CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Mercy San Juan Medical Center

Billing Code: 66984 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$3,813
about 1.6× the $2,358 Medicare rate · typically $2,698–$6,299
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,164
About the fair price
about $351 over the fair price · 1.8× Medicare
Medicare pays $2,358 Fair price $3,813 This hospital $4,164

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 $4,164

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 $3,813 (about 1.6× the $2,358 Medicare rate). Mercy San Juan Medical Center charges insurers about $4,164 — about the fair price. Located in Carmichael, CA.

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✓ Humana✓ Kaiser Permanente Cigna

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 $1,154 - $2,997 49%
Blue Cross Blue Shieldmajor $2,740 - $35,615 116%
Aetnamajor $2,997 - $11,393 127%
Humanamajor $2,997 127%
Kaiser Permanentemajor $2,997 127%
Health Net $4,164 - $10,485 177%
Molina $1,890 - $2,997 80%
+ 6 smaller / regional plans $564 - $6,200

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Facility Profile & Credentials

  • Address: 6501 Coyle Ave, Carmichael, CA 95608
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals