CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Forbes Hospital

Billing Code: 66984 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$826
about 0.4× the $2,358 Medicare rate · typically $719–$1,324
modeled estimate · not a bill or quote
What this hospital charges insurers
$851
About the fair price
about $25 over the fair price · 0.4× Medicare
Medicare pays $2,358 Fair price $826 This hospital $851 Cash price $329 Hospital's list price $1,494

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

On the higher side — 7 of 8 other PA hospitals charge less.

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 $826 (about 0.4× the $2,358 Medicare rate). Forbes Hospital charges insurers about $851, or about $329 in cash — about the fair price. Located in Monroeville, 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 - $6,932 37%
Blue Cross Blue Shieldmajor $679 - $4,288 29%
Aetnamajor $723 - $6,253 31%
Cignamajor $851 - $6,406 36%
Humanamajor $2,326 99%
AmeriHealth $633 - $2,729 27%
Geisinger $874 - $2,646 37%
Medical Mutual $6,406 272%
Molina $2,392 101%
+ 6 smaller / regional plans $55 - $18,194
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 2570 Haymaker Road, Monroeville, PA 15146
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals