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Cataract surgery, complex: what insurers pay

Cataract surgery needing extra devices or techniques (small pupil, weak lens support, child). Commercial negotiated rates by hospital and market, next to Medicare for the same code.

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CPT 66982: Cataract Surgery, Complex

1087 hospitals in 79 markets. National Medicare rate $2,358, surgery center $1,256.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)9$2,348$2,526$3,532$1,052–$5,502
Alaska (statewide)3———$1,446–$15,952
Arizona (statewide)7$4,038$5,867$7,841$1,549–$11,115
Arkansas (statewide)5$2,906$3,009$3,416$2,295–$4,803
Atlanta GA6$5,554$5,554$6,458$5,554–$6,760
Austin TX13$1,941$4,726$5,675$1,941–$6,647
Boston MA12$3,586$4,015$4,260$2,172–$4,816
California (statewide)59$3,584$6,729$8,631$1,592–$15,064
Charlotte NC5$2,712$2,712$2,712$2,675–$2,712
Chicago IL8$4,046$4,943$7,015$3,447–$7,295
Cleveland OH11$3,852$4,315$4,931$2,402–$6,180
Colorado (statewide)14$4,514$5,463$8,298$2,292–$10,778
Connecticut (statewide)1———$6,108–$6,108
Dallas-Fort Worth TX8$5,292$5,468$5,894$5,023–$9,410
Delaware (statewide)1———$6,272–$6,272
Denver CO15$3,512$5,312$6,915$2,334–$8,783
Detroit MI15$2,040$3,269$5,182$1,177–$7,565
Florida (statewide)61$3,463$4,844$5,829$1,316–$12,419
Georgia (statewide)25$4,175$5,508$6,760$2,424–$16,442
Hawaii (statewide)5$5,894$7,312$8,931$2,839–$10,729
Houston TX17$4,250$4,252$5,777$3,450–$5,860
Idaho (statewide)13$2,332$2,462$5,130$1,501–$7,061
Illinois (statewide)30$3,337$3,941$5,423$1,347–$7,295
Indiana (statewide)41$2,453$4,786$6,784$1,459–$11,185
Indianapolis IN4———$1,408–$1,769
Iowa (statewide)20$3,052$3,977$4,630$1,370–$11,294
Kansas (statewide)20$2,631$3,272$4,958$1,495–$12,446
Kentucky (statewide)14$3,163$3,654$4,732$2,722–$9,324
Las Vegas NV2———$3,010–$3,974
Los Angeles CA17$6,545$7,176$8,159$4,171–$14,342
Louisiana (statewide)23$2,467$2,798$4,188$2,022–$6,909
Maine (statewide)16$9,345$10,606$10,850$2,444–$13,641
Massachusetts (statewide)3———$2,857–$6,708
Miami-Fort Lauderdale FL1———$4,258–$4,258
Michigan (statewide)29$1,331$2,490$3,226$1,177–$4,396
Minneapolis-St. Paul MN8$3,946$4,318$4,364$2,852–$4,797
Minnesota (statewide)12$4,809$6,280$7,606$4,364–$10,299
Mississippi (statewide)14$3,047$3,300$3,616$2,199–$8,014
Missouri (statewide)17$3,095$5,023$7,404$2,200–$8,432
Montana (statewide)3———$4,713–$7,046
Nashville TN8$4,032$4,593$5,232$3,524–$5,232
Nebraska (statewide)13$4,046$5,389$11,294$1,914–$13,538
Nevada (statewide)3———$3,974–$3,974
New Hampshire (statewide)6$4,799$8,548$10,094$2,619–$11,248
New Jersey (statewide)17$5,967$7,457$8,314$3,214–$12,874
New Mexico (statewide)4———$2,407–$8,461
New York (statewide)31$3,403$3,846$5,128$1,862–$17,083
New York City7$3,450$3,450$5,539$3,450–$9,688
North Carolina (statewide)6$4,476$6,225$7,907$2,766–$9,044
North Dakota (statewide)5$4,115$4,918$5,166$3,946–$5,324
Ohio (statewide)37$3,408$5,083$6,400$1,688–$11,446
Oklahoma (statewide)16$1,682$4,156$5,223$1,411–$10,924
Oregon (statewide)10$4,924$5,841$8,076$1,465–$10,688
Pennsylvania (statewide)24$3,507$4,482$6,390$2,478–$10,206
Philadelphia PA11$7,708$8,288$9,303$5,194–$12,874
Phoenix AZ8$3,770$4,236$5,092$3,770–$6,260
Pittsburgh PA10$3,248$3,694$3,874$2,326–$4,909
Portland OR9$9,700$9,921$9,921$9,700–$10,571
Rhode Island (statewide)3———$4,628–$8,858
Richmond VA3———$7,508–$8,137
Rio Grande Valley TX3———$3,095–$6,057
Salt Lake City UT9$4,182$4,182$4,182$4,182–$4,182
San Antonio TX3———$3,424–$4,773
San Diego CA5$5,194$5,194$5,194$5,194–$5,473
San Francisco Bay Area CA4———$7,527–$22,041
Seattle-Tacoma WA16$7,582$7,798$8,233$6,452–$9,352
South Carolina (statewide)18$6,391$8,643$9,212$1,840–$10,918
South Dakota (statewide)3———$3,612–$12,179
St. Louis MO2———$2,975–$3,234
Tampa FL6$6,291$6,291$6,291$4,414–$12,821
Tennessee (statewide)22$2,939$3,068$3,847$2,330–$5,249
Texas (statewide)72$3,143$4,773$5,381$1,900–$9,324
Utah (statewide)15$4,182$4,182$4,182$1,480–$8,227
Vermont (statewide)3———$1,432–$4,135
Virginia (statewide)19$7,081$9,752$9,956$5,300–$10,436
Washington (statewide)11$6,690$6,822$8,724$6,075–$12,178
Washington DC9$5,895$5,895$6,880$5,781–$7,638
West Virginia (statewide)4———$2,532–$15,364
Wisconsin (statewide)45$3,375$4,180$6,026$1,441–$9,496

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Usa Health University HospitalAlabama (statewide)$1,0520.5×12026-04-30
Mclaren Bay RegionMichigan (statewide)$1,1770.5×12025-12-31
Mclaren Port HuronDetroit MI$1,1770.5×12025-12-31
Mclaren OaklandMichigan (statewide)$1,1770.5×12025-12-31
Mclaren MacombMichigan (statewide)$1,1770.5×12025-12-31
Mclaren Caro RegionMichigan (statewide)$1,1770.5×12025-12-31
Mclaren Thumb RegionMichigan (statewide)$1,1770.5×12025-12-31
Oaklawn HospitalMichigan (statewide)$1,2900.6×22026-03-27
Uf Health Leesburg HospitalFlorida (statewide)$1,3160.6×12026-03-31
Henry Ford Health Warren HospitalMichigan (statewide)$1,3310.6×12026-01-01
Henry Ford Health River District HospitalMichigan (statewide)$1,3310.6×12026-01-01
Baptist Medical Center JacksonvilleFlorida (statewide)$1,3350.6×22026-02-06
Mainehealth Lincoln HospitalMaine (statewide)$13,6416.0×12025-09-09
Hoag Memorial Hospital PresbyterianLos Angeles CA$14,3084.8×42026-04-01
Cedars-Sinai Medical CenterLos Angeles CA$14,3424.8×12025-11-26
Providence Redwood Memorial HospitalCalifornia (statewide)$14,8985.0×32026-04-01
Providence Queen Of The Valley Medical CenterCalifornia (statewide)$15,0645.1×52026-04-01
Logan Regional Medical CenterWest Virginia (statewide)$15,3646.9×12026-04-01
Providence Alaska Medical CenterAlaska (statewide)$15,9526.2×22026-04-01
Northeast Georgia Medical Center, IncGeorgia (statewide)$16,4427.4×12026-04-01
Northeast Georgia Medical Center BarrowGeorgia (statewide)$16,4427.1×12026-04-01
Northeast Georgia Medical Center LumpkinGeorgia (statewide)$16,4427.1×12026-04-01
Samaritan HospitalNew York (statewide)$17,0835.9×242026-03-31
Stanford Health CareSan Francisco Bay Area CA$22,0416.5×12026-04-01

Every hospital is on its state's page (linked in the market table) and in the interactive explorer.

Questions

How much do commercial insurers pay hospitals for cataract surgery, complex?

Across 1087 hospitals in 79 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 66982, hospital outpatient is $4,780, 2.0× the same hospital's local Medicare base rate. The middle half of hospitals runs $3,353 to $6,776. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for cataract surgery, complex?

Medicare's national hospital outpatient rate for CPT 66982 is $2,358 and its surgery-center rate is $1,256, before local wage adjustment.

Which hospitals post the lowest and highest commercial rates for cataract surgery, complex?

Lowest medians: Usa Health University Hospital ($1,052), Mclaren Bay Region ($1,177), Mclaren Port Huron ($1,177). Highest: Stanford Health Care ($22,041), Samaritan Hospital ($17,083), Northeast Georgia Medical Center Lumpkin ($16,442). Coverage: every hospital whose price file we could read.