CMS Price Transparency Data

Cataract surgery with lens implant

Facility: St Luke's Hospital - Grand View Campus

Billing Code: 66984 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$2,890

about 1.2× the $2,358 Medicare rate · typically $1,591–$4,065

modeled estimate · not a bill or quote

What this hospital charges insurers

$2,394

Below the fair price — a good deal

about $496 under the fair price · 1.0× Medicare

Medicare pays $2,358 Fair price $2,890 This hospital $2,394

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

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

Cheapest $672 Priciest $2,394

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

A fair price for a Cataract surgery with lens implant is about $2,890 (about 1.2× the $2,358 Medicare rate). St Luke's Hospital - Grand View Campus charges insurers about $2,394 — below the fair price — a good deal. Located in Sellersville, PA.

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	$2,269 - $69,291	96%
Blue Cross Blue Shieldmajor	$2,292 - $34,490	97%
Aetnamajor	$2,326 - $5,151	99%
Cignamajor	$2,360 - $5,232	100%
Humanamajor	$2,337	99%
Devoted Health	$2,337	99%
HealthPartners	$1,873 - $2,314	79%
Oscar Health	$5,880	249%
UPMC Health Plan	$783 - $2,405	33%
+ 3 smaller / regional plans	$723 - $3,857

Excludes 2 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, 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 St Luke's Hospital - Grand View Campus 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 (%)

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Other Procedures at St Luke's Hospital - Grand View Campus

Compare: Cataract surgery with lens implant at other PA hospitals

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