21%
Tricare $848 36%
Cigna $865 37%
Medicare (plans) $865 - $2,160 37%
Provider Partners Health Plans Contracted [320450] $937 40%
St Johns Mercy Rehab Llc Contracted [320359] $937 40%
Mercy Benefit Admin Contracted [320251] $1,400 - $3,234 59%
Mercy Benefit Admin [20251] $1,400 - $3,234 59%
Preferred Health Plan Contracted [320522] $1,512 64%
Medicaid / KanCare $1,944 - $3,208 82%
Aetna $2,160 92%
American Health Advantage Of Mo Mcr [10473] $2,160 92%
Centivo Contracted [320505] $2,160 92%
Cherokee Nation Health Serv Contracted [320066] $2,160 92%
Cross Timbers Hospice [20098] $2,160 92%
Dept Of Veteran Affairs Contracted [320106] $2,160 92%
Elara Caring Aspire Hospice Contracted [320433] $2,160 92%
Elara Caring Aspire Hospice [20433] $2,160 92%
Globalhealth Contracted [320145] $2,160 92%
Halo Hcr Inc Hospice Contracted [320432] $2,160 92%
Halo Hcr Inc Hospice [20432] $2,160 92%
Hope Trust Contracted [320488] $2,160 92%
Humana $2,160 92%
Kindful Hospice Contracted [320434] $2,160 92%
Kindful Hospice [20434] $2,160 92%
Mercy Hospice Okc [20252] $2,160 92%
Pace Of The Ozarks Contracted [320518] $2,160 92%
Qual Choice Contracted [320325] $2,160 92%
UnitedHealthcare $2,160 - $2,528 92%
Medica Contracted [320239] $2,553 108%
Show-Me Health Administrators Contracted [320483] $3,140 - $3,297 133%
Aither Health Contracted [320449] $3,234 137%
Aither Health [20449] $3,234 137%
Auxiant Contracted [320462] $3,234 137%
Ebms Contracted [320493] $3,234 137%
Edison Health Solutions Contracted [320502] $3,234 137%
Healthlink Contracted [320179] $3,234 137%
Imagine 360 Contracted [320494] $3,234 137%
Reflect Health Contracted [320492] $3,234 137%
Yuzu Health Contracted [320521] $3,234 137%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 10010 Kennerly Road, Saint Louis, MO 63128
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals