CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Lubbock Heart Hospital LP

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 66984
Insurance Median: $2,307
Cash Discount Price: $5,530
vs. Medicare Baseline: 0.98x Medicare

The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Lubbock Heart Hospital LP is $2,307. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,530. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 0.98x the Medicare baseline. Located in 4810 North Loop 289, Lubbock, TX.

Cash / Self-Pay

$5,530

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,307

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: $5,530 (235%)

Insurance Median: $2,307 (98%)

Cash: $5,530 (235% of Medicare)

Ins. Median: $2,307 (98% 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
Blue Cross Blue Shield	$1,961 - $3,680	83%
Amerigroup	$2,307	98%
Humana	$2,307	98%
Imperial Insurance Company Of Tx	$2,307	98%
Scott And White Health Plan	$2,307	98%
Superior Healthplan	$2,307	98%
UnitedHealthcare	$2,307 - $3,939	98%
Entrust	$3,922	166%

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 $5,530.
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 Lubbock Heart Hospital LP 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.