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Cataract surgery in Pennsylvania: what insurers pay

Posted commercial rates at 48 Pennsylvania hospitals, each next to its own Medicare base rate.

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CPT 66984

HospitalMedian across insurers× MedicareInsurersFile date
Robert Packer Hospital Sayre$2,2811.0×92026-03-31
Troy Community Hospital Troy$2,2811.0×72026-03-31
Wayne Memorial Hospital Honesdale$2,4781.1×12026-09-16
Upmc Mckeesport Mc Keesport$2,7101.2×22026-03-06
Jefferson Hospital Jefferson Hills$2,9241.3×72026-04-14
Upmc Somerset Somerset$2,9361.3×22026-03-06
Upmc Mercy Pittsburgh$3,0181.3×32026-03-06
Upmc Northwest Seneca$3,2051.4×22026-03-06
Upmc Bedford Memorial Everett$3,3571.5×22026-03-06
Saint Vincent Hospital Erie$3,4711.5×72026-04-14
Holy Redeemer Hospital And Medical Center Meadowbrook$3,4711.5×52026-09-21
Upmc East Monroeville$3,5781.6×22026-03-06
Upmc St Margaret Pittsburgh$3,6251.6×22026-03-06
Upmc Washington Washington$3,8871.7×42026-03-06
Wills Eye Hospital Philadelphia$3,8901.6×52026-03-30
Upmc Altoona Altoona$3,9361.8×12026-03-06
Temple University Hospital Philadelphia$4,0181.7×112026-04-13
Grove City Hospital Grove City$4,1481.9×62026-04-14
Magee Womens Hospital Of Upmc Health System Pittsburgh$4,2161.9×22026-03-06
Allegheny Valley Hospital Natrona$4,6322.1×62026-04-14
Canonsburg General Hospital Canonsburg$4,6442.1×62026-04-14
Roxborough Memorial Hospital Philadelphia$4,6482.0×62024-06-21
Jefferson Lansdale Hospital Lansdale$4,6992.1×52026-09-15
Temple Health - Chestnut Hill Hospital Philadelphia$4,8942.1×62026-04-08
Ahn Wexford Hospital Wexford$4,9942.2×62026-04-14
St Clair Hospital Pittsburgh$5,1582.3×72026-03-31
Upmc Presbyterian Shadyside Pittsburgh$5,3222.4×22026-03-06
Allegheny General Hospital Pittsburgh$5,7402.5×62026-04-14
West Penn Hospital Pittsburgh$5,7672.6×62026-04-14
Upmc Carlisle Carlisle$6,1362.6×32026-03-06
Nazareth Hospital Philadelphia$6,1522.6×192026-03-31
Forbes Hospital Monroeville$6,2532.8×72026-04-14
Jefferson Einstein Montgomery Hospital East Norriton$7,0333.1×62026-09-15
Jefferson Health-Northeast Philadelphia$7,5003.2×62026-09-15
St Luke'S Hospital Bethlehem Bethlehem$7,6393.3×32026-02-26
Penn State Health Hampden Medical Center Enola$7,7123.3×12026-03-27
Penn State Health Holy Spirit Medical Center Camp Hill$7,7973.4×12026-03-27
Riddle Memorial Hospital Media$7,9163.3×22026-04-01
Penn State Health Lancaster Medical Center Lancaster$7,9183.5×12026-03-27
Jefferson Abington Hospital Abington$8,0143.6×52026-09-15
St Luke'S Hospital - Carbon Campus Lehighton$8,1953.5×32026-02-27
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
Wellspan Waynesboro Hospital Waynesboro$8,5183.7×22026-01-01
Upmc Memorial York$9,7244.3×52026-03-06
Thomas Jefferson University Hospital Philadelphia$10,1104.3×32026-09-15
Penn State Health St. Joseph Reading$10,2064.3×12026-03-27

Questions

How much do insurers pay for cataract surgery in Pennsylvania?

48 Pennsylvania hospitals post usable commercial rates for cataract surgery in their federal price-transparency files. For CPT 66984, hospital outpatient, the median across 48 hospitals is $4,944, 2.2× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.