CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Northside Hospital Duluth

Billing Code: 66984 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$3,961
about 1.7× the $2,358 Medicare rate · typically $1,345–$4,492
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,292
About the fair price
about $331 over the fair price · 1.8× Medicare
Medicare pays $2,358 Fair price $3,961 This hospital $4,292

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 $4,292

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 $3,961 (about 1.7× the $2,358 Medicare rate). Northside Hospital Duluth charges insurers about $4,292 — about the fair price. Located in Duluth, 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 $2,278 - $7,889 97%
Blue Cross Blue Shieldmajor $2,278 - $34,850 97%
Aetnamajor $2,301 - $30,000 98%
Cignamajor $7,594 - $10,744 322%
Humanamajor $2,301 - $2,369 98%
Kaiser Permanentemajor $2,346 - $4,274 99%
Ambetter (Centene) $5,011 - $10,726 213%
Amerigroup $6,316 - $8,978 268%
CareSource $2,346 - $18,600 99%
Clover Health $2,391 101%
Health Net $7,200 305%
Oscar Health $6,868 291%
WellCare $2,346 99%
+ 19 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.

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Facility Profile & Credentials

  • Address: 3620 Howell Ferry Road, Duluth, GA 30096
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals