CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Mainehealth Maine Medical Center

Billing Code: 66984 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$959
about 0.4× the $2,358 Medicare rate · typically $747–$1,842
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,037
About the fair price
about $78 over the fair price · 0.4× Medicare
Medicare pays $2,358 Fair price $959 This hospital $1,037

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

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

Cheapest $963 Priciest $9,125

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

A fair price for a Cataract surgery with lens implant is about $959 (about 0.4× the $2,358 Medicare rate). Mainehealth Maine Medical Center charges insurers about $1,037 — about the fair price. Located in Portland, ME.

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 $519 - $2,207 22%
Blue Cross Blue Shieldmajor $524 - $10,026 22%
Aetnamajor $520 - $2,207 22%
Humanamajor $597 - $2,207 25%
Harvard Pilgrim $1,037 44%
WellCare $597 - $2,274 25%
+ 1 smaller / regional plan $1,093 - $1,094
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 22 Bramhall St, Portland, ME 04102
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals