Cataract surgery plus a tiny drainage stent for glaucoma (MIGS): standard (66991) or complex (66989). Commercial negotiated rates by hospital and market, next to Medicare for the same code.
Open the interactive explorerAll operations
880 hospitals in 77 markets. National Medicare rate $5,437, surgery center $4,015.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 4 | — | — | — | $5,744–$9,265 |
| Alaska (statewide) | 2 | — | — | — | $14,250–$15,259 |
| Arizona (statewide) | 5 | $5,595 | $6,057 | $7,252 | $3,166–$16,247 |
| Arkansas (statewide) | 4 | — | — | — | $4,741–$6,551 |
| Atlanta GA | 6 | $8,180 | $8,180 | $10,962 | $8,180–$11,889 |
| Austin TX | 11 | $4,080 | $4,080 | $7,709 | $4,080–$7,951 |
| Boston MA | 10 | $7,310 | $8,896 | $10,090 | $4,783–$11,218 |
| California (statewide) | 49 | $9,437 | $15,224 | $19,525 | $5,890–$33,448 |
| Charlotte NC | 5 | $6,134 | $6,134 | $6,134 | $6,051–$6,134 |
| Chicago IL | 9 | $7,150 | $7,948 | $10,607 | $5,138–$14,419 |
| Cleveland OH | 10 | $6,306 | $7,278 | $8,744 | $5,538–$9,725 |
| Colorado (statewide) | 12 | $6,385 | $9,468 | $10,998 | $4,986–$13,647 |
| Connecticut (statewide) | 1 | — | — | — | $6,357–$6,357 |
| Dallas-Fort Worth TX | 8 | $7,280 | $7,280 | $13,429 | $6,760–$17,109 |
| Delaware (statewide) | 1 | — | — | — | $14,461–$14,461 |
| Denver CO | 15 | $6,916 | $9,199 | $9,864 | $6,239–$13,124 |
| Detroit MI | 11 | $4,505 | $4,505 | $6,292 | $4,505–$8,351 |
| Florida (statewide) | 55 | $9,830 | $10,886 | $11,156 | $3,579–$18,448 |
| Georgia (statewide) | 27 | $6,996 | $8,180 | $11,889 | $3,703–$24,010 |
| Hawaii (statewide) | 2 | — | — | — | $6,422–$6,728 |
| Houston TX | 13 | $5,611 | $5,611 | $9,576 | $4,362–$10,157 |
| Idaho (statewide) | 7 | $5,268 | $7,218 | $12,766 | $4,250–$13,540 |
| Illinois (statewide) | 22 | $6,950 | $9,110 | $10,791 | $5,861–$15,329 |
| Indiana (statewide) | 25 | $3,733 | $10,556 | $14,613 | $3,733–$28,641 |
| Indianapolis IN | 3 | — | — | — | $3,733–$3,733 |
| Iowa (statewide) | 12 | $8,582 | $9,472 | $10,938 | $6,861–$12,672 |
| Kansas (statewide) | 14 | $4,556 | $6,086 | $8,805 | $2,551–$15,259 |
| Kentucky (statewide) | 9 | $5,906 | $6,306 | $7,146 | $2,722–$8,750 |
| Las Vegas NV | 2 | — | — | — | $3,434–$4,278 |
| Los Angeles CA | 17 | $8,076 | $10,045 | $12,777 | $7,730–$25,486 |
| Louisiana (statewide) | 22 | $5,084 | $7,031 | $8,959 | $4,250–$13,959 |
| Maine (statewide) | 15 | $21,142 | $24,250 | $24,546 | $13,325–$30,860 |
| Massachusetts (statewide) | 2 | — | — | — | $5,024–$7,443 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $9,633–$9,633 |
| Michigan (statewide) | 18 | $5,302 | $5,440 | $5,940 | $4,505–$9,173 |
| Minneapolis-St. Paul MN | 7 | $7,341 | $7,492 | $8,570 | $6,915–$11,106 |
| Minnesota (statewide) | 11 | $11,464 | $14,481 | $17,302 | $7,492–$23,098 |
| Mississippi (statewide) | 8 | $5,550 | $6,931 | $8,614 | $4,648–$11,222 |
| Missouri (statewide) | 17 | $5,724 | $7,513 | $9,673 | $3,161–$21,372 |
| Montana (statewide) | 3 | — | — | — | $10,319–$13,869 |
| Nashville TN | 7 | $5,748 | $5,748 | $7,956 | $3,673–$10,636 |
| Nebraska (statewide) | 3 | — | — | — | $4,278–$12,073 |
| Nevada (statewide) | 3 | — | — | — | $4,278–$4,636 |
| New Hampshire (statewide) | 6 | $12,876 | $16,438 | $20,396 | $11,248–$23,829 |
| New Jersey (statewide) | 19 | $7,544 | $9,452 | $10,452 | $4,300–$17,904 |
| New Mexico (statewide) | 4 | — | — | — | $5,445–$22,825 |
| New York (statewide) | 24 | $5,370 | $9,348 | $11,772 | $4,213–$15,602 |
| New York City | 7 | $4,452 | $4,459 | $9,709 | $4,426–$12,266 |
| North Carolina (statewide) | 4 | — | — | — | $6,041–$14,108 |
| North Dakota (statewide) | 4 | — | — | — | $4,980–$11,942 |
| Ohio (statewide) | 32 | $7,770 | $11,860 | $13,284 | $3,363–$20,454 |
| Oklahoma (statewide) | 7 | $10,787 | $11,050 | $11,833 | $6,809–$17,904 |
| Oregon (statewide) | 7 | $13,213 | $13,744 | $18,655 | $11,951–$23,362 |
| Pennsylvania (statewide) | 16 | $7,657 | $10,158 | $14,232 | $5,036–$23,532 |
| Philadelphia PA | 11 | $8,296 | $8,689 | $10,724 | $7,884–$13,865 |
| Phoenix AZ | 6 | $6,583 | $6,583 | $7,085 | $6,583–$7,252 |
| Pittsburgh PA | 9 | $5,395 | $6,845 | $10,796 | $5,025–$12,987 |
| Portland OR | 9 | $16,770 | $16,770 | $19,602 | $14,315–$19,602 |
| Rhode Island (statewide) | 3 | — | — | — | $10,148–$14,773 |
| Richmond VA | 3 | — | — | — | $11,102–$11,102 |
| Rio Grande Valley TX | 3 | — | — | — | $6,042–$7,799 |
| Salt Lake City UT | 9 | $8,226 | $8,506 | $8,506 | $4,758–$8,787 |
| San Antonio TX | 3 | — | — | — | $6,298–$7,799 |
| San Francisco Bay Area CA | 4 | — | — | — | $10,387–$32,534 |
| Seattle-Tacoma WA | 11 | $14,241 | $17,838 | $19,526 | $11,837–$19,680 |
| South Carolina (statewide) | 19 | $9,934 | $16,223 | $17,965 | $3,120–$31,618 |
| South Dakota (statewide) | 3 | — | — | — | $5,160–$9,187 |
| St. Louis MO | 1 | — | — | — | $8,472–$8,472 |
| Tampa FL | 6 | $9,830 | $9,830 | $9,830 | $9,732–$18,385 |
| Tennessee (statewide) | 20 | $4,990 | $5,300 | $5,792 | $2,594–$10,526 |
| Texas (statewide) | 65 | $5,569 | $7,951 | $13,429 | $2,884–$28,641 |
| Utah (statewide) | 7 | $5,602 | $8,226 | $8,366 | $4,758–$16,194 |
| Virginia (statewide) | 18 | $13,808 | $15,882 | $19,248 | $10,423–$20,794 |
| Washington (statewide) | 8 | $15,027 | $15,364 | $18,253 | $13,680–$27,312 |
| Washington DC | 9 | $8,272 | $8,272 | $8,272 | $7,209–$8,358 |
| West Virginia (statewide) | 2 | — | — | — | $5,727–$20,890 |
| Wisconsin (statewide) | 33 | $10,148 | $11,115 | $12,600 | $2,780–$17,486 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Salina Surgical Hospital | Kansas (statewide) | $2,551 | 0.5× | 1 | 2026-01-15 |
| Southern Tennessee Regional Health System Pulaski | Tennessee (statewide) | $2,594 | 0.5× | 1 | 2026-07-14 |
| King'S Daughters' Medical Center | Kentucky (statewide) | $2,722 | 0.5× | 2 | 2026-09-25 |
| Ascension Columbia St Mary'S Hospital Milwaukee Ca | Wisconsin (statewide) | $2,780 | 0.5× | 2 | 2026-01-01 |
| Baylor Scott And White Medical Center Frisco At Pg | Texas (statewide) | $2,884 | 0.5× | 1 | 2025-01-31 |
| Musc Medical Center | South Carolina (statewide) | $3,120 | 0.6× | 1 | 2026-04-01 |
| Lafayette Regional Health Center | Missouri (statewide) | $3,161 | 0.6× | 3 | 2026-09-01 |
| Yuma Regional Medical Center | Arizona (statewide) | $3,166 | 0.6× | 2 | 2025-09-30 |
| Livingston Regional Hospital | Tennessee (statewide) | $3,286 | 0.7× | 2 | 2026-04-01 |
| Peterson Regional Medical Center | Texas (statewide) | $3,300 | 0.6× | 1 | 2026-08-17 |
| Akron Children'S Hospital | Ohio (statewide) | $3,363 | 0.7× | 1 | 2025-11-11 |
| Musc Health Marion Medical Center | South Carolina (statewide) | $3,425 | 0.7× | 1 | 2026-04-01 |
| Mainehealth Waldo Hospital | Maine (statewide) | $25,351 | 4.8× | 1 | 2025-09-09 |
| Cedars-Sinai Medical Center | Los Angeles CA | $25,486 | 3.7× | 3 | 2025-11-26 |
| Northern Light Mayo Hospital | Maine (statewide) | $25,852 | 4.9× | 2 | 2026-03-30 |
| Mission Community Hospital | California (statewide) | $26,031 | 3.8× | 1 | 2026-09-01 |
| Mary Bridge Children'S Hospital | Washington (statewide) | $27,312 | 4.4× | 5 | 2026-08-27 |
| Parkview Regional Medical Center | Indiana (statewide) | $28,641 | 5.1× | 1 | 2026-09-01 |
| Parkview Huntington Hospital | Indiana (statewide) | $28,641 | 5.1× | 1 | 2026-09-01 |
| Parkview Hospital | Texas (statewide) | $28,641 | 5.4× | 1 | 2026-09-01 |
| Mainehealth Lincoln Hospital | Maine (statewide) | $30,860 | 5.9× | 1 | 2025-09-09 |
| Mcleod Medical Center - Dillon | South Carolina (statewide) | $31,618 | 6.4× | 1 | 2026-07-20 |
| Stanford Health Care | San Francisco Bay Area CA | $32,534 | 4.2× | 4 | 2026-04-01 |
| Providence Redwood Memorial Hospital | California (statewide) | $33,448 | 4.9× | 2 | 2026-04-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
831 hospitals in 76 markets. National Medicare rate $5,437, surgery center $3,974.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 4 | — | — | — | $5,744–$9,265 |
| Alaska (statewide) | 2 | — | — | — | $14,250–$17,185 |
| Arizona (statewide) | 5 | $5,595 | $6,057 | $7,252 | $3,166–$16,247 |
| Arkansas (statewide) | 2 | — | — | — | $4,741–$5,000 |
| Atlanta GA | 6 | $8,180 | $8,180 | $10,962 | $8,180–$11,889 |
| Austin TX | 11 | $4,080 | $4,080 | $7,709 | $4,080–$7,951 |
| Boston MA | 10 | $7,310 | $8,896 | $10,090 | $4,783–$11,218 |
| California (statewide) | 48 | $8,910 | $15,224 | $19,525 | $5,890–$26,031 |
| Charlotte NC | 5 | $6,134 | $6,134 | $6,134 | $6,051–$6,134 |
| Chicago IL | 9 | $5,596 | $7,320 | $10,607 | $5,138–$14,419 |
| Cleveland OH | 10 | $6,306 | $7,278 | $8,744 | $5,538–$9,725 |
| Colorado (statewide) | 12 | $6,598 | $9,468 | $10,649 | $5,112–$13,647 |
| Connecticut (statewide) | 1 | — | — | — | $6,357–$6,357 |
| Dallas-Fort Worth TX | 8 | $7,280 | $7,280 | $13,429 | $6,760–$17,109 |
| Denver CO | 15 | $6,916 | $9,199 | $9,864 | $6,239–$13,124 |
| Detroit MI | 9 | $4,505 | $4,505 | $6,563 | $4,505–$8,351 |
| Florida (statewide) | 55 | $9,830 | $10,886 | $11,156 | $3,579–$18,448 |
| Georgia (statewide) | 26 | $6,878 | $7,860 | $11,889 | $3,703–$24,010 |
| Hawaii (statewide) | 2 | — | — | — | $6,422–$6,728 |
| Houston TX | 13 | $5,611 | $5,611 | $9,576 | $4,362–$10,157 |
| Idaho (statewide) | 5 | $5,160 | $5,377 | $12,390 | $4,250–$13,540 |
| Illinois (statewide) | 21 | $6,843 | $8,875 | $10,607 | $5,861–$15,329 |
| Indiana (statewide) | 25 | $3,736 | $10,556 | $14,613 | $3,736–$28,641 |
| Indianapolis IN | 3 | — | — | — | $3,736–$3,736 |
| Iowa (statewide) | 11 | $8,570 | $9,422 | $11,015 | $7,632–$12,672 |
| Kansas (statewide) | 11 | $4,782 | $6,309 | $9,324 | $3,193–$17,185 |
| Kentucky (statewide) | 9 | $5,906 | $6,306 | $7,146 | $2,722–$8,750 |
| Las Vegas NV | 2 | — | — | — | $3,434–$4,278 |
| Los Angeles CA | 17 | $8,055 | $8,955 | $12,777 | $7,730–$25,486 |
| Louisiana (statewide) | 21 | $5,023 | $7,303 | $9,024 | $4,250–$13,959 |
| Maine (statewide) | 15 | $21,142 | $24,250 | $24,546 | $13,325–$30,860 |
| Massachusetts (statewide) | 2 | — | — | — | $5,024–$7,443 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $9,633–$9,633 |
| Michigan (statewide) | 15 | $5,302 | $5,440 | $5,574 | $4,505–$9,173 |
| Minneapolis-St. Paul MN | 7 | $7,341 | $7,492 | $8,570 | $6,915–$11,106 |
| Minnesota (statewide) | 10 | $12,506 | $15,276 | $17,546 | $7,492–$23,098 |
| Mississippi (statewide) | 8 | $5,550 | $6,931 | $8,614 | $4,648–$11,222 |
| Missouri (statewide) | 12 | $6,604 | $7,375 | $8,246 | $2,873–$13,429 |
| Montana (statewide) | 3 | — | — | — | $10,319–$13,869 |
| Nashville TN | 7 | $5,748 | $5,748 | $7,956 | $3,673–$10,636 |
| Nebraska (statewide) | 3 | — | — | — | $4,278–$12,073 |
| Nevada (statewide) | 3 | — | — | — | $4,278–$4,636 |
| New Hampshire (statewide) | 6 | $13,354 | $16,438 | $20,396 | $12,034–$23,829 |
| New Jersey (statewide) | 14 | $7,602 | $9,704 | $10,706 | $7,194–$17,904 |
| New Mexico (statewide) | 4 | — | — | — | $5,445–$22,825 |
| New York (statewide) | 24 | $4,871 | $9,348 | $11,772 | $4,213–$15,602 |
| New York City | 7 | $4,452 | $4,459 | $9,709 | $4,426–$12,266 |
| North Carolina (statewide) | 2 | — | — | — | $6,041–$14,108 |
| North Dakota (statewide) | 4 | — | — | — | $4,980–$11,942 |
| Ohio (statewide) | 32 | $7,770 | $11,860 | $13,284 | $3,363–$20,454 |
| Oklahoma (statewide) | 7 | $10,787 | $11,050 | $11,833 | $6,809–$17,904 |
| Oregon (statewide) | 7 | $13,213 | $13,744 | $18,655 | $11,951–$23,362 |
| Pennsylvania (statewide) | 14 | $8,214 | $10,531 | $16,598 | $5,467–$23,532 |
| Philadelphia PA | 10 | $8,508 | $9,480 | $10,950 | $8,014–$13,865 |
| Phoenix AZ | 6 | $6,583 | $6,583 | $7,085 | $6,583–$7,252 |
| Pittsburgh PA | 6 | $9,635 | $10,637 | $11,173 | $5,048–$12,987 |
| Portland OR | 9 | $16,770 | $16,770 | $19,602 | $14,315–$19,602 |
| Rhode Island (statewide) | 3 | — | — | — | $10,148–$14,773 |
| Richmond VA | 3 | — | — | — | $11,102–$11,102 |
| Rio Grande Valley TX | 3 | — | — | — | $6,042–$7,799 |
| Salt Lake City UT | 9 | $6,111 | $6,920 | $6,920 | $4,758–$7,729 |
| San Antonio TX | 3 | — | — | — | $6,298–$7,799 |
| San Francisco Bay Area CA | 4 | — | — | — | $9,728–$32,534 |
| Seattle-Tacoma WA | 11 | $14,241 | $17,838 | $19,526 | $11,837–$19,680 |
| South Carolina (statewide) | 19 | $11,234 | $16,223 | $17,965 | $3,120–$31,618 |
| South Dakota (statewide) | 3 | — | — | — | $5,160–$9,187 |
| St. Louis MO | 1 | — | — | — | $8,472–$8,472 |
| Tampa FL | 6 | $9,830 | $9,830 | $9,830 | $9,732–$18,385 |
| Tennessee (statewide) | 19 | $4,990 | $5,441 | $5,836 | $3,286–$10,526 |
| Texas (statewide) | 61 | $5,611 | $7,972 | $13,429 | $3,300–$28,641 |
| Utah (statewide) | 6 | $5,034 | $5,986 | $6,111 | $4,758–$6,920 |
| Virginia (statewide) | 18 | $13,808 | $15,924 | $19,248 | $10,423–$20,794 |
| Washington (statewide) | 8 | $15,027 | $15,364 | $18,253 | $13,680–$27,312 |
| Washington DC | 4 | — | — | — | $7,209–$8,358 |
| West Virginia (statewide) | 2 | — | — | — | $5,727–$20,890 |
| Wisconsin (statewide) | 32 | $8,578 | $11,115 | $12,042 | $3,183–$15,731 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| King'S Daughters' Medical Center | Kentucky (statewide) | $2,722 | 0.5× | 2 | 2026-09-25 |
| Lafayette Regional Health Center | Missouri (statewide) | $2,873 | 0.5× | 3 | 2026-09-01 |
| Musc Medical Center | South Carolina (statewide) | $3,120 | 0.6× | 1 | 2026-04-01 |
| Yuma Regional Medical Center | Arizona (statewide) | $3,166 | 0.6× | 2 | 2025-09-30 |
| Ascension St Francis Hospital | Wisconsin (statewide) | $3,183 | 0.6× | 1 | 2026-01-01 |
| Ascension Se Wisconsin Hospital - St Joseph Campus | Wisconsin (statewide) | $3,183 | 0.6× | 1 | 2026-01-01 |
| Ascension Ne Wisconsin - St Elizabeth Campus | Wisconsin (statewide) | $3,184 | 0.6× | 2 | 2026-01-01 |
| Ascension Calumet Hospital | Wisconsin (statewide) | $3,184 | 0.6× | 2 | 2026-01-01 |
| Salina Surgical Hospital | Kansas (statewide) | $3,193 | 0.7× | 1 | 2026-01-15 |
| Livingston Regional Hospital | Tennessee (statewide) | $3,286 | 0.7× | 2 | 2026-04-01 |
| Peterson Regional Medical Center | Texas (statewide) | $3,300 | 0.6× | 1 | 2026-08-17 |
| Akron Children'S Hospital | Ohio (statewide) | $3,363 | 0.7× | 1 | 2025-11-11 |
| Parkview Lagrange Hospital | Indiana (statewide) | $24,928 | 4.4× | 1 | 2026-09-01 |
| Mainehealth Waldo Hospital | Maine (statewide) | $25,351 | 4.8× | 1 | 2025-09-09 |
| Cedars-Sinai Medical Center | Los Angeles CA | $25,486 | 3.7× | 3 | 2025-11-26 |
| Northern Light Mayo Hospital | Maine (statewide) | $25,852 | 4.9× | 2 | 2026-03-30 |
| Mission Community Hospital | California (statewide) | $26,031 | 3.8× | 1 | 2026-09-01 |
| Mary Bridge Children'S Hospital | Washington (statewide) | $27,312 | 4.4× | 5 | 2026-08-27 |
| Parkview Regional Medical Center | Indiana (statewide) | $28,641 | 5.1× | 1 | 2026-09-01 |
| Parkview Huntington Hospital | Indiana (statewide) | $28,641 | 5.1× | 1 | 2026-09-01 |
| Parkview Hospital | Texas (statewide) | $28,641 | 5.4× | 1 | 2026-09-01 |
| Mainehealth Lincoln Hospital | Maine (statewide) | $30,860 | 5.9× | 1 | 2025-09-09 |
| Mcleod Medical Center - Dillon | South Carolina (statewide) | $31,618 | 6.4× | 1 | 2026-07-20 |
| Stanford Health Care | San Francisco Bay Area CA | $32,534 | 4.2× | 4 | 2026-04-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
Across 880 hospitals in 77 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 66991, hospital outpatient is $9,354, 1.7× the same hospital's local Medicare base rate. The middle half of hospitals runs $6,420 to $13,052. Figures are each hospital's median across insurers, from its federal price-transparency file.
Medicare's national hospital outpatient rate for CPT 66991 is $5,437 and its surgery-center rate is $4,015, before local wage adjustment.
Lowest medians: Salina Surgical Hospital ($2,551), Southern Tennessee Regional Health System Pulaski ($2,594), King'S Daughters' Medical Center ($2,722). Highest: Providence Redwood Memorial Hospital ($33,448), Stanford Health Care ($32,534), Mcleod Medical Center - Dillon ($31,618). Coverage: every hospital whose price file we could read.