CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Duke University Hospital

Billing Code: 66984 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$2,396

about 1.0× the $2,358 Medicare rate · typically $731–$5,673

modeled estimate · not a bill or quote

What this hospital charges insurers

$730

Below the fair price — a good deal

about $1,666 under the fair price · 0.3× Medicare

Medicare pays $2,358 Fair price $2,396 This hospital $730 Cash price $979 Hospital's list price $3,625

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

Highest price of the 9 NC hospitals we have prices for — worth calling around.

Cheapest $521 Priciest $730

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

A fair price for a Cataract surgery with lens implant is about $2,396 (about 1.0× the $2,358 Medicare rate). Duke University Hospital charges insurers about $730, or about $979 in cash — below the fair price — a good deal. Located in Durham, NC.

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	$730 - $3,758	31%
Blue Cross Blue Shieldmajor	$730 - $2,197	31%
Aetnamajor	$667 - $2,406	28%
Cignamajor	$1,605	68%
Humanamajor	$747	32%
AmeriHealth	$984	42%
+ 3 smaller / regional plans	$728 - $984

Excludes 1 rental-network / third-party entry (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 979), 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 Duke University 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 Duke University Hospital

Compare: Cataract surgery with lens implant at other NC hospitals

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