CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Sunrise Hospital and Medical Center

Billing Code: 66984 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,216

about 0.5× the $2,358 Medicare rate · typically $831–$2,012

modeled estimate · not a bill or quote

What this hospital charges insurers

$747

Below the fair price — a good deal

about $469 under the fair price · 0.3× Medicare

Medicare pays $2,358 Fair price $1,216 This hospital $747 Cash price $1,885 Hospital's list price $1,885

How we calculate the fair BaseRate →

How this hospital compares to other NV hospitals

One of the lower prices — 7 of 8 other NV hospitals charge more for the same procedure.

Cheapest $701 Priciest $2,712

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

A fair price for a Cataract surgery with lens implant is about $1,216 (about 0.5× the $2,358 Medicare rate). Sunrise Hospital and Medical Center charges insurers about $747, or about $1,885 in cash — below the fair price — a good deal. Located in Las Vegas, NV.

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	$534 - $3,129	23%
Blue Cross Blue Shieldmajor	$519 - $3,839	22%
Aetnamajor	$519 - $3,906	22%
Cignamajor	$663 - $6,461	28%
Humanamajor	$381 - $6,676	16%
Ambetter (Centene)	$2,626 - $4,600	111%
Amerigroup	$411 - $760	17%
CareSource	$802	34%
Molina	$431 - $838	18%
SelectHealth	$1,033 - $5,307	44%
+ 13 smaller / regional plans	$411 - $7,734

Excludes 3 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 1,885), 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 Sunrise Hospital and Medical Center 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 Sunrise Hospital and Medical Center

Compare: Cataract surgery with lens implant at other NV hospitals

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