CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Pikeville Medical Center

Billing Code: 66984 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$1,243
about 0.5× the $2,358 Medicare rate · typically $640–$4,170
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,140
Well above the fair price
about $1,897 over the fair price · 1.3× Medicare
Medicare pays $2,358 Fair price $1,243 This hospital $3,140

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

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

Cheapest $478 Priciest $3,140

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

A fair price for a Cataract surgery with lens implant is about $1,243 (about 0.5× the $2,358 Medicare rate). Pikeville Medical Center charges insurers about $3,140 — well above the fair price. Located in Pikeville, KY.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $1,243. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ Aetna UnitedHealthcareBlue Cross Blue ShieldCignaHumanaKaiser 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
Aetnamajor $2,165 92%
CareSource $3,140 133%
WellCare $3,032 129%
+ 2 smaller / regional plans $3,465 - $5,414

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 911 Bypass Road, Pikeville, KY 41501
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals