CMS Price Transparency Data

Cataract surgery with lens implant

Facility: St Anthonys Memorial Hospital

Billing Code: 66984 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$2,671

about 1.1× the $2,358 Medicare rate · typically $2,253–$2,770

modeled estimate · not a bill or quote

What this hospital charges insurers

$2,546

About the fair price

about $125 under the fair price · 1.1× Medicare

Medicare pays $2,358 Fair price $2,671 This hospital $2,546 Cash price $2,094 Hospital's list price $2,909

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 $2,546

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 $2,671 (about 1.1× the $2,358 Medicare rate). St Anthonys Memorial Hospital charges insurers about $2,546, or about $2,094 in cash — about the fair price. Located in Effingham, IL.

What each insurance company pays

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

5 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	$2,336 - $2,909	99%
Blue Cross Blue Shieldmajor	$2,546 - $2,909	108%
Aetnamajor	$1,905 - $2,546	81%
Cignamajor	$2,298 - $2,909	97%
Humanamajor	$2,546	108%
HealthLink	$2,313 - $2,909	98%
HealthPartners	$2,546	108%
Meridian	$1,628 - $2,442	69%
Molina	$1,554 - $2,665	66%
+ 18 smaller / regional plans	$815 - $2,909

Excludes 5 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 2,094), 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 Anthonys 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 St Anthonys Memorial Hospital

Compare: Cataract surgery with lens implant at other IL hospitals

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