CMS Price Transparency Data

Cataract surgery with lens implant

Facility: The Miriam Hospital

Billing Code: 66984 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$4,334
about 1.8× the $2,358 Medicare rate · typically $2,473–$4,919
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,628
About the fair price
about $294 over the fair price · 2.0× Medicare
Medicare pays $2,358 Fair price $4,334 This hospital $4,628

How we calculate the fair BaseRate →

How this hospital compares to other RI hospitals

A typical price — 1 charge more and 1 charge less, among the 3 RI hospitals compared.

Cheapest $4,318 Priciest $4,821

Black dot = this hospital, among the 3 RI hospitals with a price for this procedure. Full list below.

A fair price for a Cataract surgery with lens implant is about $4,334 (about 1.8× the $2,358 Medicare rate). The Miriam Hospital charges insurers about $4,628 — about the fair price. Located in Providence, RI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $989 - $4,628 42%
Blue Cross Blue Shieldmajor $2,146 - $5,027 91%
Aetnamajor $2,653 113%
Cignamajor $14,573 618%
Harvard Pilgrim $8,393 356%
Tufts Health Plan $6,109 259%
+ 1 smaller / regional plan $4,743

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Facility Profile & Credentials

  • Address: 164 Summit Avenue, Providence, RI 02906
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals