CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Temple Health - Chestnut Hill Hospital

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 66984
Insurance Median: $2,466
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.05x Medicare

The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Temple Health - Chestnut Hill Hospital is $2,466. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 1.05x the Medicare baseline. Located in 8835 Germantown Avenue, Philadelphia, PA.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,466

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$2,357.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $2,357.81 (100%)

Insurance Median: $2,466 (105%)

Ins. Median: $2,466 (105% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $2,357.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Upmc Health Plan	$844 - $2,490	36%
Pennsylvania Health And Wellness	$1,100 - $4,386	47%
Health Partners Plans	$1,214 - $2,490	51%
Keystone First	$1,342 - $2,418	57%
Geisinger	$2,050 - $2,466	87%
UnitedHealthcare	$2,354 - $2,661	100%
Blue Cross Blue Shield	$2,371 - $7,554	101%
Point Comfort	$2,371	101%
Innovage	$2,418	103%
Vibra	$2,418	103%
Humana	$2,442	104%
Cigna	$2,466 - $4,438	105%
Gateway Health Plan	$2,490	106%
Aetna	$2,561 - $5,350	109%
Sunrise	$2,608	111%
Elder Health	$2,845	121%
Naphcare	$3,556	151%
Occunet	$3,912	166%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $X.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 66984.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Temple Health - Chestnut Hill Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 66984.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.