CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Ochsner St Martin Hospital

Billing Code: 66984 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$1,009

about 0.4× the $2,358 Medicare rate · typically $625–$1,901

modeled estimate · not a bill or quote

What this hospital charges insurers

$864

Below the fair price — a good deal

about $145 under the fair price · 0.4× Medicare

Medicare pays $2,358 Fair price $1,009 This hospital $864 Cash price $3,265 Hospital's list price $10,883

How we calculate the fair BaseRate →

How this hospital compares to other LA hospitals

One of the lower prices — 5 of 8 other LA hospitals charge more for the same procedure.

Cheapest $558 Priciest $981

Black dot = this hospital, among the 9 LA 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 $1,009 (about 0.4× the $2,358 Medicare rate). Ochsner St Martin Hospital charges insurers about $864, or about $3,265 in cash — below the fair price — a good deal. Located in Breaux Bridge, LA.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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	$864 - $1,680	37%
Blue Cross Blue Shieldmajor	$3,271 - $3,554	139%
Aetnamajor	$864	37%
Humanamajor	$864	37%
AmeriHealth	$864	37%
+ 2 smaller / regional plans	$864

Excludes 1 rental-network / third-party entry (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 3,265), 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 Ochsner St Martin 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 Ochsner St Martin Hospital

Compare: Cataract surgery with lens implant at other LA hospitals

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