CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Lake Granbury Medical Center

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 66984
  • Insurance Median: $2,562
  • Cash Discount Price: $5,804
  • vs. Medicare Baseline: 1.09x Medicare
The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Lake Granbury Medical Center is $2,562. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,804. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 1.09x the Medicare baseline. Located in 1310 Paluxy Rd, Granbury, TX.
Cash / Self-Pay
$5,804

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,562

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: $5,804 (246%)
Insurance Median: $2,562 (109%)
Cash: $5,804 (246% of Medicare)
Ins. Median: $2,562 (109% 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
Veterans Eval Services $506 21%
Aetna $894 - $22,152 38%
Medicaid / KanCare $894 - $3,380 38%
UnitedHealthcare $894 - $13,707 38%
Amerigroup $939 40%
Healthspring $939 40%
Superior $1,028 - $6,926 44%
Self Pay $1,935 82%
Tricare $2,202 93%
Node Champva $2,318 98%
Cigna $2,487 - $12,705 105%
Humana $2,487 105%
Medicare (plans) $2,487 105%
Hospice Non Par $2,528 107%
Node Va $2,528 107%
Triwest $2,528 107%
Blue Cross Blue Shield $2,537 - $9,470 108%
Node Care N Care $2,537 108%
American Health $2,587 110%
Provider Partners Health Plan $2,604 110%
Node Amerigroup Mcr Adv $2,612 111%
Node Us Dept Of Labor $3,160 134%
Node Brookshire Brothers $4,424 188%
93% Payors Work Comp Tx $4,702 199%
Node Brookshire Brothers Work Comp Tx $4,702 199%
Work Comp $5,056 214%
Healthsmart $17,735 - $22,571 752%
Multiplan $24,184 - $28,376 1026%
Santa Fe Hospital Association $25,796 1094%
Galaxy Health $30,633 1299%
Medcorp Southwest $30,633 1299%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1310 Paluxy Rd, Granbury, TX 76048
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals