CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Sunrise Hospital and Medical Center

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 66984
Insurance Median: $747
Cash Discount Price: $1,885
vs. Medicare Baseline: 0.32x Medicare

The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Sunrise Hospital and Medical Center is $747. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,885. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 0.32x the Medicare baseline. Located in 3186 S Maryland Pkwy, Las Vegas, NV.

Cash / Self-Pay

$1,885

Average discount available for prompt cash payment at this facility.

Insurance Median

$747

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: $1,885 (80%)

Insurance Median: $747 (32%)

Cash: $1,885 (80% of Medicare)

Ins. Median: $747 (32% 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
Humana	$381 - $6,676	16%
Amerigroup	$411 - $760	17%
Health Plan Nevada	$411 - $798	17%
Molina	$431 - $838	18%
Silver Summit	$431 - $838	18%
Healthcare Partners Of Nv	$509 - $695	22%
Aetna	$519 - $3,906	22%
Alignment Health Plan	$519	22%
Blue Cross Blue Shield	$519 - $3,839	22%
United	$534 - $3,129	23%
Caremore	$545	23%
Hometown Health Providers	$597 - $5,952	25%
Community Care Health	$626 - $772	27%
Molina Healthcare	$626 - $802	27%
Sierra Hpn	$626 - $772	27%
Sierra	$658 - $2,814	28%
Cigna	$663 - $6,461	28%
Multiplan	$695 - $3,500	29%
Culinary Health Fund	$698 - $1,554	30%
Caresource	$802	34%
Select Health	$1,033 - $5,307	44%
Ambetter / Centene	$2,626 - $4,600	111%
Corvel	$3,391 - $7,347	144%
Olympus Medsave Usa	$3,570 - $7,734	151%
Health Services Coalition	$4,260	181%
Legacy Provider Network	$6,961	295%
Comp-Med Workers Comp	$7,502	318%

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 $1,885.
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 Sunrise Hospital and Medical Center 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.