CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Jefferson Einstein Montgomery Hospital

Billing Code: 66984 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$2,772

about 1.2× the $2,358 Medicare rate · typically $1,489–$3,949

modeled estimate · not a bill or quote

What this hospital charges insurers

$2,597

About the fair price

about $175 under the fair price · 1.1× Medicare

Medicare pays $2,358 Fair price $2,772 This hospital $2,597 Cash price $2,674

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 $2,597

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 $2,772 (about 1.2× the $2,358 Medicare rate). Jefferson Einstein Montgomery Hospital charges insurers about $2,597, or about $2,674 in cash — about the fair price. Located in East Norriton, 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	$2,303 - $3,203	98%
Blue Cross Blue Shieldmajor	$2,371	101%
Aetnamajor	$2,393 - $7,530	101%
Cignamajor	$2,348 - $12,608	100%
Humanamajor	$2,258	96%
Geisinger	$1,050 - $9,201	45%
UPMC Health Plan	$2,371 - $2,734	101%
WellCare	$2,484	105%
+ 2 smaller / regional plans	$2,393 - $20,920

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 2,674), 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 Einstein Montgomery 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 (%)

Enter your details and press estimate to compare.

Other Procedures at Jefferson Einstein Montgomery Hospital

Compare: Cataract surgery with lens implant at other PA hospitals

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