CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Christus St Michael Health System

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 66984
  • Insurance Median: $2,239
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Christus St Michael Health System is $2,239. 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 0.95x the Medicare baseline. Located in 2600 St Michael Dr, Texarkana, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,239

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: $2,239 (95%)
Ins. Median: $2,239 (95% 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
Arkansas Total Care $363 15%
Empower Healthcare Solutions $370 16%
UnitedHealthcare $820 - $7,110 35%
Amerigroup $850 - $2,418 36%
Superior $850 36%
Texas True Choice $850 36%
Summit Community Care $867 37%
Molina $892 - $2,239 38%
Texas Children'S Health Plan $892 38%
Blue Cross Blue Shield $2,204 - $5,358 93%
Aetna $2,239 - $7,277 95%
Christus Health $2,239 - $3,135 95%
Coventry $2,239 95%
Humana $2,239 - $3,933 95%
Texas Healthspring $2,239 95%
Triwest $2,239 95%
Windsor $2,239 95%
Provider Partners Health Plan $2,306 98%
Texas Independence Health Plan $2,306 98%
Shared Health Insurance Company $2,351 100%
Tribute Health Plan $2,351 100%
Us Imaging Network $2,396 102%
Imperial Health Plan $2,463 104%
Medicare (plans) $2,463 104%
Procare Advantage $2,463 104%
State Of Oklahoma $3,400 144%
Five Point Credit Union $4,020 170%
Naphcare Inc. $4,478 190%
Healthcare Highways $4,702 199%
Qualchoice $7,820 332%
Cigna $11,182 474%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2600 St Michael Dr, Texarkana, TX 75503
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals