CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Christus Southeast Texas- St Elizabeth

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 66984
  • Insurance Median: $2,284
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Christus Southeast Texas- St Elizabeth is $2,284. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 0.97x the Medicare baseline. Located in 2830 Calder Avenue, Beaumont, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,284

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%)
Insurance Median: $2,284 (97%)
Ins. Median: $2,284 (97% 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
Community Health Choice $850 - $2,284 36%
Superior $850 36%
Amerigroup $892 - $2,467 38%
Molina $892 - $2,284 38%
Texas Childrens Health Plan $892 38%
UnitedHealthcare $947 - $6,327 40%
Aetna $2,284 - $3,398 97%
Allwell $2,284 97%
Arcadian Health Plan $2,284 97%
Blue Cross Blue Shield $2,284 - $3,457 97%
Christus Health $2,284 - $3,198 97%
Coventry $2,284 97%
Humana $2,284 - $3,768 97%
Texas Healthspring $2,284 97%
Triwest $2,284 97%
Wellcare $2,284 97%
Provider Partners Health Plan $2,353 100%
Texas Independence Health Plan $2,353 100%
Shared Health Insurance Company $2,399 102%
Us Imaging Network $2,444 104%
Devoted Health Plan $2,467 105%
Imperial Health Plan $2,513 107%
Medicare (plans) $2,513 107%
Procare Advantage $2,513 107%
Mct Credit Union $3,829 162%
Five Point Credit Union $4,020 170%
Healthcare Highways $4,543 193%
Adv Cardiovas Specialist $4,569 194%
Naphcare Inc. $4,569 194%
Partners Direct Health $4,989 212%
Cigna $9,270 - $11,967 393%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2830 Calder Avenue, Beaumont, TX 77702
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals