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Laser after cataract (YAG capsulotomy): what insurers pay

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

CPT 66821: Laser After Cataract (Yag Capsulotomy)

1061 hospitals in 78 markets. National Medicare rate $562, surgery center $302.

MarketHospitals25th pctMedian75th pctLow–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 GA10$1,414$2,566$3,387$1,414–$3,387
Austin TX13$532$1,133$2,045$532–$2,430
Boston MA11$1,048$1,211$1,404$544–$1,736
California (statewide)58$948$1,619$2,076$374–$5,119
Charlotte NC5$652$652$652$643–$652
Chicago IL10$1,170$1,797$2,501$678–$3,314
Cleveland OH11$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 TX14$826$1,994$2,045$826–$2,895
Denver CO15$1,652$2,274$2,486$1,296–$3,489
Detroit MI12$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 TX17$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 IN4———$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 NV1———$2,214–$2,214
Los Angeles CA16$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 FL1———$1,024–$1,024
Michigan (statewide)20$550$674$944$484–$1,063
Minneapolis-St. Paul MN12$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 TN8$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 City7$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 PA8$2,617$3,225$3,350$2,390–$3,459
Phoenix AZ8$2,658$2,678$2,706$2,600–$2,788
Pittsburgh PA6$562$695$836$559–$1,479
Portland OR9$2,182$2,182$2,282$2,000–$2,282
Rhode Island (statewide)4———$738–$2,599
Richmond VA3———$2,574–$2,772
Rio Grande Valley TX3———$1,082–$2,650
Salt Lake City UT9$816$816$816$529–$835
San Antonio TX3———$876–$2,016
San Diego CA4———$1,203–$1,203
San Francisco Bay Area CA4———$777–$4,922
Seattle-Tacoma WA16$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 MO4———$3,153–$4,587
Tampa FL6$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 DC9$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

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Larkin Community Hospital Palm Springs CampusFlorida (statewide)$3090.5×22026-01-30
Sanford Medical Center BismarckNorth Dakota (statewide)$3090.6×12026-03-04
San Juan HospitalUtah (statewide)$3150.6×12026-04-13
Creek Nation Community HospitalOklahoma (statewide)$3340.6×52026-01-24
Sarah Bush Lincoln Health CenterIllinois (statewide)$3420.6×32026-06-03
St Joseph HospitalNew Hampshire (statewide)$3630.6×12026-04-01
Clifton Springs Hospital And ClinicNew York (statewide)$3650.5×12026-04-01
Hendricks Regional HealthIndianapolis IN$3700.6×62026-05-20
Lac/Olive View-Ucla Medical CenterCalifornia (statewide)$3740.5×12026-03-12
Lac/Harbor-Ucla Med CenterCalifornia (statewide)$3740.5×12026-03-12
Lac/Rancho Los Amigos National Rehabilitation CtrCalifornia (statewide)$3740.5×12026-03-12
Valley Children'S HospitalCalifornia (statewide)$3740.5×12026-04-01
River Falls Area HospitalWisconsin (statewide)$4,1277.2×32026-06-15
Albany Medical Center HospitalNew York (statewide)$4,2716.2×42025-12-31
Parkland Health Center - Bonne TerreMissouri (statewide)$4,4028.0×22025-12-15
Fresno Surgical HospitalCalifornia (statewide)$4,4946.4×32026-06-16
Schneck Medical CenterIndiana (statewide)$4,5007.7×12024-01-24
Monadnock Community HospitalNew Hampshire (statewide)$4,5037.7×22026-04-01
Alton Memorial HospitalSt. Louis MO$4,5877.8×32025-12-15
Hoag Memorial Hospital PresbyterianLos Angeles CA$4,6056.5×22026-04-01
Rady Children'S Hospital - San DiegoCalifornia (statewide)$4,6166.5×22026-04-01
Good Samaritan HospitalSan Francisco Bay Area CA$4,7565.9×72026-09-01
Stanford Health Care Tri-ValleySan Francisco Bay Area CA$4,9226.3×32026-04-01
Los Robles Hospital & Medical CenterCalifornia (statewide)$5,1197.2×12026-09-01

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 laser after cataract (yag capsulotomy)?

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.

What does Medicare pay for laser after cataract (yag capsulotomy)?

Medicare's national hospital outpatient rate for CPT 66821 is $562 and its surgery-center rate is $302, before local wage adjustment.

Which hospitals post the lowest and highest commercial rates for laser after cataract (yag capsulotomy)?

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.