CMS Price Transparency Data

Cataract surgery with lens implant

Facility: The Children's Mercy Hospital

Billing Code: 66984 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,257

about 0.5× the $2,358 Medicare rate · typically $834–$2,378

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,149

About the fair price

about $108 under the fair price · 0.5× Medicare

Medicare pays $2,358 Fair price $1,257 This hospital $1,149 Cash price $813 Hospital's list price $1,694

How we calculate the fair BaseRate →

How this hospital compares to other MO hospitals

A typical price — 4 charge more and 4 charge less, among the 9 MO hospitals compared.

Cheapest $556 Priciest $2,200

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

A fair price for a Cataract surgery with lens implant is about $1,257 (about 0.5× the $2,358 Medicare rate). The Children's Mercy Hospital charges insurers about $1,149, or about $813 in cash — about the fair price. Located in Kansas City, MO.

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	$520 - $1,191	22%
Blue Cross Blue Shieldmajor	$939 - $1,216	40%
Aetnamajor	$1,117 - $1,412	47%
Cignamajor	$1,349	57%
Humanamajor	$1,157	49%
Health Net	$1,254	53%
HealthLink	$655	28%
Medica	$988	42%
+ 11 smaller / regional plans	$554 - $1,237

Government programs also on file: Medicaid.

Excludes 2 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 813), 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 The Children's Mercy 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 The Children's Mercy Hospital

Compare: Cataract surgery with lens implant at other MO hospitals

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