CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Cleveland Clinic Martin North Hospital

Billing Code: 66984 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$1,932

about 0.8× the $2,358 Medicare rate · typically $996–$4,833

modeled estimate · not a bill or quote

What this hospital charges insurers

$699

Below the fair price — a good deal

about $1,233 under the fair price · 0.3× Medicare

Medicare pays $2,358 Fair price $1,932 This hospital $699 Cash price $2,055 Hospital's list price $3,161

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

One of the lower prices — 6 of 8 other FL hospitals charge more for the same procedure.

Cheapest $524 Priciest $1,165

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

A fair price for a Cataract surgery with lens implant is about $1,932 (about 0.8× the $2,358 Medicare rate). Cleveland Clinic Martin North Hospital charges insurers about $699, or about $2,055 in cash — below the fair price — a good deal. Located in Stuart, FL.

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✓ 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	$535 - $2,289	23%
Blue Cross Blue Shieldmajor	$535 - $2,289	23%
Aetnamajor	$652 - $2,845	28%
Cignamajor	$577 - $740	24%
Humanamajor	$2,289	97%
AmeriHealth	$424	18%
AvMed	$535 - $8,814	23%
Devoted Health	$2,518	107%
Molina	$432	18%
WellCare	$2,289	97%
+ 9 smaller / regional plans	$412 - $2,404

Excludes 1 rental-network / third-party entry (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 2,055), 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 Cleveland Clinic Martin North Hospital 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 Cleveland Clinic Martin North Hospital

Compare: Cataract surgery with lens implant at other FL hospitals

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