Wills Eye Hospital
840 Walnut Street, Philadelphia, PA 19107 · 14 Priced Procedures · 95% Patient Recommendation
Typical commercial prices here are +17% above the fair benchmark (1.17×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Aligned Regional Benchmark Peer
Wills Eye Hospital prices shoppable and inpatient services (1.5× to 1.1× Medicare, divergence 0.73×) in alignment with regional hospital peers (1.17× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 1.00× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 0% of shoppable procedures (50/100 Cash Honesty)
- CMS clinical safety score (95/100 safety score) with 95% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (37.4% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 3.0× markup over Medicare rates
- Commercial insurance median sits at 1.25× Fair BaseRate (1.5× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Even at low-cost facilities (1.17× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
- Unnegotiated chargemaster list prices average 3.3× Medicare (30¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Wills Eye Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 14 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Cataract surgery with lens implant CPT Code: 66984 | $3,478 | 1.4× |
| Hospital observation (per hour) HCPCS Code: G0378 | — | — |
| Blood test, calcium CPT Code: 82310 | $7 | 1.4× |
| Blood test, sodium CPT Code: 84295 | $7 | 1.4× |
| Blood test, clotting time (PTT) CPT Code: 85730 | $8 | 1.3× |
| Culture, blood CPT Code: 87040 | $14 | 1.3× |
| Blood test, creatinine (kidney) CPT Code: 82565 | $6 | 1.2× |
| Blood test, potassium CPT Code: 84132 | $6 | 1.2× |
| Blood test, comprehensive metabolic panel CPT Code: 80053 | $12 | 1.1× |
| Blood test, basic metabolic panel CPT Code: 80048 | $9 | 1.0× |
| Blood test, glucose (blood sugar) CPT Code: 82947 | $4 | 1.0× |
| Culture, bacterial CPT Code: 87070 | $7 | 0.8× |
| Blood test, complete blood count (CBC) CPT Code: 85025 | $6 | 0.8× |
| Blood test, average blood sugar (A1c) CPT Code: 83036 | $7 | 0.7× |
Audit a Bill or Quote at Wills Eye Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $3,885
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (37.4% of gross = $3,885).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Wills Eye Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $2,540 Fair BaseRate ($2,358 Medicare)
Your bill ($10,376) is $7,836 above the denoised Fair BaseRate ($2,540) and 4.4× the $2,358 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (37.4% of gross charges)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.
Clinical Quality, Patient Experience & Infection Benchmarks
CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Wills Eye Hospital. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-08-11·administrative_or_closure
Closure Notice
Recorded - 2025-06-24·cap_corrective_action
CAP Request
Recorded - 2025-05-06·cap_corrective_action
CAP Request
Recorded
Source: CMS Hospital Care Compare (69 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Wills Eye Hospital.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.