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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.

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CPT 66821: After Cataract Laser Surgery

96 hospitals in 33 markets. National Medicare rate $562, surgery center $302.

MarketHospitals25th pctMedian75th pctLow–high
Atlanta GA4———$1,414–$3,387
Austin TX2———$532–$3,479
Boston MA7$1,110$1,260$1,347$997–$2,337
California (statewide)1———$5,119–$5,119
Chicago IL7$947$1,232$1,906$678–$2,639
Cleveland OH5$1,960$3,286$3,286$1,486–$3,728
Dallas-Fort Worth TX4———$2,502–$2,850
Denver CO7$1,752$2,058$2,147$1,497–$2,232
Detroit MI6$676$706$708$582–$2,111
Georgia (statewide)1———$2,296–$2,296
Houston TX1———$3,578–$3,578
Illinois (statewide)1———$342–$342
Indianapolis IN3———$348–$493
Kansas (statewide)1———$3,081–$3,081
Las Vegas NV1———$1,205–$1,205
Los Angeles CA1———$2,822–$2,822
Minneapolis-St. Paul MN4———$1,373–$2,712
Nashville TN4———$721–$2,870
New York City2———$1,286–$4,100
Ohio (statewide)1———$1,110–$1,110
Pennsylvania (statewide)1———$2,214–$2,214
Philadelphia PA3———$3,152–$3,459
Phoenix AZ3———$2,678–$2,788
Portland OR6$1,612$1,612$2,498$1,612–$2,794
Richmond VA2———$2,772–$2,772
San Antonio TX1———$1,919–$1,919
San Diego CA1———$707–$707
San Francisco Bay Area CA1———$608–$608
Seattle-Tacoma WA6$1,945$1,992$2,139$1,673–$2,172
St. Louis MO2———$3,153–$3,897
Tampa FL2———$1,680–$2,059
Washington DC4———$2,229–$2,598
Wisconsin (statewide)1———$1,456–$1,456
HospitalMarketMedian across insurers× MedicareInsurersFile date
Sarah Bush Lincoln Health CenterIllinois (statewide)$3420.6×32026-06-03
Hendricks Regional HealthIndianapolis IN$3480.6×42026-05-20
Ascension St Vincent AndersonIndianapolis IN$4930.8×12026-01-01
Ascension St Vincent CarmelIndianapolis IN$4930.8×12026-01-01
Ascension Seton Medical Center AustinAustin TX$5321.0×32026-01-01
Henry Ford Health Rochester HospitalDetroit MI$5821.1×22026-01-01
John Muir Medical Center - Walnut Creek CampusSan Francisco Bay Area CA$6080.8×22026-03-23
Corewell Health Beaumont Grosse Pointe HospitalDetroit MI$6661.2×22026-05-01
University of Chicago Medical CenterChicago IL$6781.1×12026-04-01
Corewell Health William Beaumont University HospitDetroit MI$7061.3×22026-05-01
Corewell Health Beaumont Troy HospitalDetroit MI$7061.3×22026-05-01
Scripps Green HospitalSan Diego CA$7071.0×12026-03-30
Corewell Health Dearborn HospitalDetroit MI$7081.3×12026-05-01
Vanderbilt University Medical CenterNashville TN$7211.4×82025-10-01
Endeavor Health Northwest Community HospitalChicago IL$7441.3×32026-04-01
Anna Jaques HospitalBoston MA$9971.5×42026-04-01
New England Baptist HospitalBoston MA$1,0321.6×42026-04-01
Bethesda NorthOhio (statewide)$1,1102.1×42026-04-01
Loyola University Medical CenterChicago IL$1,1501.9×12026-03-31
Ascension Saint Thomas RutherfordNashville TN$1,1862.3×22026-01-01
Beth Israel Deaconess Medical CenterBoston MA$1,1891.8×12026-04-01
University Medical Center of Southern NevadaLas Vegas NV$1,2052.1×72026-07-01
Endeavor Health Edward HospitalChicago IL$1,2322.1×22026-04-01
Winchester HospitalBoston MA$1,2601.9×22026-04-01
Montefiore Medical CenterNew York City$1,2861.9×92026-04-01
Lahey Hospital & Medical Center, BurlingtonBoston MA$1,3362.0×22026-04-01
Beth Israel Deaconess Hospital - PlymouthBoston MA$1,3582.1×22026-04-01
Abbott Northwestern HospitalMinneapolis-St. Paul MN$1,3732.4×32026-06-16
Piedmont Atlanta HospitalAtlanta GA$1,4142.6×32026-07-01
Piedmont Fayette HospitalAtlanta GA$1,4142.6×32026-07-01
Piedmont Newnan HospitalAtlanta GA$1,4142.6×32026-07-01
United Hospital (Allina)Minneapolis-St. Paul MN$1,4262.5×22026-06-16
Orthopaedic Hospital Of WisconsinWisconsin (statewide)$1,4562.7×22026-01-01
Mercy Hospital (Allina, Coon Rapids)Minneapolis-St. Paul MN$1,4642.5×22026-06-17
University Hospitals - Elyria Medical CenterCleveland OH$1,4862.9×32026-07-14
Adventhealth PorterDenver CO$1,4972.6×42026-04-01
Adventhealth ParkerDenver CO$1,4972.6×42026-04-01
Ascension Saint Thomas Hospital (Midtown + West)Nashville TN$1,5352.9×32026-01-01
Legacy Emanuel Medical CenterPortland OR$1,6122.6×22026-04-01
Legacy Good Samaritan Medical CenterPortland OR$1,6122.6×22026-04-01
Legacy Mount Hood Medical CenterPortland OR$1,6122.6×22026-04-01
Legacy Meridian Park Medical CenterPortland OR$1,6122.6×22026-04-01
Overlake Hospital Medical CenterSeattle-Tacoma WA$1,6732.6×52026-04-01
Tampa General HospitalTampa FL$1,6802.9×32026-04-01
Endeavor Health Evanston HospitalChicago IL$1,7242.9×32026-04-01
Methodist HospitalSan Antonio TX$1,9193.5×52026-09-01
St Clare HospitalSeattle-Tacoma WA$1,9453.0×52026-02-28
St Anthony HospitalSeattle-Tacoma WA$1,9453.0×52026-02-28
Cleveland Clinic (main campus)Cleveland OH$1,9603.8×22026-06-16
UCHealth University of Colorado HospitalDenver CO$2,0083.5×22025-11-01
Swedish Medical CenterSeattle-Tacoma WA$2,0403.2×42026-04-01
HCA HealthONE SwedishDenver CO$2,0583.5×42026-09-01
Morton Plant HospitalTampa FL$2,0593.6×22026-01-01
Endeavor Health Elmhurst HospitalChicago IL$2,0873.5×22026-04-01
Harper University HospitalDetroit MI$2,1113.9×22026-09-02
HCA HealthONE Presbyterian/St. Luke'sDenver CO$2,1243.7×42026-09-01
HCA HealthONE Sky RidgeDenver CO$2,1703.7×42026-09-01
Multicare Good Samaritan HospitalSeattle-Tacoma WA$2,1723.4×72026-08-27
Tacoma General Allenmore HospitalSeattle-Tacoma WA$2,1723.4×72026-08-27
Lehigh Valley HospitalPennsylvania (statewide)$2,2144.0×62026-07-01
Medstar Washington Hospital CenterWashington DC$2,2293.4×52026-04-01
Hca Healthone RoseDenver CO$2,2323.9×42026-09-01
Emory Houston Hospital Warner RobinsGeorgia (statewide)$2,2964.8×12026-04-01
Beverly Hospital CorporationBoston MA$2,3373.5×42026-04-01
Inova Alexandria HospitalWashington DC$2,4854.4×52026-04-01
Medical City PlanoDallas-Fort Worth TX$2,5024.5×42026-09-01
Medical City MckinneyDallas-Fort Worth TX$2,5024.5×42026-09-01
Texas Health Presbyterian Hospital DallasDallas-Fort Worth TX$2,5804.7×22026-04-21
Reston Hospital CenterWashington DC$2,5984.6×42026-09-01
Stonesprings Hospital CenterWashington DC$2,5984.6×42026-09-01
Rush University Medical CenterChicago IL$2,6394.5×22026-09-25
HonorHealth Scottsdale Osborn Medical CenterPhoenix AZ$2,6784.6×52026-04-01
HonorHealth Scottsdale Shea Medical CenterPhoenix AZ$2,6784.6×52026-04-01
Buffalo HospitalMinneapolis-St. Paul MN$2,7124.7×42026-06-16
CJW Medical Center (Chippenham + Johnston-Willis)Richmond VA$2,7725.2×32026-09-01
Henrico Doctors' HospitalRichmond VA$2,7725.2×32026-09-01
HonorHealth Scottsdale Thompson Peak Medical CenterPhoenix AZ$2,7884.8×42026-04-01
Providence St Vincent Medical CenterPortland OR$2,7944.6×22026-04-01
Providence Portland Medical CenterPortland OR$2,7944.6×22026-04-01
Keck Hospital Of UscLos Angeles CA$2,8224.0×42026-04-01
Baylor University Medical CenterDallas-Fort Worth TX$2,8505.2×32026-06-29
TriStar StoneCrest Medical CenterNashville TN$2,8705.4×52026-09-01
Menorah Medical CenterKansas (statewide)$3,0815.9×52026-09-01
Riddle Memorial HospitalPhiladelphia PA$3,1525.6×22026-04-01
Mercy Hospital SouthSt. Louis MO$3,1535.7×12026-06-10
Cleveland Clinic Lutheran HospitalCleveland OH$3,2866.3×42026-06-15
Medina HospitalCleveland OH$3,2866.3×42026-06-15
Bryn Mawr HospitalPhiladelphia PA$3,3405.9×22026-04-01
Emory University HospitalAtlanta GA$3,3876.1×42026-04-01
Thomas Jefferson University HospitalPhiladelphia PA$3,4596.1×12026-09-15
St David's Medical CenterAustin TX$3,4796.3×52026-09-01
Houston Methodist HospitalHouston TX$3,5786.5×52026-04-01
Cleveland Clinic Hillcrest HospitalCleveland OH$3,7287.2×32026-06-15
Mercy Hospital St LouisSt. Louis MO$3,8977.1×12026-06-04
NYU Langone Hospitals (Orthopedic Hospital + Tisch files)New York City$4,1006.0×42026-01-01
Los Robles Hospital & Medical CenterCalifornia (statewide)$5,1197.2×12026-09-01

Questions

How much do commercial insurers pay hospitals for laser after cataract (yag capsulotomy)?

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.

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: 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.