CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Boston Medical Center

Billing Code: 66984 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$3,030

about 1.3× the $2,358 Medicare rate · typically $2,314–$4,764

modeled estimate · not a bill or quote

What this hospital charges insurers

$2,842

About the fair price

about $188 under the fair price · 1.2× Medicare

Medicare pays $2,358 Fair price $3,030 This hospital $2,842 Cash price $1,322 Hospital's list price $2,937

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

A typical price — 5 charge more and 3 charge less, among the 9 MA hospitals compared.

Cheapest $1,066 Priciest $3,036

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

A fair price for a Cataract surgery with lens implant is about $3,030 (about 1.3× the $2,358 Medicare rate). Boston Medical Center charges insurers about $2,842, or about $1,322 in cash — about the fair price. Located in Boston, MA.

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✓ Cigna HumanaKaiser 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	$695 - $6,586	29%
Blue Cross Blue Shieldmajor	$2,192 - $2,203	93%
Aetnamajor	$1,436	61%
Cignamajor	$2,496 - $3,588	106%
Harvard Pilgrim	$1,725	73%
Tufts Health Plan	$431 - $3,809	18%
UniCare	$2,203	93%
WellCare	$2,788	118%
+ 19 smaller / regional plans	$513 - $6,586

Government programs also on file: Medicare, Medicaid.

Excludes 3 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 1,322), 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 Boston 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 Boston Medical Center

Compare: Cataract surgery with lens implant at other MA hospitals

Metrowest Medical Center · Framingham $1,066
St Vincent Hospital · Worcester $1,066
South Shore Hospital · South Weymouth $2,479
UMass Memorial Healthalliance Hospitals · Leominster $2,847
Emerson Hospital - · W Concord $2,850
Beth Israel Deaconess Hospital - Milton · Milton $2,857
UMass Memorial Health - Harrington Hospital · Southbridge $2,893
New England Baptist Hospital · Boston $3,036

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