CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Baylor Scott & White Continuing Care Hospital

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 66984
Insurance Median: $2,642
Cash Discount Price: $2,352
vs. Medicare Baseline: 1.12x Medicare

The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Baylor Scott & White Continuing Care Hospital is $2,642. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,352. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 1.12x the Medicare baseline. Located in 546 N Kegley Rd, Temple, TX.

Cash / Self-Pay

$2,352

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,642

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: $2,352 (100%)

Insurance Median: $2,642 (112%)

Cash: $2,352 (100% of Medicare)

Ins. Median: $2,642 (112% 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
Superior Health Plan	$850	36%
UnitedHealthcare	$1,960	83%
Midcoast	$2,156	91%
Blue Cross Blue Shield	$2,195 - $2,665	93%
Corvel	$2,208	94%
Independent Medical System	$2,352	100%
Cigna	$2,509 - $2,940	106%
Curative	$2,548	108%
Injury Management Organization	$2,618	111%
First Health	$2,744	116%
Humana	$2,744	116%
Imagine Health	$2,822	120%
Aetna	$2,940	125%
Healthsmart	$2,940 - $6,325	125%
University Of Mary Hardin-Baylor	$2,940	125%
Careworks Fka Rockport	$3,151	134%
Sedgwick	$3,151	134%
Three Rivers	$3,528	150%

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 $2,352.
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 Continuing Care Hospital 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.