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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.

Open the interactive explorerAll operations

CPT 66982: Xcapsl Ctrc Rmvl Cplx Wo Ecp

92 hospitals in 33 markets. National Medicare rate $2,358, surgery center $1,256.

MarketHospitals25th pctMedian75th pctLow–high
Atlanta GA1———$5,554–$5,554
Austin TX2———$1,941–$6,035
Boston MA7$3,496$3,958$4,070$3,309–$4,595
California (statewide)1———$10,595–$10,595
Chicago IL5$3,751$4,144$5,636$3,447–$6,922
Cleveland OH5$4,828$5,298$5,353$4,727–$6,238
Dallas-Fort Worth TX3———$5,640–$8,055
Denver CO7$4,022$5,291$5,462$2,798–$5,980
Detroit MI7$2,038$2,478$4,071$1,177–$5,812
Georgia (statewide)1———$5,051–$5,051
Houston TX1———$5,777–$5,777
Illinois (statewide)1———$1,583–$1,583
Indianapolis IN2———$1,769–$1,769
Kansas (statewide)1———$8,432–$8,432
Las Vegas NV2———$3,918–$3,974
Los Angeles CA2———$13,075–$14,342
Minneapolis-St. Paul MN1———$2,852–$2,852
Nashville TN4———$2,271–$5,748
New York City2———$5,652–$10,351
Ohio (statewide)1———$4,554–$4,554
Philadelphia PA5$8,394$10,110$10,400$7,916–$12,874
Phoenix AZ3———$3,770–$4,702
Pittsburgh PA1———$8,682–$8,682
Portland OR6$9,881$9,881$11,440$9,881–$11,960
Richmond VA2———$6,884–$6,884
Salt Lake City UT3———$4,000–$4,182
San Antonio TX1———$4,387–$4,387
San Francisco Bay Area CA1———$22,041–$22,041
Seattle-Tacoma WA6$8,192$8,259$9,580$6,957–$10,319
St. Louis MO1———$4,953–$4,953
Tampa FL2———$4,722–$6,291
Washington DC4———$5,522–$6,047
Wisconsin (statewide)1———$4,744–$4,744
HospitalMarketMedian across insurers× MedicareInsurersFile date
Mclaren Port HuronDetroit MI$1,1770.5×12025-12-31
Sarah Bush Lincoln Health CenterIllinois (statewide)$1,5830.6×12026-06-03
Corewell Health Dearborn HospitalDetroit MI$1,6930.7×12026-05-01
Ascension St Vincent AndersonIndianapolis IN$1,7690.7×12026-01-01
Ascension St Vincent CarmelIndianapolis IN$1,7690.7×12026-01-01
Ascension Seton Medical Center AustinAustin TX$1,9410.8×12026-01-01
Vanderbilt University Medical CenterNashville TN$2,2711.0×82025-10-01
Corewell Health Beaumont Grosse Pointe HospitalDetroit MI$2,3821.0×22026-05-01
Corewell Health William Beaumont University HospitDetroit MI$2,4781.1×22026-05-01
Corewell Health Beaumont Troy HospitalDetroit MI$2,4781.1×22026-05-01
Adventhealth PorterDenver CO$2,7981.1×42026-04-01
Adventhealth ParkerDenver CO$2,7981.1×42026-04-01
Park Nicollet Methodist HospitalMinneapolis-St. Paul MN$2,8521.2×42026-03-31
Beth Israel Deaconess Hospital - PlymouthBoston MA$3,3091.2×22026-04-01
Anna Jaques HospitalBoston MA$3,3151.2×42026-04-01
Endeavor Health Edward HospitalChicago IL$3,4471.4×22026-04-01
Ascension Saint Thomas Hospital (Midtown + West)Nashville TN$3,5241.6×22026-01-01
Ascension Saint Thomas RutherfordNashville TN$3,5991.6×12026-01-01
New England Baptist HospitalBoston MA$3,6761.3×42026-04-01
Endeavor Health Northwest Community HospitalChicago IL$3,7511.5×32026-04-01
HonorHealth Scottsdale Osborn Medical CenterPhoenix AZ$3,7701.5×52026-04-01
HonorHealth Scottsdale Shea Medical CenterPhoenix AZ$3,7701.5×52026-04-01
University Medical Center of Southern NevadaLas Vegas NV$3,9181.6×62026-07-01
Lahey Hospital & Medical Center, BurlingtonBoston MA$3,9581.4×22026-04-01
Henderson HospitalLas Vegas NV$3,9741.6×42026-09-01
Mckay-Dee HospitalSalt Lake City UT$4,0001.7×22026-08-05
Winchester HospitalBoston MA$4,0531.5×32026-04-01
Beverly Hospital CorporationBoston MA$4,0861.5×32026-04-01
Endeavor Health Elmhurst HospitalChicago IL$4,1441.7×22026-04-01
Intermountain Health Utah Valley HospitalSalt Lake City UT$4,1821.8×22026-08-05
Lds HospitalSalt Lake City UT$4,1821.8×22026-08-05
Methodist HospitalSan Antonio TX$4,3871.9×52026-09-01
Bethesda NorthOhio (statewide)$4,5542.0×42026-04-01
Beth Israel Deaconess Medical CenterBoston MA$4,5951.7×12026-04-01
HonorHealth Scottsdale Thompson Peak Medical CenterPhoenix AZ$4,7021.9×42026-04-01
Tampa General HospitalTampa FL$4,7222.0×22026-04-01
Cleveland Clinic Lutheran HospitalCleveland OH$4,7272.2×12026-06-15
Orthopaedic Hospital Of WisconsinWisconsin (statewide)$4,7442.1×32026-01-01
University Hospitals - Elyria Medical CenterCleveland OH$4,8282.2×42026-07-14
Mercy Hospital St LouisSt. Louis MO$4,9532.1×12026-06-04
Emory Houston Hospital Warner RobinsGeorgia (statewide)$5,0512.5×32026-04-01
HCA HealthONE SwedishDenver CO$5,2472.2×42026-09-01
HCA HealthONE Sky RidgeDenver CO$5,2912.2×42026-09-01
Medina HospitalCleveland OH$5,2982.4×22026-06-15
Cleveland Clinic Hillcrest HospitalCleveland OH$5,3532.5×12026-06-15
Hca Healthone RoseDenver CO$5,4022.2×42026-09-01
Reston Hospital CenterWashington DC$5,5222.3×42026-09-01
HCA HealthONE Presbyterian/St. Luke'sDenver CO$5,5232.3×42026-09-01
Stonesprings Hospital CenterWashington DC$5,5302.3×42026-09-01
Emory University HospitalAtlanta GA$5,5542.4×62026-04-01
Endeavor Health Evanston HospitalChicago IL$5,6362.3×32026-04-01
Medical City PlanoDallas-Fort Worth TX$5,6402.4×52026-09-01
Montefiore Medical CenterNew York City$5,6522.0×92026-04-01
Henry Ford Health Rochester HospitalDetroit MI$5,6642.5×12026-01-01
TriStar StoneCrest Medical CenterNashville TN$5,7482.6×52026-09-01
Houston Methodist HospitalHouston TX$5,7772.5×62026-04-01
George Washington Univ HospitalWashington DC$5,7812.1×32026-09-01
Harper University HospitalDetroit MI$5,8122.5×12026-09-02
UCHealth University of Colorado HospitalDenver CO$5,9802.5×32025-11-01
St David's Medical CenterAustin TX$6,0352.6×52026-09-01
Inova Alexandria HospitalWashington DC$6,0472.5×52026-04-01
Cleveland Clinic (main campus)Cleveland OH$6,2382.9×32026-06-16
Morton Plant HospitalTampa FL$6,2912.6×32026-01-01
Medical City MckinneyDallas-Fort Worth TX$6,7602.9×52026-09-01
CJW Medical Center (Chippenham + Johnston-Willis)Richmond VA$6,8843.1×42026-09-01
Henrico Doctors' HospitalRichmond VA$6,8843.1×42026-09-01
University of Chicago Medical CenterChicago IL$6,9222.8×22026-04-01
Overlake Hospital Medical CenterSeattle-Tacoma WA$6,9572.6×52026-04-01
Riddle Memorial HospitalPhiladelphia PA$7,9163.3×22026-04-01
Texas Health Presbyterian Hospital DallasDallas-Fort Worth TX$8,0553.5×22026-04-21
St Clare HospitalSeattle-Tacoma WA$8,1923.0×62026-02-28
St Anthony HospitalSeattle-Tacoma WA$8,1923.0×62026-02-28
Swedish Medical CenterSeattle-Tacoma WA$8,3263.1×52026-04-01
Bryn Mawr HospitalPhiladelphia PA$8,3943.5×22026-04-01
Menorah Medical CenterKansas (statewide)$8,4323.9×52026-09-01
Upmc Presbyterian ShadysidePittsburgh PA$8,6823.9×12026-03-06
Legacy Emanuel Medical CenterPortland OR$9,8813.9×52026-04-01
Legacy Good Samaritan Medical CenterPortland OR$9,8813.9×52026-04-01
Legacy Mount Hood Medical CenterPortland OR$9,8813.9×52026-04-01
Legacy Meridian Park Medical CenterPortland OR$9,8813.9×52026-04-01
Tacoma General Allenmore HospitalSeattle-Tacoma WA$9,9983.7×52026-08-27
Thomas Jefferson University HospitalPhiladelphia PA$10,1104.3×32026-09-15
Multicare Good Samaritan HospitalSeattle-Tacoma WA$10,3193.8×42026-08-27
NYU Langone Hospitals (Orthopedic Hospital + Tisch files)New York City$10,3513.6×72026-01-01
Jefferson Stratford HospitalPhiladelphia PA$10,4004.0×32026-09-15
Los Robles Hospital & Medical CenterCalifornia (statewide)$10,5953.6×42026-09-01
Providence St Vincent Medical CenterPortland OR$11,9604.7×32026-04-01
Providence Portland Medical CenterPortland OR$11,9604.7×32026-04-01
Inspira Medical Center Mullica HillPhiladelphia PA$12,8745.0×12026-03-24
Keck Hospital Of UscLos Angeles CA$13,0754.4×52026-04-01
Cedars-Sinai Medical CenterLos Angeles CA$14,3424.8×12025-11-26
Stanford Health CareSan Francisco Bay Area CA$22,0416.5×12026-04-01

Questions

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

Across 92 hospitals in 33 metro areas that post a usable dollar rate, the median commercial rate for CPT 66982, hospital outpatient is $5,462, 2.3× the same hospital's local Medicare base rate. The middle half of hospitals runs $3,948 to $7,951. 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: Mclaren Port Huron ($1,177), Sarah Bush Lincoln Health Center ($1,583), Corewell Health Dearborn Hospital ($1,693). Highest: Stanford Health Care ($22,041), Cedars-Sinai Medical Center ($14,342), Keck Hospital Of Usc ($13,075). Coverage is limited to the markets listed on this page.