CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Deaconess Illinois Crossroads

Billing Code: 66984 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,073

about 0.5× the $2,358 Medicare rate · typically $791–$1,991

modeled estimate · not a bill or quote

What this hospital charges insurers

$798

Below the fair price — a good deal

about $275 under the fair price · 0.3× Medicare

Medicare pays $2,358 Fair price $1,073 This hospital $798 Cash price $1,344 Hospital's list price $3,841

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 $798

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 $1,073 (about 0.5× the $2,358 Medicare rate). Deaconess Illinois Crossroads charges insurers about $798, or about $1,344 in cash — below the fair price — a good deal. Located in Mount Vernon, 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	$498 - $2,377	21%
Blue Cross Blue Shieldmajor	$498 - $2,377	21%
Aetnamajor	$498 - $3,034	21%
Cignamajor	$1,494	63%
Humanamajor	$498 - $2,996	21%
Meridian	$498 - $2,377	21%
Molina	$498 - $2,401	21%
WellCare	$498 - $2,377	21%
+ 11 smaller / regional plans	$498 - $6,776

Excludes 4 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 1,344), 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 Deaconess Illinois Crossroads 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 Deaconess Illinois Crossroads

Compare: Cataract surgery with lens implant at other IL hospitals

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