Average Medicaid Cataract Surgery Payments in Appleton, WI: $294.06
Avg. Paid
$294.06
Range
$89.23 – $378.05
Total Claims
2,023
Providers
3
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 Appleton, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Pinnacle Cataract And Laser Institute Llc
4648 W Spencer St |
$378.05 | 1,274 | 800 |
|
Micheal Paul Vrabec
21 Park Pl |
$164.10 | 620 | 419 |
|
Ascension Ne Wisconsin, Inc
1506 S Oneida St |
$89.23 | 129 | 82 |
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 Appleton, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Cataract Surgery in Appleton, WI is $294.06 per claim, based on 2,023 claims from 3 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 Appleton, WI?
There are 3 Medicaid providers offering Cataract Surgery related services in Appleton, WI according to public payment data.
What is the price range for Cataract Surgery in Appleton, WI?
Medicaid reimbursement for Cataract Surgery in Appleton, WI ranges from $89.23 to $378.05 per claim, with an average of $294.06. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Cataract Surgery in Other Cities
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Avg $411.27
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New York, NY
Avg $518.62
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Bronx, NY
Avg $831.03
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Indianapolis, IN
Avg $203.50
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Avg $661.17
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