CMS Price Transparency Data

Cataract surgery with lens implant

Facility: St Joseph's University Medical Center Inc

Billing Code: 66984 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$2,794

about 1.2× the $2,358 Medicare rate · typically $1,599–$3,880

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,274

Below the fair price — a good deal

about $1,520 under the fair price · 0.5× Medicare

Medicare pays $2,358 Fair price $2,794 This hospital $1,274 Cash price $2,180 Hospital's list price $2,180

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

Lowest price of the 9 NJ hospitals we have prices for — a strong deal.

Cheapest $1,274 Priciest $2,646

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

A fair price for a Cataract surgery with lens implant is about $2,794 (about 1.2× the $2,358 Medicare rate). St Joseph's University Medical Center Inc charges insurers about $1,274, or about $2,180 in cash — below the fair price — a good deal. Located in Paterson, NJ.

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✓ Cigna HumanaKaiser 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	$384 - $4,567	16%
Blue Cross Blue Shieldmajor	$512 - $7,807	22%
Aetnamajor	$512 - $5,593	22%
Cignamajor	$2,180	92%
Ambetter (Centene)	$512 - $4,113	22%
AmeriHealth	$512 - $2,742	22%
Clover Health	$512 - $2,742	22%
Fidelis Care	$384 - $2,879	16%
Health Net	$1,694	72%
+ 4 smaller / regional plans	$512 - $4,206

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 2,180), 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 Joseph's University Medical Center Inc 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 Joseph's University Medical Center Inc

Compare: Cataract surgery with lens implant at other NJ hospitals

Capital Health Regional Medical Center · Trenton $2,493
Jfk University Medical Center · Edison $2,527
Carewell Health Medical Center · East Orange $2,559
Inspira Medical Center Vineland · Vineland $2,596
Inspira Medical Center Mullica Hill · Elmer $2,596
The University Hospital · Newark $2,602
St Luke's Warren Hospital · Phillipsburg $2,625
Morristown Medical Center · Morristown $2,646

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