CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Prisma Health Tuomey Hospital

Billing Code: 66984 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$2,424
about 1.0× the $2,358 Medicare rate · typically $2,260–$4,079
modeled estimate · not a bill or quote
What this hospital charges insurers
$2,265
About the fair price
about $159 under the fair price · 1.0× Medicare
Medicare pays $2,358 Fair price $2,424 This hospital $2,265 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 $2,265

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 $2,424 (about 1.0× the $2,358 Medicare rate). Prisma Health Tuomey Hospital charges insurers about $2,265, or about $3,461 in cash — about the fair price. Located in Sumter, 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 - $12,943 35%
Blue Cross Blue Shieldmajor $2,143 - $2,157 91%
Aetnamajor $2,265 - $4,206 96%
Cignamajor $2,157 - $4,084 91%
Humanamajor $2,157 - $3,993 91%
Ambetter (Centene) $3,969 168%
Molina $2,265 96%
WellCare $2,265 96%
+ 16 smaller / regional plans $1,235 - $12,943
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: 129 N Washington St, Sumter, SC 29150
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals