CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Cincinnati Children's Hospital Medical Center

Billing Code: 66984 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$1,038

about 0.4× the $2,358 Medicare rate · typically $476–$3,630

modeled estimate · not a bill or quote

What this hospital charges insurers

$524

Below the fair price — a good deal

about $514 under the fair price · 0.2× Medicare

Medicare pays $2,358 Fair price $1,038 This hospital $524 Cash price $3,171 Hospital's list price $6,218

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

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

Cheapest $524 Priciest $2,011

Black dot = this hospital, among the 9 OH 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 $1,038 (about 0.4× the $2,358 Medicare rate). Cincinnati Children's Hospital Medical Center charges insurers about $524, or about $3,171 in cash — below the fair price — a good deal. Located in Cincinnati, OH.

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	$336 - $3,402	14%
Blue Cross Blue Shieldmajor	$369 - $5,032	16%
Aetnamajor	$318 - $6,218	13%
Cignamajor	$4,228 - $4,974	179%
Humanamajor	$334 - $571	14%
AmeriHealth	$499 - $587	21%
CareSource	$387 - $3,109	16%
Medical Mutual	$3,330 - $5,658	141%
Molina	$508 - $598	22%
WellCare	$334 - $445	14%
+ 13 smaller / regional plans	$441 - $6,218

Excludes 3 rental-network / third-party entries (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 3,171), 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 Cincinnati Children's Hospital 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 Cincinnati Children's Hospital Medical Center

Compare: Cataract surgery with lens implant at other OH hospitals

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