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Cataract surgery in Pennsylvania: what insurers pay

Posted commercial rates at 19 Pennsylvania hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 66984

HospitalMedian across insurers× MedicareInsurersFile date
Upmc Mercy Pittsburgh$3,8041.7×12026-03-06
Upmc Washington Washington$3,9681.8×22026-03-06
Upmc St Margaret Pittsburgh$4,9362.2×12026-03-06
Upmc East Monroeville$4,9362.2×12026-03-06
Temple University Hospital Philadelphia$5,1942.2×62026-04-13
Jefferson Hospital Jefferson Hills$5,3452.4×52026-04-14
Allegheny Valley Hospital Natrona$5,5382.5×52026-04-14
Magee Womens Hospital Of Upmc Health System Pittsburgh$5,7202.5×12026-03-06
Jefferson Abington Hospital Abington$5,9272.6×42026-09-15
Forbes Hospital Monroeville$6,2532.8×52026-04-14
Jefferson Einstein Montgomery Hospital East Norriton$6,5362.9×52026-09-15
Ahn Wexford Hospital Wexford$6,6703.0×52026-04-14
Jefferson Health-Northeast Philadelphia$7,4713.1×52026-09-15
Riddle Memorial Hospital Media$7,9163.3×22026-04-01
Paoli Hospital Paoli$8,2883.7×22026-04-01
Bryn Mawr Hospital Bryn Mawr$8,3943.5×22026-04-01
Lankenau Medical Center Wynnewood$8,4963.8×22026-04-01
Upmc Presbyterian Shadyside Pittsburgh$8,6823.9×12026-03-06
Thomas Jefferson University Hospital Philadelphia$10,1104.3×32026-09-15

Questions

How much do insurers pay for cataract surgery in Pennsylvania?

19 Pennsylvania hospitals post usable commercial rates for cataract surgery in their federal price-transparency files. For CPT 66984, hospital outpatient, the median across 19 hospitals is $6,253, 2.8× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.