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Cataract surgery with glaucoma stent: what insurers pay

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.

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CPT 66991: Cataract Surgery With Glaucoma Stent

880 hospitals in 77 markets. National Medicare rate $5,437, surgery center $4,015.

MarketHospitals25th pctMedian75th pctLow–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 GA6$8,180$8,180$10,962$8,180–$11,889
Austin TX11$4,080$4,080$7,709$4,080–$7,951
Boston MA10$7,310$8,896$10,090$4,783–$11,218
California (statewide)49$9,437$15,224$19,525$5,890–$33,448
Charlotte NC5$6,134$6,134$6,134$6,051–$6,134
Chicago IL9$7,150$7,948$10,607$5,138–$14,419
Cleveland OH10$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 TX8$7,280$7,280$13,429$6,760–$17,109
Delaware (statewide)1———$14,461–$14,461
Denver CO15$6,916$9,199$9,864$6,239–$13,124
Detroit MI11$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 TX13$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 IN3———$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 NV2———$3,434–$4,278
Los Angeles CA17$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 FL1———$9,633–$9,633
Michigan (statewide)18$5,302$5,440$5,940$4,505–$9,173
Minneapolis-St. Paul MN7$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 TN7$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 City7$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 PA11$8,296$8,689$10,724$7,884–$13,865
Phoenix AZ6$6,583$6,583$7,085$6,583–$7,252
Pittsburgh PA9$5,395$6,845$10,796$5,025–$12,987
Portland OR9$16,770$16,770$19,602$14,315–$19,602
Rhode Island (statewide)3———$10,148–$14,773
Richmond VA3———$11,102–$11,102
Rio Grande Valley TX3———$6,042–$7,799
Salt Lake City UT9$8,226$8,506$8,506$4,758–$8,787
San Antonio TX3———$6,298–$7,799
San Francisco Bay Area CA4———$10,387–$32,534
Seattle-Tacoma WA11$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 MO1———$8,472–$8,472
Tampa FL6$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 DC9$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

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Salina Surgical HospitalKansas (statewide)$2,5510.5×12026-01-15
Southern Tennessee Regional Health System PulaskiTennessee (statewide)$2,5940.5×12026-07-14
King'S Daughters' Medical CenterKentucky (statewide)$2,7220.5×22026-09-25
Ascension Columbia St Mary'S Hospital Milwaukee CaWisconsin (statewide)$2,7800.5×22026-01-01
Baylor Scott And White Medical Center Frisco At PgTexas (statewide)$2,8840.5×12025-01-31
Musc Medical CenterSouth Carolina (statewide)$3,1200.6×12026-04-01
Lafayette Regional Health CenterMissouri (statewide)$3,1610.6×32026-09-01
Yuma Regional Medical CenterArizona (statewide)$3,1660.6×22025-09-30
Livingston Regional HospitalTennessee (statewide)$3,2860.7×22026-04-01
Peterson Regional Medical CenterTexas (statewide)$3,3000.6×12026-08-17
Akron Children'S HospitalOhio (statewide)$3,3630.7×12025-11-11
Musc Health Marion Medical CenterSouth Carolina (statewide)$3,4250.7×12026-04-01
Mainehealth Waldo HospitalMaine (statewide)$25,3514.8×12025-09-09
Cedars-Sinai Medical CenterLos Angeles CA$25,4863.7×32025-11-26
Northern Light Mayo HospitalMaine (statewide)$25,8524.9×22026-03-30
Mission Community HospitalCalifornia (statewide)$26,0313.8×12026-09-01
Mary Bridge Children'S HospitalWashington (statewide)$27,3124.4×52026-08-27
Parkview Regional Medical CenterIndiana (statewide)$28,6415.1×12026-09-01
Parkview Huntington HospitalIndiana (statewide)$28,6415.1×12026-09-01
Parkview HospitalTexas (statewide)$28,6415.4×12026-09-01
Mainehealth Lincoln HospitalMaine (statewide)$30,8605.9×12025-09-09
Mcleod Medical Center - DillonSouth Carolina (statewide)$31,6186.4×12026-07-20
Stanford Health CareSan Francisco Bay Area CA$32,5344.2×42026-04-01
Providence Redwood Memorial HospitalCalifornia (statewide)$33,4484.9×22026-04-01

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

CPT 66989: Cataract Surgery With Glaucoma Stent

831 hospitals in 76 markets. National Medicare rate $5,437, surgery center $3,974.

MarketHospitals25th pctMedian75th pctLow–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 GA6$8,180$8,180$10,962$8,180–$11,889
Austin TX11$4,080$4,080$7,709$4,080–$7,951
Boston MA10$7,310$8,896$10,090$4,783–$11,218
California (statewide)48$8,910$15,224$19,525$5,890–$26,031
Charlotte NC5$6,134$6,134$6,134$6,051–$6,134
Chicago IL9$5,596$7,320$10,607$5,138–$14,419
Cleveland OH10$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 TX8$7,280$7,280$13,429$6,760–$17,109
Denver CO15$6,916$9,199$9,864$6,239–$13,124
Detroit MI9$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 TX13$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 IN3———$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 NV2———$3,434–$4,278
Los Angeles CA17$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 FL1———$9,633–$9,633
Michigan (statewide)15$5,302$5,440$5,574$4,505–$9,173
Minneapolis-St. Paul MN7$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 TN7$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 City7$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 PA10$8,508$9,480$10,950$8,014–$13,865
Phoenix AZ6$6,583$6,583$7,085$6,583–$7,252
Pittsburgh PA6$9,635$10,637$11,173$5,048–$12,987
Portland OR9$16,770$16,770$19,602$14,315–$19,602
Rhode Island (statewide)3———$10,148–$14,773
Richmond VA3———$11,102–$11,102
Rio Grande Valley TX3———$6,042–$7,799
Salt Lake City UT9$6,111$6,920$6,920$4,758–$7,729
San Antonio TX3———$6,298–$7,799
San Francisco Bay Area CA4———$9,728–$32,534
Seattle-Tacoma WA11$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 MO1———$8,472–$8,472
Tampa FL6$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 DC4———$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

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
King'S Daughters' Medical CenterKentucky (statewide)$2,7220.5×22026-09-25
Lafayette Regional Health CenterMissouri (statewide)$2,8730.5×32026-09-01
Musc Medical CenterSouth Carolina (statewide)$3,1200.6×12026-04-01
Yuma Regional Medical CenterArizona (statewide)$3,1660.6×22025-09-30
Ascension St Francis HospitalWisconsin (statewide)$3,1830.6×12026-01-01
Ascension Se Wisconsin Hospital - St Joseph CampusWisconsin (statewide)$3,1830.6×12026-01-01
Ascension Ne Wisconsin - St Elizabeth CampusWisconsin (statewide)$3,1840.6×22026-01-01
Ascension Calumet HospitalWisconsin (statewide)$3,1840.6×22026-01-01
Salina Surgical HospitalKansas (statewide)$3,1930.7×12026-01-15
Livingston Regional HospitalTennessee (statewide)$3,2860.7×22026-04-01
Peterson Regional Medical CenterTexas (statewide)$3,3000.6×12026-08-17
Akron Children'S HospitalOhio (statewide)$3,3630.7×12025-11-11
Parkview Lagrange HospitalIndiana (statewide)$24,9284.4×12026-09-01
Mainehealth Waldo HospitalMaine (statewide)$25,3514.8×12025-09-09
Cedars-Sinai Medical CenterLos Angeles CA$25,4863.7×32025-11-26
Northern Light Mayo HospitalMaine (statewide)$25,8524.9×22026-03-30
Mission Community HospitalCalifornia (statewide)$26,0313.8×12026-09-01
Mary Bridge Children'S HospitalWashington (statewide)$27,3124.4×52026-08-27
Parkview Regional Medical CenterIndiana (statewide)$28,6415.1×12026-09-01
Parkview Huntington HospitalIndiana (statewide)$28,6415.1×12026-09-01
Parkview HospitalTexas (statewide)$28,6415.4×12026-09-01
Mainehealth Lincoln HospitalMaine (statewide)$30,8605.9×12025-09-09
Mcleod Medical Center - DillonSouth Carolina (statewide)$31,6186.4×12026-07-20
Stanford Health CareSan Francisco Bay Area CA$32,5344.2×42026-04-01

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 with glaucoma stent?

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.

What does Medicare pay for cataract surgery with glaucoma stent?

Medicare's national hospital outpatient rate for CPT 66991 is $5,437 and its surgery-center rate is $4,015, before local wage adjustment.

Which hospitals post the lowest and highest commercial rates for cataract surgery with glaucoma stent?

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.