Average Medicaid Cataract Surgery Payments in Albuquerque, NM: $411.27
Avg. Paid
$411.27
Range
$230.60 – $1,332
Total Claims
20,680
Providers
19
Typical Payment Range
Typical Medicaid Cataract Surgery payments fall between $154.52 and $445.35 per claim (median: $259.78). The top 10% of payments exceed $752.47.
Based on per-provider averages across all Medicaid claims in this category.
Cataract surgery removes the cloudy natural lens of the eye and replaces it with an artificial intraocular lens (IOL) to restore clear vision.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Cataract Surgery in Albuquerque, NM
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Albuquerque Ambulatory Eye Surgery Center, Llc
5901 Harper Dr Ne |
$516.74 | 9,116 | 8,454 |
|
Charles Chiang
5757 Harper Dr Ne |
$276.90 | 2,754 | 2,463 |
|
Mark P. Lesher
5757 Harper Drive Ne |
$285.12 | 2,460 | 2,165 |
|
Unm Hospital
2211 Lomas Blvd., N.E. |
$580.39 | 1,541 | 1,404 |
|
Rebekah Camelia Allen
5757 Harper Dr Ne |
$283.68 | 1,167 | 1,002 |
|
Molly Elizabeth Ritsema
5757 Harper Dr Ne |
$305.96 | 1,126 | 1,018 |
|
Arthur J. Weinstein
5757 Harper Drive Ne |
$278.91 | 718 | 623 |
|
Robert F. Melendez
8801 Horizon Blvd |
$271.07 | 478 | 430 |
|
Philip James Sanchez
5757 Harper Drive, Ne |
$291.64 | 367 | 322 |
|
Patrick William Commiskey
5757 Harper Dr Ne |
$294.74 | 225 | 185 |
|
Robert Avery
2211 Lomas Blvd Ne Fl 1 |
$280.75 | 210 | 199 |
|
Pacific Cataract And Laser Institute Inc Pc
8220 San Pedro Ne |
$395.34 | 153 | 117 |
|
Physician Surgery Center Of Albuquerque Llc
9551 Paseo Del Norte Ne |
$440.90 | 128 | 99 |
|
Gregory S.H. Ogawa
5757 Harper Drive Ne |
$292.35 | 95 | 86 |
|
Sean Rivera
5757 Harper Dr Ne |
$334.87 | 61 | 49 |
|
Rachel Davis
Department Of Surgery Ophthalmology |
$230.60 | 38 | 31 |
|
Alexander Shin Davis
1 University Of New Mexico # 105610 |
$301.01 | 17 | 14 |
|
Alfred A Lovato
4333 Pan American Fwy Ne |
$245.29 | 14 | 13 |
|
Lovelace Health System Llc
601 Dr Martin Luther King Jr Ave Ne |
$1,332 | 12 | 12 |
What to Expect: Cataract Surgery
Cataract surgery takes about 15-30 minutes per eye. You'll receive eye drops for anesthesia and possibly mild sedation. The surgeon makes a tiny incision, breaks up the cloudy lens with ultrasound, and inserts a new artificial lens. Recovery is usually quick — most people notice improved vision within a few days. You'll use prescription eye drops for several weeks.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 66984 | Cataract surgery w/IOL insert | $362.00 | 1,499,454 | 2,674 |
| 66982 | Cataract surgery complex | $428.92 | 33,642 | 172 |
| 66840 | Lens removal aspiration technique | — | — | — |
| 66850 | Lens removal phacofragment | — | — | — |
| 66920 | Lens removal intracapsular | — | — | — |
| 66930 | Lens removal intracap w/implant | — | — | — |
| 66940 | Lens removal extracapsular | — | — | — |
| 66983 | Cataract surgery intracap implant | — | — | — |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Cataract Surgery cost in Albuquerque, NM?
Based on public Medicaid payment data, the average Medicaid reimbursement for Cataract Surgery in Albuquerque, NM is $411.27 per claim, based on 20,680 claims from 19 providers. Typical payments fall between $154.52 and $445.35. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Cataract Surgery in Albuquerque, NM?
There are 19 Medicaid providers offering Cataract Surgery related services in Albuquerque, NM according to public payment data.
What is the price range for Cataract Surgery in Albuquerque, NM?
Medicaid reimbursement for Cataract Surgery in Albuquerque, NM ranges from $230.60 to $1,332 per claim, with an average of $411.27. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Cataract Surgery in Other Cities
Baton Rouge, LA
Avg $106.03
22,887 claims · 9 providers
Elmwood Park, NJ
Avg $395.05
22,260 claims · 4 providers
Phoenix, AZ
Avg $366.31
20,427 claims · 22 providers
New York, NY
Avg $518.62
18,915 claims · 31 providers
Bronx, NY
Avg $831.03
17,573 claims · 17 providers
Indianapolis, IN
Avg $203.50
17,150 claims · 13 providers
Brooklyn, NY
Avg $661.17
17,136 claims · 24 providers
Fresno, CA
Avg $84.51
15,731 claims · 22 providers
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