CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Riverside Shore Memorial Hospital

Billing Code: 66984 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$2,687

about 1.1× the $2,358 Medicare rate · typically $2,331–$4,276

modeled estimate · not a bill or quote

What this hospital charges insurers

$2,348

Below the fair price — a good deal

about $339 under the fair price · 1.0× Medicare

Medicare pays $2,358 Fair price $2,687 This hospital $2,348

How we calculate the fair BaseRate →

How this hospital compares to other VA hospitals

On the higher side — 6 of 8 other VA hospitals charge less.

Cheapest $2,252 Priciest $2,364

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

A fair price for a Cataract surgery with lens implant is about $2,687 (about 1.1× the $2,358 Medicare rate). Riverside Shore Memorial Hospital charges insurers about $2,348 — below the fair price — a good deal. Located in Onancock, VA.

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✓ Humana CignaKaiser 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	$2,221 - $9,050	94%
Blue Cross Blue Shieldmajor	$2,243 - $9,027	95%
Aetnamajor	$2,243 - $2,348	95%
Humanamajor	$1,876 - $2,466	80%
Sentara	$2,287 - $2,407	97%
+ 1 smaller / regional plan	$2,039

Government programs also on file: Military & VA.

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 Riverside Shore Memorial Hospital 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 Riverside Shore Memorial Hospital

Compare: Cataract surgery with lens implant at other VA hospitals

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