CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Prov Sacred Hrt Med Ctr & Childs Hosp.

Billing Code: 66984 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$4,830

about 2.0× the $2,358 Medicare rate · typically $3,077–$5,928

modeled estimate · not a bill or quote

What this hospital charges insurers

$4,719

About the fair price

about $111 under the fair price · 2.0× Medicare

Medicare pays $2,358 Fair price $4,830 This hospital $4,719

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

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

Cheapest $1,257 Priciest $4,719

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

A fair price for a Cataract surgery with lens implant is about $4,830 (about 2.0× the $2,358 Medicare rate). Prov Sacred Hrt Med Ctr & Childs Hosp. charges insurers about $4,719 — about the fair price. Located in Spokane, WA.

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✓ Kaiser Permanente Humana

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	$2,700 - $8,532	115%
Blue Cross Blue Shieldmajor	$2,777 - $6,049	118%
Aetnamajor	$2,649 - $24,498	112%
Cignamajor	$3,086 - $17,588	131%
Kaiser Permanentemajor	$2,572 - $6,483	109%
Molina	$4,346	184%
Providence Health Plan	$6,545	278%
+ 3 smaller / regional plans	$2,829 - $6,268

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 Prov Sacred Hrt Med Ctr & Childs Hosp. 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 Prov Sacred Hrt Med Ctr & Childs Hosp.

Compare: Cataract surgery with lens implant at other WA hospitals

Seattle Children's Hospital · Seattle $1,257
Virginia Mason Medical Center · Seattle $1,809
Deaconess Medical Center · Spokane $2,492
Multicare Valley Hospital · Spokane Valley $2,492
Providence St Lukes Rehabilitation Medical Center · Spokane $2,739
Mary Bridge Children's Hospital · Tacoma $2,787
Multicare Auburn Medical Center · Auburn $3,336
Multicare Good Samaritan Hospital · Puyallup $3,336

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