CMS Price Transparency Data

Cataract surgery with lens implant

Facility: UT of Texas Southwestern University Hospital - William P. Clements Jr.

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 66984
Insurance Median: $1,463
Cash Discount Price: $2,167
vs. Medicare Baseline: 0.62x Medicare

The contracted insurance negotiated median rate for a Cataract surgery with lens implant at UT of Texas Southwestern University Hospital - William P. Clements Jr. is $1,463. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,167. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 0.62x the Medicare baseline. Located in 6201 Harry Hines Blvd, Dallas, TX.

Cash / Self-Pay

$2,167

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,463

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: $2,167 (92%)

Insurance Median: $1,463 (62%)

Cash: $2,167 (92% of Medicare)

Ins. Median: $1,463 (62% 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
Procare	$524 - $2,281	22%
Molina	$530 - $2,395	22%
Parkland	$530 - $850	22%
UnitedHealthcare	$530 - $9,545	22%
Wellpoint	$530 - $2,395	22%
Ambetter / Centene	$540	23%
Blue Cross Blue Shield	$550 - $8,933	23%
Humana	$550 - $2,372	23%
Superior	$576 - $2,395	24%
Aetna	$609 - $2,589	26%
Healthfirst	$1,035	44%
Quiktrip	$1,179	50%
Maestro Health/Fort Worth Firefighters	$1,243	53%
Coventry	$1,521	65%
United Options Nexus	$1,538 - $12,019	65%
Rockwall County	$2,022	86%
Phcs	$2,192	93%
Cigna	$2,293	97%
Galaxy Health Network	$2,600	110%
Multiplan	$2,600	110%
Healthsmart	$3,394	144%

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 $2,167.
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 UT of Texas Southwestern University Hospital - William P. Clements Jr. 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.