CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Erlanger Medical Center

Billing Code: 66984 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,069

about 0.5× the $2,358 Medicare rate · typically $928–$1,910

modeled estimate · not a bill or quote

What this hospital charges insurers

$915

Below the fair price — a good deal

about $154 under the fair price · 0.4× Medicare

Medicare pays $2,358 Fair price $1,069 This hospital $915 Cash price $720 Hospital's list price $1,364

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

One of the lower prices — 7 of 8 other TN hospitals charge more for the same procedure.

Cheapest $492 Priciest $2,187

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 $1,069 (about 0.5× the $2,358 Medicare rate). Erlanger Medical Center charges insurers about $915, or about $720 in cash — below the fair price — a good deal. Located in Chattanooga, TN.

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	$504 - $2,197	21%
Blue Cross Blue Shieldmajor	$570 - $2,554	24%
Aetnamajor	$690 - $2,155	29%
Cignamajor	$614 - $2,092	26%
Humanamajor	$522 - $2,092	22%
Ambetter (Centene)	$858 - $2,615	36%
Amerigroup	$618 - $1,480	26%
CareSource	$644 - $4,184	27%
Clover Health	$686 - $2,092	29%
Devoted Health	$714 - $2,176	30%
UPMC Health Plan	$686 - $2,092	29%
+ 11 smaller / regional plans	$686 - $5,230

Government programs also on file: Medicare, Medicaid.

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 (about 720), 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 Erlanger 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 Erlanger Medical Center

Compare: Cataract surgery with lens implant at other TN hospitals

Metro Nashville General Hospital · Nashville $492
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
Morristown Hamblen Hospital Association · Morristown $2,187

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