Cataract surgery with lens implant
Facility: Centura St. Catherine-Dodge City
Billing Code: 66984 (CPT)
- CPT Billing Code: 66984
- Insurance Median: $489
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.21x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Aetna | $489 | 21% |
| Blue Cross Blue Shield | $489 | 21% |
| Medicare (plans) | $489 | 21% |
| Humana | $489 | 21% |
| Kansas Health | $489 | 21% |
| Cigna | $489 | 21% |
| Kaiser | $489 | 21% |
Consumer Guidance & Cost Commentary
For cataract surgery with lens implant (CPT 66984) at Centura St. Catherine-Dodge City in Dodge City, KS, the facility's negotiated rates are consistently $489 across seven major payers, including Aetna, Blue Cross Blue Shield, and Medicare. This negotiated amount is significantly lower than the Medicare benchmark of $2,357.81, indicating a substantial discount relative to the federal cost baseline. While the facility is a Proprietary Acute Care Hospital, the data does not provide specific cash or median paid figures for this service. Patients with high-deductible plans should verify if paying cash directly could result in a lower out-of-pocket cost, as commercial negotiated rates often exceed cash prices due to administrative overhead. It is always advisable to contact the hospital directly to inquire about self-pay or prompt-pay discounts before scheduling, as these upfront payment incentives can reduce the final bill.
Although the data does not list specific county or state average rates for this procedure, the facility's consistent $489 negotiated rate across all listed payers suggests a standardized pricing structure typical of in-network contracts. Under the No Surprises Act, patients receiving care at this in-network facility are protected from balance billing by out-of-network providers for emergency or non-emergency services, preventing unexpected charges beyond their insurance allowed amount. If a patient receives an itemized bill that appears higher than the $489 rate, they should request a full line-by-line audit to identify potential errors such as unbundled codes or services not rendered. Since over 80% of hospital bills contain inaccuracies, disputing charges in writing with the billing supervisor is the most effective way to ensure the final