CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Inova Mount Vernon Hospital

Billing Code: 66984 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$4,711

about 2.0× the $2,358 Medicare rate · typically $2,397–$6,038

modeled estimate · not a bill or quote

What this hospital charges insurers

$5,056

About the fair price

about $345 over the fair price · 2.1× Medicare

Medicare pays $2,358 Fair price $4,711 This hospital $5,056

How we calculate the fair BaseRate →

How this hospital compares to other VA hospitals

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

Cheapest $2,252 Priciest $5,056

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 $4,711 (about 2.0× the $2,358 Medicare rate). Inova Mount Vernon Hospital charges insurers about $5,056 — about the fair price. Located in Alexandria, VA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 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	$2,281 - $9,238	97%
Blue Cross Blue Shieldmajor	$2,281 - $9,149	97%
Aetnamajor	$2,281 - $8,842	97%
Cignamajor	$2,372 - $12,178	101%
Humanamajor	$2,509 - $3,881	106%
Kaiser Permanentemajor	$2,372 - $4,105	101%
Sentara	$2,326 - $7,609	99%
+ 1 smaller / regional plan	$3,469 - $6,278

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 Inova Mount Vernon 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 Inova Mount Vernon Hospital

Compare: Cataract surgery with lens implant at other VA hospitals

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