CMS Price Transparency Data

Cataract surgery with lens implant

Facility: St James Hospital

Billing Code: 66984 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$2,876

about 1.2× the $2,358 Medicare rate · typically $2,351–$3,475

modeled estimate · not a bill or quote

What this hospital charges insurers

$2,349

Below the fair price — a good deal

about $527 under the fair price · 1.0× Medicare

Medicare pays $2,358 Fair price $2,876 This hospital $2,349

How we calculate the fair BaseRate →

How this hospital compares to other MT hospitals

One of the lower prices — 3 of 4 other MT hospitals charge more for the same procedure.

Cheapest $861 Priciest $7,046

Black dot = this hospital, among the 5 MT hospitals with a price for this procedure. Full list below.

A fair price for a Cataract surgery with lens implant is about $2,876 (about 1.2× the $2,358 Medicare rate). St James Hospital charges insurers about $2,349 — below the fair price — a good deal. Located in Butte, MT.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Humana Blue Cross Blue ShieldAetnaCignaKaiser 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	$2,326	99%
Humanamajor	$2,349	100%
+ 2 smaller / regional plans	$4,790 - $6,500

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 St James 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 St James Hospital

Compare: Cataract surgery with lens implant at other MT hospitals

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