Average Medicaid Cataract Surgery Payments in Boston, MA: $693.99
Avg. Paid
$693.99
Range
$103.29 – $964.93
Total Claims
6,996
Providers
12
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 Boston, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Massachusetts Eye And Ear Infirmary
243 Charles St |
$744.40 | 2,671 | 2,563 |
|
Boston Medical Center Corporation
1 Boston Medical Ctr Pl |
$943.06 | 1,851 | 1,754 |
|
Boston Eye Surgery & Laser Center Trust
50 Staniford St |
$283.66 | 1,457 | 1,319 |
|
Tufts Medical Center, Inc.
800 Washington St |
$964.93 | 443 | 428 |
|
Beth Israel Deaconess Medical Center, Inc.
330 Brookline Ave |
$644.05 | 389 | 369 |
|
Kamden Kopani
800 Washington St |
$127.19 | 56 | 52 |
|
Jae Young You
243 Charles St |
$103.29 | 41 | 37 |
|
Huan M. Mills
800 Washington St # 450 |
$270.64 | 31 | 25 |
|
Alexander K Young
300 Longwood Ave |
$172.26 | 16 | 14 |
|
Bradley Arvel Hansen
260 Tremont St |
$182.27 | 14 | 12 |
|
Benjamin A Quamina
183 Massachusetts Ave |
$155.00 | 14 | 12 |
|
Theodor Sauer
50 Staniford St Ste 600 |
$210.46 | 13 | 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 Boston, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Cataract Surgery in Boston, MA is $693.99 per claim, based on 6,996 claims from 12 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 Boston, MA?
There are 12 Medicaid providers offering Cataract Surgery related services in Boston, MA according to public payment data.
What is the price range for Cataract Surgery in Boston, MA?
Medicaid reimbursement for Cataract Surgery in Boston, MA ranges from $103.29 to $964.93 per claim, with an average of $693.99. 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 Boston, MA
Office Visit
Avg $84.37
5,683,879 claims
Blood Work & Lab Tests
Avg $10.29
4,390,978 claims
Emergency Room Visit
Avg $120.95
2,297,423 claims
X-Ray
Avg $10.07
2,027,847 claims
Dental Cleaning & Exam
Avg $34.73
1,751,075 claims
EKG / ECG (Electrocardiogram)
Avg $6.21
1,505,496 claims
Psychiatric Evaluation
Avg $73.99
945,332 claims
Vaccines & Immunizations
Avg $10.76
827,098 claims