CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Adventist Health Sonora

Billing Code: 66984 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$637

about 0.3× the $2,358 Medicare rate · typically $433–$2,510

modeled estimate · not a bill or quote

What this hospital charges insurers

$478

Below the fair price — a good deal

about $159 under the fair price · 0.2× Medicare

Medicare pays $2,358 Fair price $637 This hospital $478 Cash price $322 Hospital's list price $1,897

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Lowest price of the 9 CA hospitals we have prices for — a strong deal.

Cheapest $478 Priciest $693

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 $637 (about 0.3× the $2,358 Medicare rate). Adventist Health Sonora charges insurers about $478, or about $322 in cash — below the fair price — a good deal. Located in Sonora, CA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$478 - $1,635	20%
Blue Cross Blue Shieldmajor	$478 - $1,113	20%
Aetnamajor	$1,091	46%
Cignamajor	$588	25%
Health Net	$201 - $696	9%
+ 11 smaller / regional plans	$201 - $1,445

Government programs also on file: Medicaid, Military & VA.

Excludes 3 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 322), 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 Adventist Health Sonora 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 Adventist Health Sonora

Compare: Cataract surgery with lens implant at other CA hospitals

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