Average Medicaid Cataract Surgery Payments in Bronx, NY: $831.03
Avg. Paid
$831.03
Range
$108.28 – $1,610
Total Claims
17,573
Providers
17
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 Bronx, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ambulatory Surgery Center Of Greater New York, Llc
1101 Pelham Pkwy N |
$1,056 | 5,297 | 4,676 |
|
Bronx Sc Llc
3170 Webster Ave |
$849.17 | 2,645 | 2,510 |
|
Montefiore Medical Center
111 E 210Th St |
$1,610 | 2,333 | 2,254 |
|
Mark Fromer, Llc
3130 Grand Concourse |
$896.27 | 1,775 | 1,629 |
|
Michael Anthony Pisacano
2590 Frisby Ave |
$200.49 | 1,483 | 1,225 |
|
John J Kim
Mmc - Dept. Of Ophthalmology |
$290.00 | 1,412 | 1,397 |
|
Joann Kang
3332 Rochambeau Ave |
$238.70 | 837 | 785 |
|
Nikola Ragusa
1625 Saint Peters Ave |
$241.66 | 441 | 365 |
|
Fiona Pathay
1526 Waring Ave |
$347.52 | 344 | 284 |
|
Gene Kim
3400 Bainbridge Ave |
$200.51 | 340 | 335 |
|
Wen-Jeng Yao
4141 Carpenter Ave |
$201.96 | 326 | 306 |
|
Nathaniel Nataneli
1650 Grand Concourse |
$205.01 | 183 | 169 |
|
St. Barnabas Hospital
4422 Third Avenue |
$1,087 | 77 | 77 |
|
Jonathan Sheindlin
3651 Bruckner Boulevard |
$205.73 | 27 | 24 |
|
Viral Virendra Juthani
111 E 210Th St |
$138.48 | 27 | 27 |
|
Brian D Krawitz
2590 Frisby Ave |
$108.28 | 14 | 14 |
|
New York City Health And Hospitals Corporation
1400 Pelham Pkwy S |
$1,317 | 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 Bronx, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Cataract Surgery in Bronx, NY is $831.03 per claim, based on 17,573 claims from 17 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 Bronx, NY?
There are 17 Medicaid providers offering Cataract Surgery related services in Bronx, NY according to public payment data.
What is the price range for Cataract Surgery in Bronx, NY?
Medicaid reimbursement for Cataract Surgery in Bronx, NY ranges from $108.28 to $1,610 per claim, with an average of $831.03. 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
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
Other Procedures in Bronx, NY
Home Health Visit
Avg $150.53
23,767,796 claims
Office Visit
Avg $82.40
13,626,712 claims
Blood Work & Lab Tests
Avg $9.72
7,432,399 claims
Substance Abuse Treatment
Avg $38.59
6,144,578 claims
Non-Emergency Medical Transportation
Avg $52.94
4,662,523 claims
Physical Therapy
Avg $33.00
3,372,618 claims
Dental Cleaning & Exam
Avg $31.12
3,317,284 claims
Emergency Room Visit
Avg $138.65
3,278,500 claims