CMS Price Transparency Data

Cataract surgery with lens implant

Facility: St Luke's Sugar Land Hospital

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 66984
  • Insurance Median: $2,444
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Cataract surgery with lens implant at St Luke's Sugar Land Hospital is $2,444. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 1.04x the Medicare baseline. Located in 1317 Lake Pointe Parkway, Sugar Land, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,444

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%)
Insurance Median: $2,444 (104%)
Ins. Median: $2,444 (104% 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
Tchp $850 - $1,139 36%
Wellpoint $850 - $3,427 36%
United $867 - $5,145 37%
UnitedHealthcare $867 - $2,652 37%
Blue Cross Blue Shield $892 - $3,882 38%
Chc $977 - $1,309 41%
Renaissance $1,645 70%
Aetna $1,732 - $3,518 73%
Kelsey $1,889 80%
Cigna $2,284 - $12,381 97%
Humana $2,284 - $4,000 97%
Selectcare $2,284 97%
Amerivantage $2,353 100%
Devoted $2,444 104%
Scanhealth $2,444 104%
Kindred $2,513 107%
Kelseycare $3,084 - $6,466 131%
Healthsmart $3,226 137%
Community Health Choice $3,427 145%
Superior Health Plan $3,427 145%
Bright Health $3,473 147%
Independent Med System $3,684 156%
Nx Health $7,424 315%
PHCS $8,158 346%
PHCS Savility $8,158 346%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1317 Lake Pointe Parkway, Sugar Land, TX 77478
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals