CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Methodist Hospitals of Memphis

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 66984
Insurance Median: $3,108
Cash Discount Price: $3,790
vs. Medicare Baseline: 1.32x Medicare

The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Methodist Hospitals of Memphis is $3,108. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,790. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 1.32x the Medicare baseline. Located in 1265 Union Ave Suite 700, Memphis, TN.

Cash / Self-Pay

$3,790

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,108

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: $3,790 (161%)

Insurance Median: $3,108 (132%)

Cash: $3,790 (161% of Medicare)

Ins. Median: $3,108 (132% 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
Medicaid / KanCare	$297 - $3,343	13%
Blue Cross Blue Shield	$871 - $3,684	37%
UnitedHealthcare	$1,072 - $5,820	45%
Molina Healthcare [350012]	$1,727 - $3,237	73%
Tricare	$2,085 - $3,637	88%
American Health Advantage Mcr Adv [450117]	$2,088 - $3,684	89%
Carecentrix [450200]	$2,088 - $3,684	89%
Generic Hospice Vbid [10940000101]	$2,088 - $3,684	89%
Humana	$2,088 - $3,684	89%
Medicare (plans)	$2,088 - $3,684	89%
Va Hospital [600005]	$2,088 - $3,684	89%
Devoted Health [450111]	$2,151 - $3,794	91%
Select Specialty Hospital [100298]	$2,715	115%
Cigna	$3,096 - $7,690	131%
United Food & Commercial Workers [100309]	$4,360 - $7,690	185%
Langston Performance Health [100405]	$6,652 - $9,978	282%

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 $3,790.
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 Methodist Hospitals of Memphis 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.