CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Northside Hospital

Billing Code: 66984 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$4,189

about 1.8× the $2,358 Medicare rate · typically $1,434–$4,747

modeled estimate · not a bill or quote

What this hospital charges insurers

$4,274

About the fair price

about $85 over the fair price · 1.8× Medicare

Medicare pays $2,358 Fair price $4,189 This hospital $4,274

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

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

Cheapest $641 Priciest $4,274

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

A fair price for a Cataract surgery with lens implant is about $4,189 (about 1.8× the $2,358 Medicare rate). Northside Hospital charges insurers about $4,274 — about the fair price. Located in Atlanta, GA.

What each insurance company pays

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

6 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	$2,307 - $7,889	98%
Blue Cross Blue Shieldmajor	$2,307 - $34,850	98%
Aetnamajor	$2,353 - $30,000	100%
Cignamajor	$8,162 - $10,744	346%
Humanamajor	$2,330 - $2,399	99%
Kaiser Permanentemajor	$2,376 - $4,274	101%
Ambetter (Centene)	$5,011 - $10,234	213%
Amerigroup	$8,085 - $9,085	343%
CareSource	$2,376 - $18,600	101%
Clover Health	$2,421	103%
Health Net	$7,200	305%
Oscar Health	$6,868	291%
WellCare	$2,376	101%
+ 15 smaller / regional plans	$870 - $50,000

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 7 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 Northside 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 Northside Hospital

Compare: Cataract surgery with lens implant at other GA hospitals

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