CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Valleywise Health Medical Center

Billing Code: 66984 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,630

about 0.7× the $2,358 Medicare rate · typically $944–$2,322

modeled estimate · not a bill or quote

What this hospital charges insurers

$619

Below the fair price — a good deal

about $1,011 under the fair price · 0.3× Medicare

Medicare pays $2,358 Fair price $1,630 This hospital $619 Cash price $2,832 Hospital's list price $3,850

How we calculate the fair BaseRate →

How this hospital compares to other AZ hospitals

A typical price — 5 charge more and 3 charge less, among the 9 AZ hospitals compared.

Cheapest $525 Priciest $2,498

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Cataract surgery with lens implant is about $1,630 (about 0.7× the $2,358 Medicare rate). Valleywise Health Medical Center charges insurers about $619, or about $2,832 in cash — below the fair price — a good deal. Located in Phoenix, AZ.

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	$471 - $3,135	20%
Blue Cross Blue Shieldmajor	$456 - $4,500	19%
Aetnamajor	$454 - $4,384	19%
Cignamajor	$588 - $4,826	25%
Humanamajor	$487 - $2,463	21%
Banner Health	$456 - $2,463	19%
Devoted Health	$456 - $2,463	19%
Health Net	$386 - $4,709	16%
Molina	$512 - $2,709	22%
Oscar Health	$524 - $3,500	22%
+ 12 smaller / regional plans	$47 - $4,778

Government programs also on file: 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 2,832), 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 Valleywise Health Medical Center 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 Valleywise Health Medical Center

Compare: Cataract surgery with lens implant at other AZ hospitals

Chandler Regional Medical Center · Chandler $525
PAM Health Rehabilitation Hospital of Surprise · Surprise $555
Yuma Regional Medical Center · Yuma $563
Page Hospital · Page $1,507
St. Mary's Hospital · Tucson $1,969
Yavapai Regional Medical Center · Prescott $2,431
Mercy Gilbert Medical Center · Gilbert $2,431
Dignity Health - Arizona General Hospital · Laveen $2,498

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