CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Baylor Scott & White Medical Center- Austin

Billing Code: 66984 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$2,022

about 0.9× the $2,358 Medicare rate · typically $822–$3,574

modeled estimate · not a bill or quote

What this hospital charges insurers

$2,189

About the fair price

about $167 over the fair price · 0.9× Medicare

Medicare pays $2,358 Fair price $2,022 This hospital $2,189 Cash price $4,302 Hospital's list price $7,169

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $545 Priciest $2,189

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

A fair price for a Cataract surgery with lens implant is about $2,022 (about 0.9× the $2,358 Medicare rate). Baylor Scott & White Medical Center- Austin charges insurers about $2,189, or about $4,302 in cash — about the fair price. Located in Austin, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$2,397 - $3,535	102%
Blue Cross Blue Shieldmajor	$66 - $80	3%
Aetnamajor	$12,483	529%
Cignamajor	$3,405 - $3,972	144%
Humanamajor	$2,084 - $9,150	88%
Baylor Scott & White	$1,980 - $3,439	84%
Cigna HealthSpring	$2,189	93%
+ 7 smaller / regional plans	$2,189 - $5,377

Government programs also on file: Medicaid, Military & VA.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 4,302), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 66984.

Insurance Before you use insurance

Call your insurance company to confirm Baylor Scott & White Medical Center- Austin is in-network.
Ask your insurer whether prior approval is required for CPT code 66984.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Baylor Scott & White Medical Center- Austin

Compare: Cataract surgery with lens implant at other TX hospitals

Insurance negotiated median for the same procedure, sorted lowest first.