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Cataract surgery: what insurers pay

Removal of a cloudy lens with a new artificial lens implant. Commercial negotiated rates by hospital and market, next to Medicare for the same code.

Open the interactive explorerAll operations

CPT 66984: Cataract Surgery

1148 hospitals in 80 markets. National Medicare rate $2,358, surgery center $1,256.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)11$2,243$2,492$3,328$1,052–$5,502
Alaska (statewide)3———$1,931–$15,188
Arizona (statewide)7$4,343$6,396$7,841$1,549–$11,115
Arkansas (statewide)6$2,448$2,958$3,314$1,577–$3,842
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 MA11$3,496$4,012$4,182$2,172–$4,816
California (statewide)64$3,364$6,729$8,631$1,586–$15,064
Charlotte NC5$2,712$2,712$2,712$2,675–$2,712
Chicago IL9$3,988$5,636$6,922$3,290–$7,295
Cleveland OH11$3,825$4,914$5,174$2,402–$6,180
Colorado (statewide)15$4,236$5,292$8,144$2,292–$9,939
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$3,566$5,312$6,915$2,722–$8,783
Detroit MI15$3,254$3,269$4,342$1,816–$5,812
Florida (statewide)63$3,463$4,844$5,829$1,257–$12,419
Georgia (statewide)27$4,098$5,400$6,760$1,450–$16,442
Hawaii (statewide)5$5,144$6,914$7,312$2,839–$8,080
Houston TX17$4,250$4,252$5,777$3,450–$5,860
Idaho (statewide)13$2,332$2,462$5,130$1,198–$7,061
Illinois (statewide)32$3,419$4,138$5,712$2,450–$7,295
Indiana (statewide)40$2,950$4,959$6,785$1,257–$11,185
Indianapolis IN3———$1,257–$1,257
Iowa (statewide)21$2,358$3,946$4,355$1,170–$11,294
Kansas (statewide)21$2,706$3,357$4,686$2,091–$11,343
Kentucky (statewide)16$3,171$3,844$4,831$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)25$2,476$2,846$4,020$2,022–$6,322
Maine (statewide)16$9,345$10,606$10,850$2,444–$13,641
Massachusetts (statewide)3———$2,857–$6,630
Miami-Fort Lauderdale FL1———$4,258–$4,258
Michigan (statewide)26$2,300$2,497$3,213$1,212–$4,466
Minneapolis-St. Paul MN8$3,914$4,318$4,364$2,346–$5,031
Minnesota (statewide)12$5,211$6,775$8,103$4,364–$15,617
Mississippi (statewide)14$3,047$3,300$4,216$2,199–$8,014
Missouri (statewide)20$2,973$4,246$5,460$1,527–$8,432
Montana (statewide)5$4,713$4,790$5,220$2,861–$7,046
Nashville TN8$4,396$4,845$5,232$3,524–$5,232
Nebraska (statewide)16$3,556$5,610$11,294$1,729–$13,538
Nevada (statewide)3———$3,974–$3,974
New Hampshire (statewide)6$4,799$8,362$9,280$2,619–$10,335
New Jersey (statewide)23$3,628$6,898$7,772$2,646–$12,874
New Mexico (statewide)5$4,547$9,072$9,200$2,407–$13,999
New York (statewide)33$2,699$3,802$5,469$1,862–$17,083
New York City7$3,450$3,450$5,164$3,279–$9,688
North Carolina (statewide)7$3,796$6,119$7,382$2,226–$9,044
North Dakota (statewide)5$4,115$4,918$5,176$3,946–$5,324
Ohio (statewide)37$3,348$5,083$6,400$1,237–$11,446
Oklahoma (statewide)16$1,394$4,156$5,223$1,135–$10,924
Oregon (statewide)12$5,122$6,228$7,939$3,304–$10,688
Pennsylvania (statewide)28$3,442$4,674$7,657$2,281–$10,206
Philadelphia PA11$7,708$8,288$9,303$4,018–$12,874
Phoenix AZ8$3,770$4,236$5,092$3,770–$6,260
Pittsburgh PA11$3,602$4,216$5,158$2,924–$6,253
Portland OR9$9,700$9,921$9,921$9,700–$10,571
Research Triangle NC1———$3,875–$3,875
Rhode Island (statewide)3———$4,628–$6,270
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)28$5,999$7,638$8,723$1,840–$10,918
South Dakota (statewide)3———$3,612–$12,179
St. Louis MO3———$2,975–$3,234
Tampa FL6$6,291$6,291$6,291$4,414–$12,821
Tennessee (statewide)23$2,939$3,071$4,707$2,330–$5,249
Texas (statewide)75$2,924$4,726$5,078$1,900–$9,324
Utah (statewide)15$4,182$4,182$4,182$2,122–$8,227
Vermont (statewide)4———$1,338–$3,299
Virginia (statewide)19$7,461$9,752$9,956$5,300–$10,436
Washington (statewide)12$6,437$6,776$8,029$3,216–$12,178
Washington DC9$5,895$5,895$6,880$5,781–$7,638
West Virginia (statewide)5$2,532$7,502$9,234$2,090–$15,364
Wisconsin (statewide)46$3,375$4,180$6,000$1,148–$9,496

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Usa Health University HospitalAlabama (statewide)$1,0520.5×12026-04-30
Ascension St John Medical CenterOklahoma (statewide)$1,1350.5×12026-01-01
Ascension St John OwassoOklahoma (statewide)$1,1350.5×12026-01-01
Ascension St John SapulpaOklahoma (statewide)$1,1350.5×12026-01-01
Amery Hospital & ClinicWisconsin (statewide)$1,1480.5×12026-03-31
Guthrie County HospitalIowa (statewide)$1,1700.5×12026-09-26
Bonner General HospitalIdaho (statewide)$1,1980.5×22026-08-01
Corewell Health Lakeland Hospitals St Joseph HospiMichigan (statewide)$1,2120.5×12026-05-01
Selby General HospitalOhio (statewide)$1,2370.6×12026-10-01
Ascension St Vincent'S Clay CountyFlorida (statewide)$1,2570.5×12026-01-01
Ascension St Vincent KokomoIndiana (statewide)$1,2570.5×12026-01-01
Ascension St Vincent AndersonIndianapolis IN$1,2570.5×12026-01-01
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
Providence Alaska Medical CenterAlaska (statewide)$15,1885.9×22026-04-01
Logan Regional Medical CenterWest Virginia (statewide)$15,3646.9×12026-04-01
Grand Itasca Clinic And HospitalMinnesota (statewide)$15,6176.6×12026-01-28
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?

Across 1148 hospitals in 80 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 66984, hospital outpatient is $4,751, 2.0× the same hospital's local Medicare base rate. The middle half of hospitals runs $3,301 to $6,739. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for cataract surgery?

Medicare's national hospital outpatient rate for CPT 66984 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?

Lowest medians: Usa Health University Hospital ($1,052), Ascension St John Medical Center ($1,135), Ascension St John Owasso ($1,135). 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.