CMS Price Transparency Data
Cataract surgery with lens implant
Facility: Children's Hosp of Los Angeles
Billing Code: 66984 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 66984
- Insurance Median: $2,956
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Children's Hosp of Los Angeles is $2,956. 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 1.25x the Medicare baseline. Located in 4650 Sunset Blvd, Ms 108, Los Angeles, CA.
Cash / Self-Pay
Unavailable
Average discount available for prompt cash payment at this facility.
Insurance Median
$2,956
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: $2,956 (125%)
Ins. Median: $2,956 (125% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Altamed | $1,407 - $15,091 | 60% |
| Caloptima | $1,407 | 60% |
| Medi-Cal | $1,442 | 61% |
| Valley Presbyterian Hospital | $1,442 | 61% |
| Health Net | $1,802 | 76% |
| Choc Health Alliance | $1,802 | 76% |
| St Francis Medical Center | $1,874 - $2,783 | 79% |
| El Proyecto Del Barrio | $2,105 | 89% |
| Premier Physicians Ntwk | $2,105 | 89% |
| Global Care Medical Group | $2,105 | 89% |
| Health Care La IPA | $2,105 | 89% |
| Centinela Valley IPA | $2,105 | 89% |
| Watts Healthcare Mmc | $2,105 | 89% |
| Bella Vista Med Grp | $2,105 | 89% |
| Hollywood Presbyterian Medical Center | $2,163 | 92% |
| Community Family Care IPA | $2,163 | 92% |
| Heritage Provider Network | $2,307 - $17,560 | 98% |
| Blue Cross Blue Shield | $2,376 - $7,583 | 101% |
| La Care | $2,394 - $15,365 | 102% |
| Serra Community Med Clinic | $2,473 | 105% |
| White Memorial Medical Center | $2,523 | 107% |
| Care 1St | $2,523 | 107% |
| Adventist Health Physicians | $2,595 - $16,463 | 110% |
| Cal Care IPA | $2,624 | 111% |
| Associated Hispanic Physicians IPA | $2,667 | 113% |
| Gold Coast Health Plan | $2,667 | 113% |
| Serendib Healthways Mmc | $2,667 | 113% |
| Hispanic Physician IPA | $2,667 | 113% |
| Beverly Hospital | $2,682 | 114% |
| Los Angeles Medical Center IPA | $2,696 | 114% |
| San Judas Med Grp | $2,696 | 114% |
| Alhambra Hospital Medical Center | $2,711 | 115% |
| Accountable Health | $2,754 | 117% |
| Souther California Hosp System - Mmc | $2,765 | 117% |
| Cencal Health | $2,783 | 118% |
| Pacific Alliance Medical Center | $2,826 | 120% |
| Blue Shield | $2,853 - $9,220 | 121% |
| Point Comfort Underwriters | $2,884 | 122% |
| Crown City Medical Group | $2,884 | 122% |
| Angeles IPA | $2,884 | 122% |
| Seaside Health Plan | $2,884 | 122% |
| Employee Health Systems Med Grp | $2,884 | 122% |
| Noble Community Medical Associates | $2,941 | 125% |
| Imperial Health Holdings Medical Group | $2,941 | 125% |
| Karing Physicians Medical Group | $2,941 | 125% |
| Regent Medical Group | $2,941 | 125% |
| Mabuhay Medical Group | $2,956 | 125% |
| Primary Care and Pediatric IPA | $2,956 | 125% |
| Avalon IPA | $2,956 | 125% |
| Exceptional Care Medical Group | $2,956 - $20,944 | 125% |
| Preferred IPA | $2,956 | 125% |
| Inland Empire Health Plan | $2,970 | 126% |
| Family Care Specialists | $3,042 | 129% |
| Molina | $3,042 | 129% |
| Family Health Alliance Med Grp | $3,100 | 131% |
| Community Care IPA Mmc | $3,187 | 135% |
| Applecare Medical Group | $3,187 - $17,835 | 135% |
| Dignity Health | $3,201 | 136% |
| Allied Pacific IPA | $3,388 | 144% |
| Healthy New Life Medical Corp | $3,432 | 146% |
| Asian Community Medical Group | $3,432 | 146% |
| California Pacific Physicians Medical Group | $3,432 | 146% |
| Kern Family Health Plan | $3,634 | 154% |
| Superior Choice Medical Group | $3,907 | 166% |
| Southland San Gabriel Valley Medical Group | $3,936 | 167% |
| Champus | $4,943 | 210% |
| UnitedHealthcare | $6,553 - $11,990 | 278% |
| Cigna | $8,154 | 346% |
| Medicare (plans) | $8,975 | 381% |
| Accarent Health | $9,146 | 388% |
| Sierra Health and Life Insurance Company | $10,000 | 424% |
| Delta Health Systems | $11,564 | 490% |
| Incentive Health Network | $16,920 | 718% |
| Gemcare IPA | $17,560 | 745% |
| Managed Care Systems | $17,835 | 756% |
| Providence Health Network | $18,292 | 776% |
| Ventura County Health Plan | $23,322 | 989% |
| Staywell Insurance | $25,000 | 1060% |
| Good Samaritan Medical Group | $25,152 | 1067% |
| Access Medical Group | $25,426 | 1078% |
| Seoul Medical Group | $28,078 | 1191% |
| Southern Atlantic Medical Group Mmc | $31,809 | 1349% |