CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Memorial Medical Center

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 66984
  • Insurance Median: $1,224
  • Cash Discount Price: $1,754
  • vs. Medicare Baseline: 0.52x Medicare
The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Memorial Medical Center is $1,224. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,754. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 0.52x the Medicare baseline. Located in 701 N Virginia St, Port Lavaca, TX.
Cash / Self-Pay
$1,754

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,224

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: $1,754 (74%)
Insurance Median: $1,224 (52%)
Cash: $1,754 (74% of Medicare)
Ins. Median: $1,224 (52% 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
Ambetter / Centene $204 - $1,469 9%
Healthcare Highways-All Plans $414 - $3,498 18%
Triwest Va Pccc-All Plans $441 - $1,200 19%
Prime Healthcare Services-All Plans $446 - $3,061 19%
Amerigroup Mcr Adv-All Other Plans $450 - $1,224 19%
Care Improvement Plus - All Other Plans $450 - $1,224 19%
Care Improvement Plus Mcr $450 - $1,237 19%
Superior Allwell Mcr Adv-All Other Plans $450 - $1,224 19%
UnitedHealthcare $450 - $3,498 19%
Universal American Mcr-All Other Plans $450 - $1,224 19%
Universal American Snp $473 - $1,286 20%
Blue Cross Blue Shield $478 - $2,016 20%
Humana $510 - $3,498 22%
Corvel Work Comp-All Plans $542 - $3,717 23%
Independent Med Sys Ppo-All Plans $542 - $3,717 23%
Multiplan Mcr Adv $542 - $1,224 23%
Multiplan Phcs Ppo-All Other Plans $542 - $3,717 23%
Provider Select Ppo-All Plans $542 - $3,717 23%
Three Rivers Ppo-All Plans $542 - $3,717 23%
Usa Mso - All Plans $542 - $3,717 23%
Coventry First Hlth Hmo Ppo-All Other Plans $563 - $3,498 24%
Coventry First Hlth Mcr Adv $563 - $1,224 24%
Amerigroup Chip $638 - $2,099 27%
Amerigroup Star $638 - $2,099 27%
Amerigroup Star Kids $638 - $2,099 27%
Amerigroup Star Plus $638 - $2,099 27%
Comm Health Chip $638 - $2,099 27%
Comm Health Perinatal-All Other Plans $638 - $2,099 27%
Molina Chip/Star-All Plans $638 - $2,099 27%
Scott & White Chip/Star-All Plans $638 - $2,099 27%
Superior Chip/Star $638 - $2,099 27%
Texas Childrens Hp - All Plans $638 - $2,099 27%
Galaxy Health Network-All Plans $653 - $3,717 28%
Comm Health Mcaid Hmo $670 - $2,204 28%
Comm Health Star $670 - $2,204 28%
Capstar Health Network-All Plans $971 - $3,498 41%
Cigna $971 - $3,280 41%
Aetna $3,498 148%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 701 N Virginia St, Port Lavaca, TX 77979
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals