CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Doctors Hosptal at Renaissance

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 66984
Insurance Median: $2,279
Cash Discount Price: $5,328
vs. Medicare Baseline: 0.97x Medicare

The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Doctors Hosptal at Renaissance is $2,279. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,328. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 0.97x the Medicare baseline. Located in 5501 South McColl, Edinburg, TX.

Cash / Self-Pay

$5,328

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,279

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: $5,328 (226%)

Insurance Median: $2,279 (97%)

Cash: $5,328 (226% of Medicare)

Ins. Median: $2,279 (97% 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
Molina	$912 - $2,803	39%
Driscoll	$921	39%
UnitedHealthcare	$921	39%
Superior	$939 - $2,803	40%
Wellcare/Allwell	$939	40%
Aetna	$1,375 - $2,919	58%
Healthsmart	$1,767 - $8,500	75%
Humana	$2,243	95%
Blue Cross Blue Shield	$2,287 - $3,275	97%
Wellcare	$2,355	100%
Cl Frates	$2,915	124%

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 $5,328.
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 Doctors Hosptal at Renaissance 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.