CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Santa Monica - UCLA Med Ctr & Orthopaedic Hospital

Billing Code: 66984 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$3,931
about 1.7× the $2,358 Medicare rate · typically $3,010–$6,964
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,341
Below the fair price — a good deal
about $590 under the fair price · 1.4× Medicare
Medicare pays $2,358 Fair price $3,931 This hospital $3,341

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

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

Cheapest $478 Priciest $3,341

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

A fair price for a Cataract surgery with lens implant is about $3,931 (about 1.7× the $2,358 Medicare rate). Santa Monica - UCLA Med Ctr & Orthopaedic Hospital charges insurers about $3,341 — below the fair price — a good deal. Located in Santa Monica, CA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $2,898 - $8,519 123%
Blue Cross Blue Shieldmajor $2,898 - $3,543 123%
Aetnamajor $2,968 126%
Providence Health Plan $3,188 135%
+ 8 smaller / regional plans $2,898 - $8,268
Government programs also on file: Medicare, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1250 16Th Street, Santa Monica, CA 90404
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals