CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Gundersen St Josephs Hospital and Clinics

Billing Code: 66984 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$4,221
about 1.8× the $2,358 Medicare rate · typically $945–$5,697
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,583
About the fair price
about $362 over the fair price · 1.9× Medicare
Medicare pays $2,358 Fair price $4,221 This hospital $4,583

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 $4,583

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 $4,221 (about 1.8× the $2,358 Medicare rate). Gundersen St Josephs Hospital and Clinics charges insurers about $4,583 — about the fair price. Located in Hillsboro, WI.

What each insurance company pays

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

1 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $4,583 194%
Amerigroup $744 32%
+ 3 smaller / regional plans $4,583 - $11,758

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Facility Profile & Credentials

  • Address: 400 Water Ave, Hillsboro, WI 54634
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals