CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Henry Ford Macomb Hospital

Billing Code: 66984 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$624

about 0.3× the $2,358 Medicare rate · typically $265–$1,583

modeled estimate · not a bill or quote

What this hospital charges insurers

$532

Below the fair price — a good deal

about $92 under the fair price · 0.2× Medicare

Medicare pays $2,358 Fair price $624 This hospital $532 Hospital's list price $2,000

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

One of the lower prices — 4 of 8 other MI hospitals charge more for the same procedure.

Cheapest $495 Priciest $787

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

A fair price for a Cataract surgery with lens implant is about $624 (about 0.3× the $2,358 Medicare rate). Henry Ford Macomb Hospital charges insurers about $532 — below the fair price — a good deal. Located in Clinton Township, MI.

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	$532 - $2,235	23%
Blue Cross Blue Shieldmajor	$285 - $5,217	12%
Aetnamajor	$285 - $2,458	12%
Cignamajor	$953	40%
Humanamajor	$428 - $2,279	18%
AmeriHealth	$344 - $2,190	15%
CareSource	$344 - $2,235	15%
Meridian	$285 - $3,017	12%
Molina	$357 - $3,017	15%
Priority Health	$285 - $3,561	12%
WellCare	$532 - $2,257	23%
+ 12 smaller / regional plans	$285 - $5,140

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, 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 Henry Ford Macomb 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 Henry Ford Macomb Hospital

Compare: Cataract surgery with lens implant at other MI hospitals

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