CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Westfield Memorial Hospital Inc

Billing Code: 66984 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,000

about 0.4× the $2,358 Medicare rate · typically $767–$2,065

modeled estimate · not a bill or quote

What this hospital charges insurers

$964

About the fair price

about $36 under the fair price · 0.4× Medicare

Medicare pays $2,358 Fair price $1,000 This hospital $964 Cash price $329 Hospital's list price $1,494

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

A typical price — 3 charge more and 5 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 $1,000 (about 0.4× the $2,358 Medicare rate). Westfield Memorial Hospital Inc charges insurers about $964, or about $329 in cash — about the fair price. Located in Westfield, NY.

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	$874 - $2,915	37%
Blue Cross Blue Shieldmajor	$679 - $4,475	29%
Aetnamajor	$2,807 - $5,182	119%
Cignamajor	$851	36%
Humanamajor	$2,861	121%
AmeriHealth	$633 - $2,834	27%
Geisinger	$874 - $2,646	37%
Molina	$2,942	125%
+ 6 smaller / regional plans	$55 - $2,699

Government programs also on file: Medicare.

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 329), 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 Westfield Memorial Hospital Inc 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 Westfield Memorial Hospital Inc

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
Albany Medical Center Hospital · Albany $705
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.