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Package

Cataract removal with intraocular lens insertion

Package

Cataract removal with intraocular lens insertion

Cataract removal with intraocular lens insertion is a procedure to treat a cloudy lens of the eye, which is carefully removed and replaced with a clear artificial lens to restore vision. The procedure is done one eye at a time under local anesthesia with mild sedation, and most patients remain awake but relaxed and feel no pain. It typically takes less than an hour, and vision often begins to improve within days. Most people resume normal activities within one to two weeks, with full healing taking a few weeks.
You'd pay up to
$16,262 / Case Rate

A single, all-inclusive pricing methodology for a procedure in healthcare contracts, instead of separate charges for each service.

The estimated total cost of care without any insurance coverage or discounts.

$16,262

Without insurance

What goes into a price?

Negotiated prices across insurers

Lowest
$4,605
Highest
$13,540
Cash price
up to $16,262

Self pay or cash prices vary by facility when paying out of pocket without insurance benefits. The chart shows you how the lowest and highest amounts facilities charge for this service if you were paying without insurance benefits. If you're uninsured or not submitting a claim to insurance, you also have the right to a Good Faith Estimate under federal law. Contact the provider for a copy of your Good Faith Estimate or to better understand payment options available to you.

Procedures included in this package

This list includes the services and fees bundled into the Cataract removal with intraocular lens insertion Standard Service Package (SSP OP000). The final price for the procedure will depend on which services your provider ultimately performs, your insurance plan and your medical benefits.

Code Code Type Description
HCPCS V2632 Facility Fee Replacement of Natural Lens with Artificial Lens in Back of Eye
HCPCS J3490 Facility Fee Pharmaceuticals without Categories
HCPCS J3301 Facility Fee Injection of 10mg triamcinolone acetonide, unspecified
HCPCS J2250 Facility Fee Intramuscular injection of 1mg midazolam hydrochloride
HCPCS J7120 Facility Fee Intravenous infusion of 1000cc of ringer's lactate solution
HCPCS 66982 Facility Fee Complex Extracapsular Cataract Removal with Insertion of Iol
HCPCS 66982 Professional Fee Complex Extracapsular Cataract Removal with Insertion of Iol
Revenue Code 250 Facility Fee Pharmacy (Also see 063X, an extension of 250X) - General
HCPCS J0171 Facility Fee Injection of 0.1mg Epinephrine/Adrenaline into Body

Disclaimer

Southern Ohio Medical Center is committed to empowering our patients to make informed decisions about their healthcare. This includes helping patients understand the cost of care and the availability of financial assistance.

In compliance with federal law, we provide a list of standard charges that are reviewed on an annual basis. Charges for hospital services are not equivalent to the actual amount paid by insurance companies or patients. The amount paid for services is based on many factors, including health insurance benefit plans, applicable discounts, and services provided based on each patient's unique needs.

You'd pay up to
$16,262 / Case Rate

A single, all-inclusive pricing methodology for a procedure in healthcare contracts, instead of separate charges for each service.

The estimated total cost of care without any insurance coverage or discounts.

Disclaimer

Southern Ohio Medical Center is committed to empowering our patients to make informed decisions about their healthcare. This includes helping patients understand the cost of care and the availability of financial assistance.

In compliance with federal law, we provide a list of standard charges that are reviewed on an annual basis. Charges for hospital services are not equivalent to the actual amount paid by insurance companies or patients. The amount paid for services is based on many factors, including health insurance benefit plans, applicable discounts, and services provided based on each patient's unique needs.

What’s the difference between an individual procedure and a Standard Service Package (SSP)?

Individual Procedure

Individual procedures, like blood tests, each have unique prices and billing codes (like a CPT or HCPCS code). While they can be billed alone, they're usually grouped with other procedures on a claim. This grouping is what determines the total cost of your care.

Standard Service Package (SSP)

A SSP combines all medical services, materials, and fees associated with a healthcare visit or procedure into a single bundle to offer a more comprehensive estimate.

Contact us to verify your estimate

Have your service name, codes, and payment preference ready. If you’re using insurance, you may be asked for insurance details like your Member or Group ID.

Service Cataract removal with intraocular lens insertion
Service Codes HCPCS V2632, HCPCS J3490, HCPCS J3301, HCPCS J2250, HCPCS J7120
Insurance I'm not using insurance
Location Southern Ohio Medical Center
When you contact us, you can say:
"Hi, I'm calling to verify a price for Cataract removal with intraocular lens insertion I found through Southern Ohio Medical Center's price estimate tool. Here are the codes I’m looking at: HCPCS V2632, HCPCS J3490, HCPCS J3301, HCPCS J2250, HCPCS J7120. I'm not using insurance, can you confirm the cash pay estimate and help me schedule if needed?"
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