CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Samuel Mahelona Memorial Hospital

Billing Code: 66984 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$723

about 0.3× the $2,358 Medicare rate · typically $550–$2,630

modeled estimate · not a bill or quote

What this hospital charges insurers

$570

Below the fair price — a good deal

about $153 under the fair price · 0.2× Medicare

Medicare pays $2,358 Fair price $723 This hospital $570 Cash price $2,088 Hospital's list price $3,212

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

Lowest price of the 9 HI hospitals we have prices for — a strong deal.

Cheapest $570 Priciest $2,923

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Cataract surgery with lens implant is about $723 (about 0.3× the $2,358 Medicare rate). Samuel Mahelona Memorial Hospital charges insurers about $570, or about $2,088 in cash — below the fair price — a good deal. Located in Kapaa, HI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Kaiser Permanente Blue Cross Blue ShieldAetnaCignaHumana

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	$181 - $434	8%
Kaiser Permanentemajor	$181 - $580	8%
Devoted Health	$531	23%
+ 5 smaller / regional plans	$181 - $2,730

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 2,088), 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 Samuel Mahelona Memorial 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 Samuel Mahelona Memorial Hospital

Compare: Cataract surgery with lens implant at other HI hospitals

Kapiolani Medical Center for Women & Children · Honolulu $2,338
Kohala Hospital · Kapaau $2,418
Kaiser Foundation Hospital · Honolulu $2,454
Kuakini Medical Center · Honolulu $2,704
Straub Clinic and Hospital · Honolulu $2,704
Pali Momi Medical Center · Aiea $2,825
Kona Community Hospital · Kealakekua $2,917
Wilcox Memorial Hospital · Lihue $2,923

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