CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Penn Highlands Connellsville

Billing Code: 66984 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,619

about 0.7× the $2,358 Medicare rate · typically $862–$2,530

modeled estimate · not a bill or quote

What this hospital charges insurers

$804

Below the fair price — a good deal

about $815 under the fair price · 0.3× Medicare

Medicare pays $2,358 Fair price $1,619 This hospital $804

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

A typical price — 4 charge more and 4 charge less, among the 9 PA hospitals compared.

Cheapest $672 Priciest $874

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 $1,619 (about 0.7× the $2,358 Medicare rate). Penn Highlands Connellsville charges insurers about $804 — below the fair price — a good deal. Located in Connellsville, PA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna AetnaHumanaKaiser 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	$361 - $4,195	15%
Blue Cross Blue Shieldmajor	$333 - $2,392	14%
Cignamajor	$1,169	50%
Geisinger	$351 - $2,194	15%
UPMC Health Plan	$368 - $2,643	16%

Government programs also on file: Medicare, Medicaid.

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 Penn Highlands Connellsville 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 Penn Highlands Connellsville

Compare: Cataract surgery with lens implant at other PA hospitals

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