CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Grove City Medical Center

Billing Code: 66984 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$778

about 0.3× the $2,358 Medicare rate · typically $717–$1,266

modeled estimate · not a bill or quote

What this hospital charges insurers

$831

About the fair price

about $53 over the fair price · 0.4× Medicare

Medicare pays $2,358 Fair price $778 This hospital $831 Cash price $344 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 $778 (about 0.3× the $2,358 Medicare rate). Grove City Medical Center charges insurers about $831, or about $344 in cash — about the fair price. Located in Grove City, 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 - $6,650	37%
Blue Cross Blue Shieldmajor	$679 - $4,531	29%
Aetnamajor	$603 - $4,667	26%
Cignamajor	$851 - $6,248	36%
Humanamajor	$2,326	99%
AmeriHealth	$633 - $2,729	27%
Geisinger	$874 - $2,646	37%
Medical Mutual	$6,248	265%
Molina	$2,392	101%
+ 5 smaller / regional plans	$55 - $2,853

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 344), 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 Grove City Medical Center 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 Grove City Medical Center

Compare: Cataract surgery with lens implant at other PA hospitals

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