CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Spanish Peaks Regional Health Center

Billing Code: 66984 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$1,402

about 0.6× the $2,358 Medicare rate · typically $576–$3,402

modeled estimate · not a bill or quote

What this hospital charges insurers

$598

Below the fair price — a good deal

about $804 under the fair price · 0.3× Medicare

Medicare pays $2,358 Fair price $1,402 This hospital $598 Cash price $793 Hospital's list price $881

How we calculate the fair BaseRate →

How this hospital compares to other CO hospitals

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

Cheapest $524 Priciest $598

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

A fair price for a Cataract surgery with lens implant is about $1,402 (about 0.6× the $2,358 Medicare rate). Spanish Peaks Regional Health Center charges insurers about $598, or about $793 in cash — below the fair price — a good deal. Located in Walsenburg, CO.

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✓ Cigna✓ Humana AetnaKaiser 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	$432 - $819	18%
Blue Cross Blue Shieldmajor	$432 - $793	18%
Cignamajor	$793	34%
Humanamajor	$300	13%
Devoted Health	$315	13%
+ 6 smaller / regional plans	$793 - $2,488

Government programs also on file: Medicare.

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 793), 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 Spanish Peaks Regional Health 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 Spanish Peaks Regional Health Center

Compare: Cataract surgery with lens implant at other CO hospitals

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