CMS Price Transparency Data

Cataract surgery with lens implant

Facility: UPMC Presbyterian Shadyside

Billing Code: 66984 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$2,249
about 1.0× the $2,358 Medicare rate · typically $1,120–$2,745
modeled estimate · not a bill or quote
What this hospital charges insurers
$2,348
About the fair price
about $99 over the fair price · 1.0× Medicare
Medicare pays $2,358 Fair price $2,249 This hospital $2,348

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 $2,348

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 $2,249 (about 1.0× the $2,358 Medicare rate). UPMC Presbyterian Shadyside charges insurers about $2,348 — about the fair price. Located in Pittsburgh, PA.

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✓ Cigna HumanaKaiser 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 $1,985 - $2,348 84%
Blue Cross Blue Shieldmajor $894 - $9,941 38%
Aetnamajor $783 - $2,392 33%
Cignamajor $2,348 100%
AmeriHealth $953 - $2,348 40%
Geisinger $938 40%
HealthPartners $909 39%
UPMC Health Plan $663 - $3,170 28%
+ 1 smaller / regional plan $1,027 - $2,348
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: 200 Lothrop Street, Pittsburgh, PA 15213
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals