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Cataract surgery with lens implant

CPT 66984 · negotiated-rate distribution across hospitals in MA

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Hospitals
6
Min
$2,465.81
Median
$2,800.04
Max
$4,704.64
Range multiplier
1.9×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield637$52.12$2,268.02$7,554.38144.9×
UnitedHealthcare634$22.71$2,996.04$6,823.71300.5×
Medicaid333$2.89$5.60$6,377.302206.7×
harvard pilgrim [10701]418$1,725.44$1,735.57$4,166.942.4×
institution [10406]417$5.60$2,800.04$6,377.301138.8×
correctional care [11003]316$2,765.81$4,953.69$11,2234.1×
Cigna612$2,465.81$5,423.00$11,2234.6×
CHAMPVA49$2,437.65$2,900.81$6,562.522.7×
tufts connectorcare [10507]48$4,704.64$6,594.55$10,8482.3×
tufts us family [11203]48$2,765.81$3,876.87$6,377.302.3×
Aetna48$24.88$2,940.04$7,484.00300.8×
senior whole health [10110]48$2,959.41$4,148.25$6,823.712.3×
mgb mcr [10124]48$2,800.04$4,070.71$6,696.172.4×
tufts dual [10111]37$2,765.81$4,953.69$6,377.302.3×
commonwealth care mcr [10115]37$2,904.10$5,201.37$6,696.172.3×
Medicare37$2,765.81$4,953.69$6,377.302.3×
fallon mcr [10105]37$2,904.10$5,201.37$6,696.172.3×
eternalhealth mcr replace [10116]26$2,904.10$5,201.37$6,696.172.3×
harvard pilgrim mcr supp [20203]26$2,904.10$5,201.37$6,696.172.3×
tufts mcr supp [20209]26$2,904.10$5,201.37$6,696.172.3×
tufts [11201]35$3,597.43$5,144.93$5,659.471.6×
fallon connectorcare [10503]44$1,114.00$1,114.00$1,114.001.0×
hsno/free care [10801]44$294.30$672.16$680.812.3×
workers compensation [20501]33$1,066.48$1,066.48$1,066.481.0×
upmc health plan13$843.54$1,205.06$2,489.523.0×
pennsylvania health and wellness13$1,100.00$2,489.52$4,386.294.0×
masshealth [20302]22$5.60$5.60$5.601.0×
geisinger12$2,050.00$2,257.91$2,465.811.2×
health partners plans12$1,214.00$1,851.76$2,489.522.1×
Humana22$2,442.10$2,500.45$2,558.801.0×
keystone first12$1,342.00$1,880.20$2,418.391.8×
qualcare inc12$87.00$4,008.00$7,929.0091.1×
fidelis care12$25.96$1,292.38$2,558.8098.6×
fallon mcr supp [20202]22$2,940.04$2,940.04$2,940.041.0×
tufts mcr [10112]22$2,940.04$2,940.04$2,940.041.0×
amerihealth12$37.03$41.97$46.911.3×
wellpoint12$2,558.80$2,912.40$3,266.001.3×
harvard pilgrim mcr [10106]11$2,940.04$2,940.04$2,940.041.0×
innovage11$2,418.39$2,418.39$2,418.391.0×
sunrise11$2,608.07$2,608.07$2,608.071.0×
vibra11$2,418.39$2,418.39$2,418.391.0×
Emblem Health11$5,117.60$5,117.60$5,117.601.0×
elder health11$2,845.16$2,845.16$2,845.161.0×
WellCare11$5,092.01$5,092.01$5,092.011.0×
commonwealth care alliance [10103]11$2,940.04$2,940.04$2,940.041.0×
clover health11$2,558.80$2,558.80$2,558.801.0×
gateway health plan11$2,489.52$2,489.52$2,489.521.0×
First Health11$60.00$60.00$60.001.0×
naphcare11$3,556.45$3,556.45$3,556.451.0×
occunet11$3,912.10$3,912.10$3,912.101.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Marlborough HospitalMarlboroughMA24$49,026$49,026$2.89$4,704.64$11,223
Umass Memorial Medical CenterWorcesterMA24$49,026$49,026$2.89$4,704.64$11,223
Healthalliance-ClintonLeominsterMA24$35,304$35,304$2.89$2,800.04$10,363
Harrington Memorial HospitalSouthbridgeMA17$21,012$21,012$680.81$2,800.04$4,762.87
Beth Israel Deaconess - PlymouthPlymouthMA13$4,881.00$22.71$2,558.80$8,576.00
Chestnut Hill Benevolent AssociationChestnut HillMA18$843.54$2,465.81$7,554.38

Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.