CMS Price Transparency Data

Cataract surgery with lens implant

Facility: St Marys Hospital Medical Ctr

Billing Code: 66984 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$2,202

about 0.9× the $2,358 Medicare rate · typically $2,122–$4,820

modeled estimate · not a bill or quote

What this hospital charges insurers

$2,254

About the fair price

about $52 over the fair price · 1.0× Medicare

Medicare pays $2,358 Fair price $2,202 This hospital $2,254 Cash price $5,326 Hospital's list price $8,069

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

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

Cheapest $498 Priciest $2,254

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

A fair price for a Cataract surgery with lens implant is about $2,202 (about 0.9× the $2,358 Medicare rate). St Marys Hospital Medical Ctr charges insurers about $2,254, or about $5,326 in cash — about the fair price. Located in Green Bay, WI.

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	$2,254 - $8,069	96%
Blue Cross Blue Shieldmajor	$755 - $5,200	32%
Aetnamajor	$2,254 - $8,069	96%
Cignamajor	$5,648	240%
Humanamajor	$2,254 - $8,069	96%
Health Net	$8,069	342%
Meridian	$755 - $1,132	32%
Molina	$800 - $4,034	34%
Security Health Plan	$2,276 - $5,150	97%
+ 16 smaller / regional plans	$755 - $8,069

Government programs also on file: Medicare, Medicaid.

Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 5,326), 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 St Marys Hospital Medical Ctr 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 St Marys Hospital Medical Ctr

Compare: Cataract surgery with lens implant at other WI hospitals

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