CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Saratoga Hospital

Billing Code: 66984 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$944

about 0.4× the $2,358 Medicare rate · typically $554–$3,091

modeled estimate · not a bill or quote

What this hospital charges insurers

$554

Below the fair price — a good deal

about $390 under the fair price · 0.2× Medicare

Medicare pays $2,358 Fair price $944 This hospital $554 Cash price $1,575 Hospital's list price $3,150

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

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

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 $944 (about 0.4× the $2,358 Medicare rate). Saratoga Hospital charges insurers about $554, or about $1,575 in cash — below the fair price — a good deal. Located in Saratoga Springs, 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 - $2,428	21%
Blue Cross Blue Shieldmajor	$415 - $5,463	18%
Aetnamajor	$513 - $627	22%
Cignamajor	$756 - $915	32%
CDPHP	$342 - $5,464	15%
Fidelis Care	$378 - $5,464	16%
MVP Health Care	$484 - $4,857	21%
+ 4 smaller / regional plans	$471 - $5,707

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 1,575), 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 Saratoga 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 Saratoga Hospital

Compare: Cataract surgery with lens implant at other NY hospitals

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