CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Saint Clare's Hospital/ Denville Campus

Billing Code: 66984 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$3,477

about 1.5× the $2,358 Medicare rate · typically $2,610–$4,618

modeled estimate · not a bill or quote

What this hospital charges insurers

$3,613

About the fair price

about $136 over the fair price · 1.5× Medicare

Medicare pays $2,358 Fair price $3,477 This hospital $3,613 Cash price $2,676 Hospital's list price $16,110

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

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

Cheapest $1,274 Priciest $3,613

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 $3,477 (about 1.5× the $2,358 Medicare rate). Saint Clare's Hospital/ Denville Campus charges insurers about $3,613, or about $2,676 in cash — about the fair price. Located in Denville, NJ.

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	$2,150 - $8,190	91%
Blue Cross Blue Shieldmajor	$2,676	113%
Aetnamajor	$2,676 - $5,674	113%
Cignamajor	$4,136	175%
Humanamajor	$2,141	91%
AmeriHealth	$2,676	113%
Clover Health	$2,676	113%
MagnaCare	$3,519	149%
WellCare	$2,676 - $3,613	113%
+ 4 smaller / regional plans	$2,676 - $5,564

Government programs also on file: Medicare, Military & VA.

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 2,676), 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 Saint Clare's Hospital/ Denville Campus 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 Saint Clare's Hospital/ Denville Campus

Compare: Cataract surgery with lens implant at other NJ hospitals

St Joseph's University Medical Center Inc · Paterson $1,274
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

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