CMS Price Transparency Data
Cataract surgery with lens implant
Facility: George Washington Univ Hospital
Billing Code: 66984 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$5,039
about 2.1× the $2,358 Medicare rate · typically $2,046–$5,825
modeled estimate · not a bill or quote
What this hospital charges insurers
$5,585
About the fair price
about $546 over the fair price · 2.4× Medicare
Medicare pays $2,358 Fair price $5,039 This hospital $5,585
A fair price for a Cataract surgery with lens implant is about $5,039 (about 2.1× the $2,358 Medicare rate). George Washington Univ Hospital charges insurers about $5,585 — about the fair price. Located in Washington, DC.
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 | $5,625 - $19,203 | 239% |
| Blue Cross Blue Shieldmajor | $3,848 - $4,379 | 163% |
| Aetnamajor | $5,545 | 235% |
| Cignamajor | $5,923 | 251% |
| + 1 smaller / regional plan | $5,036 |
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