CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Mt Sinai Hospital Medical Center

Billing Code: 66984 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$2,515

about 1.1× the $2,358 Medicare rate · typically $2,443–$3,225

modeled estimate · not a bill or quote

What this hospital charges insurers

$2,579

About the fair price

about $64 over the fair price · 1.1× Medicare

Medicare pays $2,358 Fair price $2,515 This hospital $2,579 Cash price $2,694 Hospital's list price $3,849

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

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

Cheapest $483 Priciest $2,579

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

A fair price for a Cataract surgery with lens implant is about $2,515 (about 1.1× the $2,358 Medicare rate). Mt Sinai Hospital Medical Center charges insurers about $2,579, or about $2,694 in cash — about the fair price. Located in Chicago, IL.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser 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
Blue Cross Blue Shieldmajor	$1,720 - $2,586	73%
Aetnamajor	$2,586 - $8,698	110%
Cignamajor	$2,325 - $4,757	99%
Humanamajor	$2,473 - $12,085	105%
Ambetter (Centene)	$2,720 - $4,041	115%
Health Net	$2,399 - $2,586	102%
HealthLink	$2,502	106%
Meridian	$2,473	105%
Molina	$2,597 - $2,715	110%
Oscar Health	$4,234	180%
+ 10 smaller / regional plans	$1,540 - $2,720

Government programs also on file: Military & VA.

Excludes 6 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 (about 2,694), 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 Mt Sinai Hospital 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 Mt Sinai Hospital Medical Center

Compare: Cataract surgery with lens implant at other IL hospitals

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