A laser opens the cloudy capsule behind a lens implant. Commercial negotiated rates by hospital and market, next to Medicare for the same code.
Open the interactive explorerAll operations
96 hospitals in 33 markets. National Medicare rate $562, surgery center $302.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 4 | — | — | — | $1,414–$3,387 |
| Austin TX | 2 | — | — | — | $532–$3,479 |
| Boston MA | 7 | $1,110 | $1,260 | $1,347 | $997–$2,337 |
| California (statewide) | 1 | — | — | — | $5,119–$5,119 |
| Chicago IL | 7 | $947 | $1,232 | $1,906 | $678–$2,639 |
| Cleveland OH | 5 | $1,960 | $3,286 | $3,286 | $1,486–$3,728 |
| Dallas-Fort Worth TX | 4 | — | — | — | $2,502–$2,850 |
| Denver CO | 7 | $1,752 | $2,058 | $2,147 | $1,497–$2,232 |
| Detroit MI | 6 | $676 | $706 | $708 | $582–$2,111 |
| Georgia (statewide) | 1 | — | — | — | $2,296–$2,296 |
| Houston TX | 1 | — | — | — | $3,578–$3,578 |
| Illinois (statewide) | 1 | — | — | — | $342–$342 |
| Indianapolis IN | 3 | — | — | — | $348–$493 |
| Kansas (statewide) | 1 | — | — | — | $3,081–$3,081 |
| Las Vegas NV | 1 | — | — | — | $1,205–$1,205 |
| Los Angeles CA | 1 | — | — | — | $2,822–$2,822 |
| Minneapolis-St. Paul MN | 4 | — | — | — | $1,373–$2,712 |
| Nashville TN | 4 | — | — | — | $721–$2,870 |
| New York City | 2 | — | — | — | $1,286–$4,100 |
| Ohio (statewide) | 1 | — | — | — | $1,110–$1,110 |
| Pennsylvania (statewide) | 1 | — | — | — | $2,214–$2,214 |
| Philadelphia PA | 3 | — | — | — | $3,152–$3,459 |
| Phoenix AZ | 3 | — | — | — | $2,678–$2,788 |
| Portland OR | 6 | $1,612 | $1,612 | $2,498 | $1,612–$2,794 |
| Richmond VA | 2 | — | — | — | $2,772–$2,772 |
| San Antonio TX | 1 | — | — | — | $1,919–$1,919 |
| San Diego CA | 1 | — | — | — | $707–$707 |
| San Francisco Bay Area CA | 1 | — | — | — | $608–$608 |
| Seattle-Tacoma WA | 6 | $1,945 | $1,992 | $2,139 | $1,673–$2,172 |
| St. Louis MO | 2 | — | — | — | $3,153–$3,897 |
| Tampa FL | 2 | — | — | — | $1,680–$2,059 |
| Washington DC | 4 | — | — | — | $2,229–$2,598 |
| Wisconsin (statewide) | 1 | — | — | — | $1,456–$1,456 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Sarah Bush Lincoln Health Center | Illinois (statewide) | $342 | 0.6× | 3 | 2026-06-03 |
| Hendricks Regional Health | Indianapolis IN | $348 | 0.6× | 4 | 2026-05-20 |
| Ascension St Vincent Anderson | Indianapolis IN | $493 | 0.8× | 1 | 2026-01-01 |
| Ascension St Vincent Carmel | Indianapolis IN | $493 | 0.8× | 1 | 2026-01-01 |
| Ascension Seton Medical Center Austin | Austin TX | $532 | 1.0× | 3 | 2026-01-01 |
| Henry Ford Health Rochester Hospital | Detroit MI | $582 | 1.1× | 2 | 2026-01-01 |
| John Muir Medical Center - Walnut Creek Campus | San Francisco Bay Area CA | $608 | 0.8× | 2 | 2026-03-23 |
| Corewell Health Beaumont Grosse Pointe Hospital | Detroit MI | $666 | 1.2× | 2 | 2026-05-01 |
| University of Chicago Medical Center | Chicago IL | $678 | 1.1× | 1 | 2026-04-01 |
| Corewell Health William Beaumont University Hospit | Detroit MI | $706 | 1.3× | 2 | 2026-05-01 |
| Corewell Health Beaumont Troy Hospital | Detroit MI | $706 | 1.3× | 2 | 2026-05-01 |
| Scripps Green Hospital | San Diego CA | $707 | 1.0× | 1 | 2026-03-30 |
| Corewell Health Dearborn Hospital | Detroit MI | $708 | 1.3× | 1 | 2026-05-01 |
| Vanderbilt University Medical Center | Nashville TN | $721 | 1.4× | 8 | 2025-10-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $744 | 1.3× | 3 | 2026-04-01 |
| Anna Jaques Hospital | Boston MA | $997 | 1.5× | 4 | 2026-04-01 |
| New England Baptist Hospital | Boston MA | $1,032 | 1.6× | 4 | 2026-04-01 |
| Bethesda North | Ohio (statewide) | $1,110 | 2.1× | 4 | 2026-04-01 |
| Loyola University Medical Center | Chicago IL | $1,150 | 1.9× | 1 | 2026-03-31 |
| Ascension Saint Thomas Rutherford | Nashville TN | $1,186 | 2.3× | 2 | 2026-01-01 |
| Beth Israel Deaconess Medical Center | Boston MA | $1,189 | 1.8× | 1 | 2026-04-01 |
| University Medical Center of Southern Nevada | Las Vegas NV | $1,205 | 2.1× | 7 | 2026-07-01 |
| Endeavor Health Edward Hospital | Chicago IL | $1,232 | 2.1× | 2 | 2026-04-01 |
| Winchester Hospital | Boston MA | $1,260 | 1.9× | 2 | 2026-04-01 |
| Montefiore Medical Center | New York City | $1,286 | 1.9× | 9 | 2026-04-01 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $1,336 | 2.0× | 2 | 2026-04-01 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $1,358 | 2.1× | 2 | 2026-04-01 |
| Abbott Northwestern Hospital | Minneapolis-St. Paul MN | $1,373 | 2.4× | 3 | 2026-06-16 |
| Piedmont Atlanta Hospital | Atlanta GA | $1,414 | 2.6× | 3 | 2026-07-01 |
| Piedmont Fayette Hospital | Atlanta GA | $1,414 | 2.6× | 3 | 2026-07-01 |
| Piedmont Newnan Hospital | Atlanta GA | $1,414 | 2.6× | 3 | 2026-07-01 |
| United Hospital (Allina) | Minneapolis-St. Paul MN | $1,426 | 2.5× | 2 | 2026-06-16 |
| Orthopaedic Hospital Of Wisconsin | Wisconsin (statewide) | $1,456 | 2.7× | 2 | 2026-01-01 |
| Mercy Hospital (Allina, Coon Rapids) | Minneapolis-St. Paul MN | $1,464 | 2.5× | 2 | 2026-06-17 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $1,486 | 2.9× | 3 | 2026-07-14 |
| Adventhealth Porter | Denver CO | $1,497 | 2.6× | 4 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $1,497 | 2.6× | 4 | 2026-04-01 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $1,535 | 2.9× | 3 | 2026-01-01 |
| Legacy Emanuel Medical Center | Portland OR | $1,612 | 2.6× | 2 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $1,612 | 2.6× | 2 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $1,612 | 2.6× | 2 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $1,612 | 2.6× | 2 | 2026-04-01 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $1,673 | 2.6× | 5 | 2026-04-01 |
| Tampa General Hospital | Tampa FL | $1,680 | 2.9× | 3 | 2026-04-01 |
| Endeavor Health Evanston Hospital | Chicago IL | $1,724 | 2.9× | 3 | 2026-04-01 |
| Methodist Hospital | San Antonio TX | $1,919 | 3.5× | 5 | 2026-09-01 |
| St Clare Hospital | Seattle-Tacoma WA | $1,945 | 3.0× | 5 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $1,945 | 3.0× | 5 | 2026-02-28 |
| Cleveland Clinic (main campus) | Cleveland OH | $1,960 | 3.8× | 2 | 2026-06-16 |
| UCHealth University of Colorado Hospital | Denver CO | $2,008 | 3.5× | 2 | 2025-11-01 |
| Swedish Medical Center | Seattle-Tacoma WA | $2,040 | 3.2× | 4 | 2026-04-01 |
| HCA HealthONE Swedish | Denver CO | $2,058 | 3.5× | 4 | 2026-09-01 |
| Morton Plant Hospital | Tampa FL | $2,059 | 3.6× | 2 | 2026-01-01 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $2,087 | 3.5× | 2 | 2026-04-01 |
| Harper University Hospital | Detroit MI | $2,111 | 3.9× | 2 | 2026-09-02 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $2,124 | 3.7× | 4 | 2026-09-01 |
| HCA HealthONE Sky Ridge | Denver CO | $2,170 | 3.7× | 4 | 2026-09-01 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $2,172 | 3.4× | 7 | 2026-08-27 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $2,172 | 3.4× | 7 | 2026-08-27 |
| Lehigh Valley Hospital | Pennsylvania (statewide) | $2,214 | 4.0× | 6 | 2026-07-01 |
| Medstar Washington Hospital Center | Washington DC | $2,229 | 3.4× | 5 | 2026-04-01 |
| Hca Healthone Rose | Denver CO | $2,232 | 3.9× | 4 | 2026-09-01 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $2,296 | 4.8× | 1 | 2026-04-01 |
| Beverly Hospital Corporation | Boston MA | $2,337 | 3.5× | 4 | 2026-04-01 |
| Inova Alexandria Hospital | Washington DC | $2,485 | 4.4× | 5 | 2026-04-01 |
| Medical City Plano | Dallas-Fort Worth TX | $2,502 | 4.5× | 4 | 2026-09-01 |
| Medical City Mckinney | Dallas-Fort Worth TX | $2,502 | 4.5× | 4 | 2026-09-01 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $2,580 | 4.7× | 2 | 2026-04-21 |
| Reston Hospital Center | Washington DC | $2,598 | 4.6× | 4 | 2026-09-01 |
| Stonesprings Hospital Center | Washington DC | $2,598 | 4.6× | 4 | 2026-09-01 |
| Rush University Medical Center | Chicago IL | $2,639 | 4.5× | 2 | 2026-09-25 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $2,678 | 4.6× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $2,678 | 4.6× | 5 | 2026-04-01 |
| Buffalo Hospital | Minneapolis-St. Paul MN | $2,712 | 4.7× | 4 | 2026-06-16 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $2,772 | 5.2× | 3 | 2026-09-01 |
| Henrico Doctors' Hospital | Richmond VA | $2,772 | 5.2× | 3 | 2026-09-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $2,788 | 4.8× | 4 | 2026-04-01 |
| Providence St Vincent Medical Center | Portland OR | $2,794 | 4.6× | 2 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $2,794 | 4.6× | 2 | 2026-04-01 |
| Keck Hospital Of Usc | Los Angeles CA | $2,822 | 4.0× | 4 | 2026-04-01 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $2,850 | 5.2× | 3 | 2026-06-29 |
| TriStar StoneCrest Medical Center | Nashville TN | $2,870 | 5.4× | 5 | 2026-09-01 |
| Menorah Medical Center | Kansas (statewide) | $3,081 | 5.9× | 5 | 2026-09-01 |
| Riddle Memorial Hospital | Philadelphia PA | $3,152 | 5.6× | 2 | 2026-04-01 |
| Mercy Hospital South | St. Louis MO | $3,153 | 5.7× | 1 | 2026-06-10 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $3,286 | 6.3× | 4 | 2026-06-15 |
| Medina Hospital | Cleveland OH | $3,286 | 6.3× | 4 | 2026-06-15 |
| Bryn Mawr Hospital | Philadelphia PA | $3,340 | 5.9× | 2 | 2026-04-01 |
| Emory University Hospital | Atlanta GA | $3,387 | 6.1× | 4 | 2026-04-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $3,459 | 6.1× | 1 | 2026-09-15 |
| St David's Medical Center | Austin TX | $3,479 | 6.3× | 5 | 2026-09-01 |
| Houston Methodist Hospital | Houston TX | $3,578 | 6.5× | 5 | 2026-04-01 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $3,728 | 7.2× | 3 | 2026-06-15 |
| Mercy Hospital St Louis | St. Louis MO | $3,897 | 7.1× | 1 | 2026-06-04 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $4,100 | 6.0× | 4 | 2026-01-01 |
| Los Robles Hospital & Medical Center | California (statewide) | $5,119 | 7.2× | 1 | 2026-09-01 |
Across 96 hospitals in 33 metro areas that post a usable dollar rate, the median commercial rate for CPT 66821, hospital outpatient is $1,953, 3.3× the same hospital's local Medicare base rate. The middle half of hospitals runs $1,280 to $2,678. Figures are each hospital's median across insurers, from its federal price-transparency file.
Medicare's national hospital outpatient rate for CPT 66821 is $562 and its surgery-center rate is $302, before local wage adjustment.
Lowest medians: Sarah Bush Lincoln Health Center ($342), Hendricks Regional Health ($348), Ascension St Vincent Anderson ($493). Highest: Los Robles Hospital & Medical Center ($5,119), NYU Langone Hospitals (Orthopedic Hospital + Tisch files) ($4,100), Mercy Hospital St Louis ($3,897). Coverage is limited to the markets listed on this page.