CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Niagara Falls Memorial Medical Center

Billing Code: 66984 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$1,171

about 0.5× the $2,358 Medicare rate · typically $602–$2,225

modeled estimate · not a bill or quote

Medicare pays $2,358 Fair price $1,171 Cash price $1,835 Hospital's list price $2,622

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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	$1,441	61%
Blue Cross Blue Shieldmajor	$3,676 - $4,701	156%
Aetnamajor	$3,531	150%
+ 1 smaller / regional plan	$3,250 - $3,383

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 1,835), 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 Niagara Falls Memorial 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 Niagara Falls Memorial Medical Center

Compare: Cataract surgery with lens implant at other NY hospitals

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