CMS Price Transparency Data

Cataract surgery with lens implant

Facility: St Lucie Medical Center

Billing Code: 66984 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$4,267

about 1.8× the $2,358 Medicare rate · typically $1,740–$7,048

modeled estimate · not a bill or quote

What this hospital charges insurers

$4,596

About the fair price

about $329 over the fair price · 1.9× Medicare

Medicare pays $2,358 Fair price $4,267 This hospital $4,596

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

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

Cheapest $524 Priciest $4,596

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 $4,267 (about 1.8× the $2,358 Medicare rate). St Lucie Medical Center charges insurers about $4,596 — about the fair price. Located in Port Saint Lucie, FL.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna AetnaHumanaKaiser 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	$31,400	1332%
Blue Cross Blue Shieldmajor	$10,230 - $15,120	434%
Cignamajor	$11,166 - $15,153	474%
AvMed	$4,281	182%
Molina	$1,950 - $2,702	83%
Oscar Health	$10,148	430%
Simply Healthcare	$2,160 - $9,488	92%
+ 3 smaller / regional plans	$1,495 - $2,350

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, 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 St Lucie Medical 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 St Lucie Medical Center

Compare: Cataract surgery with lens implant at other FL hospitals

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