CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Community Memorial Hospital, Inc

Billing Code: 66984 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$2,320
about 1.0× the $2,358 Medicare rate · typically $1,221–$4,084
modeled estimate · not a bill or quote
What this hospital charges insurers
$2,170
About the fair price
about $150 under the fair price · 0.9× Medicare
Medicare pays $2,358 Fair price $2,320 This hospital $2,170 Cash price $3,864 Hospital's list price $4,830

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

On the higher side — 7 of 8 other NY hospitals charge less.

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 $2,320 (about 1.0× the $2,358 Medicare rate). Community Memorial Hospital, Inc charges insurers about $2,170, or about $3,864 in cash — about the fair price. Located in Hamilton, 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✓ Humana CignaKaiser 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 $1,498 - $2,298 64%
Blue Cross Blue Shieldmajor $1,498 - $2,760 64%
Aetnamajor $2,170 - $2,371 92%
Humanamajor $2,170 92%
Fidelis Care $1,230 - $1,498 52%
MVP Health Care $2,166 92%
+ 3 smaller / regional plans $2,170
Government programs also on file: Medicare.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 150 Broad Street, Hamilton, NY 13346
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals