CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Parkland Health & Hospital System

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 66984
Insurance Median: $7,455
Cash Discount Price: $12,999
vs. Medicare Baseline: 3.16x Medicare

The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Parkland Health & Hospital System is $7,455. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12,999. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 3.16x the Medicare baseline. Located in 5200 Harry Hines Blvd, Dallas, TX.

Cash / Self-Pay

$12,999

Average discount available for prompt cash payment at this facility.

Insurance Median

$7,455

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: $12,999 (551%)

Insurance Median: $7,455 (316%)

Cash: $12,999 (551% of Medicare)

Ins. Median: $7,455 (316% 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 316% of the Medicare baseline (a markup of 216%). 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
Cook Children Health Plan [1380]	$892	38%
Wellpoint [1007]	$894 - $4,131	38%
Aetna	$939 - $23,160	40%
Parkland Community Health Plan [1056]	$939 - $4,337	40%
Superior Health Plan [1402]	$939	40%
Molina [1382]	$984 - $4,544	42%
Point Comfort Underwriters [1801]	$984	42%
Care Improvement Plus [1104]	$2,118 - $8,067	90%
Procare Advantage [2104]	$2,149 - $8,183	91%
Blue Cross Blue Shield	$3,073 - $27,792	130%
Superior Healthplan [1383]	$3,320	141%
Cigna	$4,763 - $23,160	202%
Medicare (plans)	$6,002 - $8,511	255%
UnitedHealthcare	$6,002 - $25,746	255%
Wellcare Of Texas [1330]	$6,002 - $8,106	255%
Great West Healthcare [1037]	$6,081 - $23,160	258%
Molina Aca [1337]	$8,575 - $11,580	364%
Triwest Healthcare Alliance [1409]	$21,437 - $28,950	909%

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 $12,999.
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 Parkland Health & Hospital System 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.