CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Suny/Stony Brook University Hospital

Billing Code: 66984 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$3,095

about 1.3× the $2,358 Medicare rate · typically $1,752–$4,954

modeled estimate · not a bill or quote

What this hospital charges insurers

$2,895

About the fair price

about $200 under the fair price · 1.2× Medicare

Medicare pays $2,358 Fair price $3,095 This hospital $2,895 Cash price $15,596 Hospital's list price $15,596

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

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

Cheapest $554 Priciest $2,895

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Cataract surgery with lens implant is about $3,095 (about 1.3× the $2,358 Medicare rate). Suny/Stony Brook University Hospital charges insurers about $2,895, or about $15,596 in cash — about the fair price. Located in Stony Brook, 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	$1,433 - $12,338	61%
Blue Cross Blue Shieldmajor	$1,433 - $7,040	61%
Aetnamajor	$1,433 - $5,417	61%
Cignamajor	$5,171	219%
EmblemHealth	$1,462 - $6,608	62%
Fidelis Care	$1,433 - $2,867	61%
+ 6 smaller / regional plans	$1,433 - $6,468

Excludes 1 rental-network / third-party entry (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 15,596), 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 Suny/Stony Brook University 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 Suny/Stony Brook University Hospital

Compare: Cataract surgery with lens implant at other NY hospitals

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