CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Tristar Horizon Medical Center

Billing Code: 66984 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$3,668

about 1.6× the $2,358 Medicare rate · typically $2,005–$4,813

modeled estimate · not a bill or quote

What this hospital charges insurers

$4,473

Above the fair price

about $805 over the fair price · 1.9× Medicare

Medicare pays $2,358 Fair price $3,668 This hospital $4,473

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

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

Cheapest $492 Priciest $4,473

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

A fair price for a Cataract surgery with lens implant is about $3,668 (about 1.6× the $2,358 Medicare rate). Tristar Horizon Medical Center charges insurers about $4,473 — above the fair price. Located in Dickson, TN.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $3,668. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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	$1,357 - $4,499	58%
Blue Cross Blue Shieldmajor	$1,219 - $6,366	52%
Aetnamajor	$5,050 - $6,446	214%
Cignamajor	$6,962 - $7,911	295%
Humanamajor	$7,837	332%
Ambetter (Centene)	$4,301 - $4,473	182%
Bright Health	$3,114 - $4,247	132%
Oscar Health	$2,399	102%
+ 3 smaller / regional plans	$2,550

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, 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 Tristar Horizon Medical Center 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 Tristar Horizon Medical Center

Compare: Cataract surgery with lens implant at other TN hospitals

Metro Nashville General Hospital · Nashville $492
Erlanger Medical Center · Chattanooga $915
Rhea Medical Center · Dayton $1,175
St Jude Childrens Research Hospital · Memphis $1,409
Williamson Medical Center · Franklin $1,900
University Health System, Inc · Knoxville $2,083
Haywood County Community Hospital · Brownsville $2,083
Maury Regional Hospital · Columbia $2,172

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