CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Baylor Scott & White Medical Center -Taylor

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 66984
Insurance Median: $3,535
Cash Discount Price: $4,302
vs. Medicare Baseline: 1.50x Medicare

The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Baylor Scott & White Medical Center -Taylor is $3,535. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,302. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 1.50x the Medicare baseline. Located in 305 Mallard, Taylor, TX.

Cash / Self-Pay

$4,302

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,535

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: $4,302 (182%)

Insurance Median: $3,535 (150%)

Cash: $4,302 (182% of Medicare)

Ins. Median: $3,535 (150% 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	$66 - $1,581	3%
Baylor Scott & White Health Plan	$1,430 - $3,068	61%
Triwest	$1,506	64%
Corvel	$1,577	67%
Prime Health Services	$1,577	67%
American Health Plan	$1,581	67%
Healthspring	$1,581	67%
Procare Advantage	$1,581	67%
Superior Health Plan	$1,581	67%
Careworks Fka Rockport	$1,871	79%
Injury Management Organization	$1,871	79%
Sedgwick	$1,871	79%
UnitedHealthcare	$3,535	150%
Cigna	$3,685 - $4,323	156%
Midcoast	$3,943	167%
Quiktrip	$3,943	167%
University Of Mary Hardin-Baylor	$4,158	176%
Independent Medical System	$4,302	182%
Curative	$4,660	198%
First Health	$5,019	213%
Humana	$5,019 - $9,150	213%
Healthsmart	$5,377 - $6,325	228%
Private Health Care System	$5,377	228%
Bluebell Creameries	$5,736	243%
Three Rivers	$5,736	243%
Aetna	$12,483	529%

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 $4,302.
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 Baylor Scott & White Medical Center -Taylor 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.