CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Jefferson Hospital

Billing Code: 66984 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$831

about 0.4× the $2,358 Medicare rate · typically $720–$1,346

modeled estimate · not a bill or quote

What this hospital charges insurers

$831

About the fair price

0.4× Medicare

Medicare pays $2,358 Fair price $831 This hospital $831 Cash price $284 Hospital's list price $1,494

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

A typical price — 2 charge more and 5 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 $831 (about 0.4× the $2,358 Medicare rate). Jefferson Hospital charges insurers about $831, or about $284 in cash — about the fair price. Located in Jefferson Hills, 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	$874 - $7,187	37%
Blue Cross Blue Shieldmajor	$679 - $3,604	29%
Aetnamajor	$723 - $5,345	31%
Cignamajor	$851 - $5,397	36%
Humanamajor	$2,326	99%
AmeriHealth	$633 - $2,729	27%
Geisinger	$874 - $2,646	37%
Medical Mutual	$5,397	229%
Molina	$2,392	101%
+ 6 smaller / regional plans	$55 - $2,664

Government programs also on file: Medicare.

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 284), 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 Jefferson Hospital 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 Jefferson Hospital

Compare: Cataract surgery with lens implant at other PA hospitals

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