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
1061 hospitals in 78 markets. National Medicare rate $562, surgery center $302.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 9 | $491 | $594 | $958 | $400–$1,030 |
| Alaska (statewide) | 2 | — | — | — | $607–$1,929 |
| Arizona (statewide) | 5 | $384 | $1,859 | $2,788 | $375–$3,901 |
| Arkansas (statewide) | 4 | — | — | — | $486–$1,594 |
| Atlanta GA | 10 | $1,414 | $2,566 | $3,387 | $1,414–$3,387 |
| Austin TX | 13 | $532 | $1,133 | $2,045 | $532–$2,430 |
| Boston MA | 11 | $1,048 | $1,211 | $1,404 | $544–$1,736 |
| California (statewide) | 58 | $948 | $1,619 | $2,076 | $374–$5,119 |
| Charlotte NC | 5 | $652 | $652 | $652 | $643–$652 |
| Chicago IL | 10 | $1,170 | $1,797 | $2,501 | $678–$3,314 |
| Cleveland OH | 11 | $1,041 | $1,766 | $2,188 | $546–$2,593 |
| Colorado (statewide) | 14 | $1,749 | $2,292 | $2,940 | $551–$3,137 |
| Connecticut (statewide) | 2 | — | — | — | $840–$3,362 |
| Dallas-Fort Worth TX | 14 | $826 | $1,994 | $2,045 | $826–$2,895 |
| Denver CO | 15 | $1,652 | $2,274 | $2,486 | $1,296–$3,489 |
| Detroit MI | 12 | $666 | $705 | $892 | $458–$2,111 |
| Florida (statewide) | 68 | $964 | $2,002 | $2,350 | $309–$3,509 |
| Georgia (statewide) | 32 | $1,414 | $1,869 | $2,566 | $1,022–$3,387 |
| Hawaii (statewide) | 2 | — | — | — | $516–$715 |
| Houston TX | 17 | $1,362 | $2,128 | $2,989 | $1,018–$3,578 |
| Idaho (statewide) | 11 | $552 | $627 | $916 | $531–$1,761 |
| Illinois (statewide) | 29 | $884 | $1,440 | $1,846 | $342–$3,811 |
| Indiana (statewide) | 32 | $493 | $1,086 | $2,125 | $394–$4,500 |
| Indianapolis IN | 4 | — | — | — | $370–$493 |
| Iowa (statewide) | 15 | $910 | $1,178 | $1,271 | $602–$3,262 |
| Kansas (statewide) | 17 | $840 | $910 | $1,307 | $611–$3,081 |
| Kentucky (statewide) | 15 | $934 | $1,494 | $1,904 | $741–$3,378 |
| Las Vegas NV | 1 | — | — | — | $2,214–$2,214 |
| Los Angeles CA | 16 | $1,880 | $2,072 | $2,391 | $1,003–$4,605 |
| Louisiana (statewide) | 21 | $508 | $720 | $982 | $492–$1,556 |
| Maine (statewide) | 15 | $2,248 | $2,578 | $2,610 | $1,439–$3,281 |
| Massachusetts (statewide) | 3 | — | — | — | $1,042–$2,669 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $1,024–$1,024 |
| Michigan (statewide) | 20 | $550 | $674 | $944 | $484–$1,063 |
| Minneapolis-St. Paul MN | 12 | $1,330 | $1,684 | $1,706 | $1,170–$2,712 |
| Minnesota (statewide) | 14 | $1,688 | $1,818 | $2,327 | $1,341–$2,762 |
| Mississippi (statewide) | 12 | $545 | $788 | $1,160 | $545–$2,091 |
| Missouri (statewide) | 16 | $959 | $1,540 | $2,380 | $535–$4,402 |
| Montana (statewide) | 3 | — | — | — | $1,138–$1,732 |
| Nashville TN | 8 | $972 | $1,684 | $2,418 | $736–$2,462 |
| Nebraska (statewide) | 13 | $826 | $1,616 | $3,262 | $773–$3,909 |
| Nevada (statewide) | 1 | — | — | — | $1,137–$1,137 |
| New Hampshire (statewide) | 6 | $1,925 | $2,170 | $2,458 | $363–$4,503 |
| New Jersey (statewide) | 17 | $646 | $1,806 | $1,871 | $600–$3,598 |
| New Mexico (statewide) | 5 | $1,084 | $1,195 | $1,752 | $579–$1,844 |
| New York (statewide) | 32 | $1,100 | $1,456 | $2,120 | $365–$4,271 |
| New York City | 7 | $2,112 | $2,121 | $2,854 | $1,159–$4,100 |
| North Carolina (statewide) | 3 | — | — | — | $734–$1,405 |
| North Dakota (statewide) | 6 | $805 | $988 | $1,189 | $309–$1,328 |
| Ohio (statewide) | 37 | $1,110 | $1,662 | $2,036 | $442–$2,816 |
| Oklahoma (statewide) | 13 | $794 | $1,044 | $1,217 | $334–$3,598 |
| Oregon (statewide) | 10 | $1,277 | $1,508 | $2,112 | $619–$2,564 |
| Pennsylvania (statewide) | 24 | $912 | $1,530 | $2,022 | $505–$2,530 |
| Philadelphia PA | 8 | $2,617 | $3,225 | $3,350 | $2,390–$3,459 |
| Phoenix AZ | 8 | $2,658 | $2,678 | $2,706 | $2,600–$2,788 |
| Pittsburgh PA | 6 | $562 | $695 | $836 | $559–$1,479 |
| Portland OR | 9 | $2,182 | $2,182 | $2,282 | $2,000–$2,282 |
| Rhode Island (statewide) | 4 | — | — | — | $738–$2,599 |
| Richmond VA | 3 | — | — | — | $2,574–$2,772 |
| Rio Grande Valley TX | 3 | — | — | — | $1,082–$2,650 |
| Salt Lake City UT | 9 | $816 | $816 | $816 | $529–$835 |
| San Antonio TX | 3 | — | — | — | $876–$2,016 |
| San Diego CA | 4 | — | — | — | $1,203–$1,203 |
| San Francisco Bay Area CA | 4 | — | — | — | $777–$4,922 |
| Seattle-Tacoma WA | 16 | $1,750 | $1,812 | $1,936 | $1,453–$2,040 |
| South Carolina (statewide) | 15 | $1,128 | $1,809 | $2,651 | $749–$3,175 |
| South Dakota (statewide) | 2 | — | — | — | $901–$976 |
| St. Louis MO | 4 | — | — | — | $3,153–$4,587 |
| Tampa FL | 6 | $2,059 | $2,059 | $2,059 | $1,213–$2,962 |
| Tennessee (statewide) | 32 | $962 | $1,153 | $1,257 | $685–$2,500 |
| Texas (statewide) | 69 | $782 | $2,000 | $2,380 | $435–$3,695 |
| Utah (statewide) | 8 | $529 | $633 | $765 | $315–$816 |
| Vermont (statewide) | 2 | — | — | — | $441–$721 |
| Virginia (statewide) | 21 | $1,617 | $2,512 | $2,718 | $851–$3,376 |
| Washington (statewide) | 13 | $1,464 | $1,567 | $1,794 | $442–$2,966 |
| Washington DC | 9 | $2,369 | $2,369 | $2,369 | $1,762–$2,747 |
| West Virginia (statewide) | 11 | $784 | $919 | $1,390 | $524–$2,221 |
| Wisconsin (statewide) | 39 | $1,150 | $1,880 | $2,138 | $573–$4,127 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Larkin Community Hospital Palm Springs Campus | Florida (statewide) | $309 | 0.5× | 2 | 2026-01-30 |
| Sanford Medical Center Bismarck | North Dakota (statewide) | $309 | 0.6× | 1 | 2026-03-04 |
| San Juan Hospital | Utah (statewide) | $315 | 0.6× | 1 | 2026-04-13 |
| Creek Nation Community Hospital | Oklahoma (statewide) | $334 | 0.6× | 5 | 2026-01-24 |
| Sarah Bush Lincoln Health Center | Illinois (statewide) | $342 | 0.6× | 3 | 2026-06-03 |
| St Joseph Hospital | New Hampshire (statewide) | $363 | 0.6× | 1 | 2026-04-01 |
| Clifton Springs Hospital And Clinic | New York (statewide) | $365 | 0.5× | 1 | 2026-04-01 |
| Hendricks Regional Health | Indianapolis IN | $370 | 0.6× | 6 | 2026-05-20 |
| Lac/Olive View-Ucla Medical Center | California (statewide) | $374 | 0.5× | 1 | 2026-03-12 |
| Lac/Harbor-Ucla Med Center | California (statewide) | $374 | 0.5× | 1 | 2026-03-12 |
| Lac/Rancho Los Amigos National Rehabilitation Ctr | California (statewide) | $374 | 0.5× | 1 | 2026-03-12 |
| Valley Children'S Hospital | California (statewide) | $374 | 0.5× | 1 | 2026-04-01 |
| River Falls Area Hospital | Wisconsin (statewide) | $4,127 | 7.2× | 3 | 2026-06-15 |
| Albany Medical Center Hospital | New York (statewide) | $4,271 | 6.2× | 4 | 2025-12-31 |
| Parkland Health Center - Bonne Terre | Missouri (statewide) | $4,402 | 8.0× | 2 | 2025-12-15 |
| Fresno Surgical Hospital | California (statewide) | $4,494 | 6.4× | 3 | 2026-06-16 |
| Schneck Medical Center | Indiana (statewide) | $4,500 | 7.7× | 1 | 2024-01-24 |
| Monadnock Community Hospital | New Hampshire (statewide) | $4,503 | 7.7× | 2 | 2026-04-01 |
| Alton Memorial Hospital | St. Louis MO | $4,587 | 7.8× | 3 | 2025-12-15 |
| Hoag Memorial Hospital Presbyterian | Los Angeles CA | $4,605 | 6.5× | 2 | 2026-04-01 |
| Rady Children'S Hospital - San Diego | California (statewide) | $4,616 | 6.5× | 2 | 2026-04-01 |
| Good Samaritan Hospital | San Francisco Bay Area CA | $4,756 | 5.9× | 7 | 2026-09-01 |
| Stanford Health Care Tri-Valley | San Francisco Bay Area CA | $4,922 | 6.3× | 3 | 2026-04-01 |
| Los Robles Hospital & Medical Center | California (statewide) | $5,119 | 7.2× | 1 | 2026-09-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
Across 1061 hospitals in 78 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 66821, hospital outpatient is $1,613, 2.7× the same hospital's local Medicare base rate. The middle half of hospitals runs $878 to $2,274. 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: Larkin Community Hospital Palm Springs Campus ($309), Sanford Medical Center Bismarck ($309), San Juan Hospital ($315). Highest: Los Robles Hospital & Medical Center ($5,119), Stanford Health Care Tri-Valley ($4,922), Good Samaritan Hospital ($4,756). Coverage: every hospital whose price file we could read.