CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Scripps Memorial Hospital La Jolla

Billing Code: 66984 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$3,138

about 1.3× the $2,358 Medicare rate · typically $2,423–$3,741

modeled estimate · not a bill or quote

What this hospital charges insurers

$2,968

About the fair price

about $170 under the fair price · 1.3× Medicare

Medicare pays $2,358 Fair price $3,138 This hospital $2,968 Cash price $1,944 Hospital's list price $7,774

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 $2,968

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 $3,138 (about 1.3× the $2,358 Medicare rate). Scripps Memorial Hospital La Jolla charges insurers about $2,968, or about $1,944 in cash — about the fair price. Located in La Jolla, CA.

What each insurance company pays

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

6 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	$502 - $3,117	21%
Blue Cross Blue Shieldmajor	$1,166 - $2,968	49%
Aetnamajor	$502 - $2,968	21%
Cignamajor	$1,166 - $2,968	49%
Humanamajor	$2,968	126%
Kaiser Permanentemajor	$2,962 - $2,968	126%
Health Net	$1,166 - $7,421	49%
HealthPartners	$1,345 - $2,968	57%
+ 39 smaller / regional plans	$622 - $6,219

Government programs also on file: Medicare, Medicaid.

Excludes 4 rental-network / third-party entries (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 1,944), 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 Scripps Memorial Hospital La Jolla 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 Scripps Memorial Hospital La Jolla

Compare: Cataract surgery with lens implant at other CA hospitals

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