Average Medicaid Cataract Surgery Payments in Baltimore, MD: $189.65
Avg. Paid
$189.65
Range
$42.03 – $1,563
Total Claims
3,469
Providers
10
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 Baltimore, MD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ivan Horacio Garcia
2925 Lord Baltimore Dr. |
$238.31 | 19 | 14 |
|
Jonathan Ekedahl
100 Park Ave |
$291.22 | 26 | 26 |
|
Maryland General Hospital Inc
827 Linden Ave |
$1,563 | 34 | 13 |
|
Baltimore Eye Surgical Center,Llc
6231 N Charles St |
$258.47 | 48 | 41 |
|
Emerson Tan Que
1800 Orleans St |
$466.79 | 52 | 26 |
|
University Of Maryland Eye Associates, P.A.
419 W Redwood St |
$87.74 | 57 | 53 |
|
Eye Surgery Center Of White Marsh, Llc
9512 Harford Rd |
$99.04 | 71 | 40 |
|
Damon John Pettinelli
6231 N Charles St |
$239.01 | 108 | 99 |
|
The Johns Hopkins Hospital
600 N Wolfe St |
$645.41 | 646 | 559 |
|
Johns Hopkins University
600 North Wolfe Street |
$42.03 | 2,408 | 2,132 |
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 Baltimore, MD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Cataract Surgery in Baltimore, MD is $189.65 per claim, based on 3,469 claims from 10 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 Baltimore, MD?
There are 10 Medicaid providers offering Cataract Surgery related services in Baltimore, MD according to public payment data.
What is the price range for Cataract Surgery in Baltimore, MD?
Medicaid reimbursement for Cataract Surgery in Baltimore, MD ranges from $42.03 to $1,563 per claim, with an average of $189.65. 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
Albuquerque, NM
Avg $411.27
20,680 claims · 19 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
Other Procedures in Baltimore, MD
Substance Abuse Treatment
Avg $107.97
7,464,932 claims
Office Visit
Avg $85.10
6,638,810 claims
Psychiatric Evaluation
Avg $100.67
6,065,385 claims
Blood Work & Lab Tests
Avg $9.87
4,046,251 claims
Emergency Room Visit
Avg $96.82
1,908,492 claims
Dental Cleaning & Exam
Avg $39.08
1,772,038 claims
X-Ray
Avg $6.77
1,399,097 claims
EKG / ECG (Electrocardiogram)
Avg $6.98
1,098,202 claims