CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Albany Medical Center Hospital

Billing Code: 66984 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$812

about 0.3× the $2,358 Medicare rate · typically $585–$2,827

modeled estimate · not a bill or quote

What this hospital charges insurers

$705

Below the fair price — a good deal

about $107 under the fair price · 0.3× Medicare

Medicare pays $2,358 Fair price $812 This hospital $705 Cash price $1,281 Hospital's list price $2,561

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

A typical price — 4 charge more and 4 charge less, among the 9 NY hospitals compared.

Cheapest $554 Priciest $2,219

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

A fair price for a Cataract surgery with lens implant is about $812 (about 0.3× the $2,358 Medicare rate). Albany Medical Center Hospital charges insurers about $705, or about $1,281 in cash — below the fair price — a good deal. Located in Albany, NY.

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	$503 - $1,420	21%
Blue Cross Blue Shieldmajor	$415 - $5,458	18%
Aetnamajor	$524 - $2,834	22%
Cignamajor	$756 - $915	32%
CDPHP	$342 - $5,458	15%
Fidelis Care	$396 - $5,458	17%
MagnaCare	$52	2%
MVP Health Care	$484 - $5,215	21%
+ 4 smaller / regional plans	$471 - $5,700

Government programs also on file: Medicare, Medicaid, 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 1,281), 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 Albany Medical Center 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 Albany Medical Center Hospital

Compare: Cataract surgery with lens implant at other NY hospitals

Saratoga Hospital · Saratoga Springs $554
Geneva General Hospital · Geneva $557
St Barnabas Hospital · Bronx $607
Columbia Memorial Hospital · Hudson $622
Westfield Memorial Hospital Inc · Westfield $964
Ira Davenport Memorial Hospital · Bath $1,450
Community Memorial Hospital, Inc · Hamilton $2,170
Arnot Ogden Medical Center · Elmira $2,219

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