CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Christus Santa Rosa Medical Center

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 66984
  • Insurance Median: $2,195
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.93x Medicare
The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Christus Santa Rosa Medical Center is $2,195. 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 0.93x the Medicare baseline. Located in 11212 State Hwy 151, San Antonio, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,195

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: $2,195 (93%)
Ins. Median: $2,195 (93% 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
Aetna $850 - $4,076 36%
Blue Cross Blue Shield $850 - $3,558 36%
Community First $850 - $892 36%
Driscoll Children'S Health Plan $850 36%
El Paso First $850 36%
First Care $850 36%
Molina $850 - $2,142 36%
Superior $850 - $2,142 36%
UnitedHealthcare $850 - $5,445 36%
Amerigroup $892 - $2,387 38%
Texas Childrens Health Plan $892 38%
Allwell $2,142 - $2,210 91%
Christus Health $2,142 - $2,998 91%
Coventry $2,142 91%
Humana $2,142 - $3,064 91%
Texas Healthspring $2,142 91%
Triwest $2,142 - $2,210 91%
Wellcare $2,142 - $2,210 91%
Provider Partners Health Plan $2,206 - $2,277 94%
Texas Independence Health Plan $2,206 94%
Washington National $2,210 94%
Shared Health Insurance Company $2,249 - $2,321 95%
Cigna $2,277 - $13,847 97%
Us Imaging Network $2,291 97%
Devoted Health Plan $2,313 - $2,387 98%
Imperial Health Plan $2,356 100%
Medicare (plans) $2,356 100%
Procare Advantage $2,356 100%
Employer Direct $2,570 109%
Gilsbar Inc. $2,784 118%
Five Point Credit Union $4,020 170%
Naphcare Inc. $4,283 182%
Healthcare Highways $4,543 193%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11212 State Hwy 151, San Antonio, TX 78251
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals