All procedures / Cataract Surgery
Across 691 US hospitals that publish federally required price files, the median negotiated rate for cataract surgery with a lens implant is $2,545 — 1.1× the Medicare outpatient rate of $2,358. The middle half of hospitals negotiated between $2,200 and $4,182; the priciest tenth negotiated more than $6,235, 5.0× the cheapest tenth (under $1,248). Hospitals that list a self-pay price ask a median of $3,329 (253 hospitals).
Code CPT 66984 · Source: hospital machine-readable files (45 CFR §180), file dates 2024-01-01 to 2026-09-14 (median 2026-04-01) · Medicare baseline: CMS OPPS Addendum B, July 2026 · Data extracted 2026-10-06 · Page updated 2026-10-07
| Insurance type | Hospitals | Median | Middle half | × Medicare |
|---|---|---|---|---|
| Commercial (plan type not stated) | 394 | $4,712 | $3,249 – $7,369 | 2.0× |
| PPO | 396 | $5,073 | $3,336 – $7,734 | 2.2× |
| HMO | 288 | $4,711 | $2,860 – $6,851 | 2.0× |
| EPO | 50 | $4,182 | $2,382 – $7,404 | 1.8× |
| POS | 30 | $5,120 | $4,029 – $6,192 | 2.2× |
| ACA Marketplace | 279 | $3,832 | $2,999 – $5,074 | 1.6× |
| Medicare Advantage | 338 | $2,303 | $2,146 – $2,493 | 1.0× |
| Medicare (as listed) | 400 | $2,345 | $2,198 – $2,530 | 1.0× |
| Medicaid | 384 | $1,810 | $935 – $2,475 | 0.8× |
| Workers' comp | 51 | $3,123 | $2,934 – $4,309 | 1.3× |
Plan types are grouped from each hospital's plan names. Each figure is a median of hospital-level medians; types with fewer than 20 hospitals are left out.
| State | Hospitals | Median | Middle half | Spread (shared scale $0–$10,000) | × Medicare | Median cash |
|---|---|---|---|---|---|---|
| Alabama | 9 | $2,112 | $2,006 – $2,197 | 0.9× | $2,465 | |
| Arizona | 5 | $1,507 | $1,507 – $2,647 | 0.6× | $2,151 | |
| California | 27 | $3,977 | $2,954 – $11,042 | 1.7× | $2,953 | |
| Florida | 30 | $2,543 | $2,411 – $3,983 | 1.1× | $1,606 | |
| Georgia | 22 | $4,175 | $2,591 – $4,337 | 1.8× | $3,033 | |
| Hawaii | 6 | $2,338 | $2,241 – $2,632 | 1.0× | — | |
| Idaho | 5 | $4,479 | $1,637 – $4,591 | 1.9× | $5,599 | |
| Illinois | 21 | $2,572 | $2,473 – $3,984 | 1.1× | $4,311 | |
| Indiana | 14 | $3,257 | $2,930 – $5,468 | 1.4× | $3,977 | |
| Iowa | 9 | $2,235 | $1,614 – $2,376 | 0.9× | $2,146 | |
| Kansas | 14 | $3,559 | $2,211 – $4,512 | 1.5× | $3,091 | |
| Kentucky | 19 | $2,288 | $2,188 – $3,494 | 1.0× | $2,697 | |
| Louisiana | 17 | $2,090 | $1,963 – $3,664 | 0.9× | $1,900 | |
| Massachusetts | 6 | $2,607 | $2,388 – $3,234 | 1.1× | $12,675 | |
| Michigan | 25 | $2,044 | $1,248 – $2,444 | 0.9× | $2,858 | |
| Minnesota | 22 | $2,335 | $2,264 – $2,395 | 1.0× | $4,276 | |
| Mississippi | 11 | $2,220 | $2,112 – $3,238 | 0.9× | $3,280 | |
| Missouri | 19 | $2,335 | $2,268 – $2,452 | 1.0× | $5,427 | |
| Nebraska | 18 | $2,358 | $1,807 – $3,153 | 1.0× | $3,499 | |
| Nevada | 5 | $3,203 | $3,203 – $3,203 | 1.4× | — | |
| New Hampshire | 6 | $3,372 | $2,993 – $4,185 | 1.4× | — | |
| New Jersey | 19 | $4,759 | $2,596 – $5,110 | 2.0× | $4,996 | |
| New Mexico | 8 | $3,301 | $2,513 – $13,999 | 1.4× | $953 | |
| New York | 32 | $2,881 | $2,530 – $3,215 | 1.2× | $1,825 | |
| North Carolina | 13 | $2,227 | $2,172 – $2,271 | 0.9× | $5,661 | |
| North Dakota | 5 | $3,411 | $2,349 – $3,516 | 1.4× | $5,072 | |
| Ohio | 40 | $2,526 | $2,146 – $5,366 | 1.1× | $5,142 | |
| Oklahoma | 17 | $2,890 | $2,191 – $4,333 | 1.2× | $4,650 | |
| Oregon | 13 | $6,838 | $3,759 – $6,838 | 2.9× | $4,905 | |
| Pennsylvania | 38 | $2,282 | $1,661 – $2,469 | 1.0× | $1,825 | |
| South Carolina | 23 | $2,397 | $2,271 – $4,649 | 1.0× | $3,461 | |
| Tennessee | 14 | $2,302 | $2,187 – $2,662 | 1.0× | $2,360 | |
| Texas | 67 | $2,444 | $2,198 – $4,338 | 1.0× | $3,942 | |
| Utah | 13 | $2,570 | $2,570 – $4,182 | 1.1× | — | |
| Vermont | 5 | $2,260 | $2,188 – $2,847 | 1.0× | $3,650 | |
| Virginia | 14 | $5,535 | $3,900 – $7,213 | 2.3× | — | |
| Washington | 6 | $3,836 | $2,922 – $5,599 | 1.6× | $3,637 | |
| West Virginia | 6 | $2,387 | $864 – $5,440 | 1.0× | $8,907 | |
| Wisconsin | 24 | $3,312 | $2,194 – $5,086 | 1.4× | $1,597 |
middle half of hospitalsstate medianMedicare rate · a dotted end means the range runs past $10,000
States with at least 5 hospitals in our data (39 states). 9 smaller states are counted in the national figures but not listed — a median of two or three hospitals says more about those hospitals than about the state.
Hospital-level and insurer-level rates for this procedure are in the full dataset. A free three-procedure sample (brain MRI, head CT, diagnostic colonoscopy) is open under CC BY 4.0: DOI 10.5281/zenodo.23199844 · Kaggle.