CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Prisma Health Hillcrest Hospital

Billing Code: 66984 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$2,311
about 1.0× the $2,358 Medicare rate · typically $1,552–$2,463
modeled estimate · not a bill or quote
What this hospital charges insurers
$2,310
About the fair price
about $1 under the fair price · 1.0× Medicare
Medicare pays $2,358 Fair price $2,311 This hospital $2,310 Cash price $3,461 Hospital's list price $5,324

How we calculate the fair BaseRate →

How this hospital compares to other SC hospitals

Highest price of the 9 SC hospitals we have prices for — worth calling around.

Cheapest $709 Priciest $2,310

Black dot = this hospital, among the 9 SC hospitals with a price for this procedure. Full list below.

A fair price for a Cataract surgery with lens implant is about $2,311 (about 1.0× the $2,358 Medicare rate). Prisma Health Hillcrest Hospital charges insurers about $2,310, or about $3,461 in cash — about the fair price. Located in Simpsonville, SC.

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 $820 - $11,194 35%
Blue Cross Blue Shieldmajor $2,145 - $6,550 91%
Aetnamajor $2,310 - $4,206 98%
Cignamajor $2,200 - $3,695 93%
Humanamajor $2,213 - $3,990 94%
Ambetter (Centene) $4,048 172%
Molina $2,420 103%
MVP Health Care $3,695 157%
WellCare $2,310 98%
+ 23 smaller / regional plans $1,235 - $11,194
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 741 South East Main Street, Simpsonville, SC 29681
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals