CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Titus Regional Medical Center

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 66984
Insurance Median: $602
Cash Discount Price: $1,310
vs. Medicare Baseline: 0.26x Medicare

The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Titus Regional Medical Center is $602. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,310. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 0.26x the Medicare baseline. Located in 2001 N Jefferson, Mount Pleasant, TX.

Cash / Self-Pay

$1,310

Average discount available for prompt cash payment at this facility.

Insurance Median

$602

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: $1,310 (56%)

Insurance Median: $602 (26%)

Cash: $1,310 (56% of Medicare)

Ins. Median: $602 (26% 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
Christus Health Plan	$362	15%
Humana	$362	15%
Tricare	$362	15%
Triwest	$362	15%
UnitedHealthcare	$362 - $1,714	15%
Texas Mutual	$373	16%
Curative	$399	17%
Blue Cross Blue Shield	$529 - $868	22%
Claritev	$594	25%
Superior	$611	26%
Healthcare Highways	$707	30%
Aetna	$817	35%
Healthsmart	$1,529	65%
Cigna	$1,747	74%
Galaxy Health	$2,075	88%

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 $1,310.
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 Titus Regional 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.