Average Medicaid Cataract Surgery Payments in Fresno, CA: $84.51
Avg. Paid
$84.51
Range
$14.12 – $383.46
Total Claims
15,731
Providers
22
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 Fresno, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ashley Riley
1360 E Herndon Ave |
$34.60 | 12 | 12 |
|
Sanagaram S Shantharam
7065 N Maple Ave |
$38.12 | 16 | 15 |
|
Spencer James Adams
7075 N Sharon Ave |
$104.62 | 17 | 12 |
|
Kelley Hawkins
7075 N Sharon Ave |
$14.12 | 17 | 12 |
|
Saint Agnes Medical Center
1303 E Herndon Ave |
$146.83 | 27 | 25 |
|
Thomas Shute
7075 N Sharon Ave |
$19.10 | 47 | 38 |
|
Sanket Shah
1360 E Herndon Ave Ste 201 |
$60.82 | 60 | 59 |
|
Chad Sherwood Reder
1680 E Herndon Ave |
$29.72 | 61 | 40 |
|
Fresno Surgery Center Lp
6125 N Fresno St |
$383.46 | 74 | 70 |
|
Fogg Remington Eyecare Inc
1360 E Herndon Ave |
$25.19 | 103 | 92 |
|
Loan Kim Nguyen
6767 N Fresno St |
$71.81 | 138 | 121 |
|
Insight Vision Center Medical Group, Inc.
1360 E Herndon Ave Ste 201 |
$17.41 | 335 | 301 |
|
David B Kaye, Md, Inc
6767 N Fresno St |
$15.00 | 438 | 386 |
|
Rodney C. Remington
1360 E Herndon Ave |
$50.77 | 458 | 403 |
|
Eye Medical Clinic Of Fresno, Inc
1360 E Herndon Ave |
$114.71 | 649 | 605 |
|
Vision Care Center, A Medical Group Inc
7075 N Sharon Ave |
$138.93 | 993 | 746 |
|
Eric James Poulsen
1360 E Herndon Ave |
$127.44 | 1,001 | 943 |
|
Azhar I Salahuddin
1360 E Herndon Ave |
$129.59 | 1,715 | 1,515 |
|
Steven G. Fogg
1360 E Herndon Ave |
$49.29 | 1,779 | 1,513 |
|
M Mehdi Ghajarnia
1360 E Herndon Avenue |
$86.73 | 1,967 | 1,716 |
|
Richard Noel Mendoza
1360 E Herndon Avenue |
$77.23 | 2,279 | 2,221 |
|
David Brett Kaye
6767 N Fresno St |
$68.56 | 3,545 | 3,089 |
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 Fresno, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Cataract Surgery in Fresno, CA is $84.51 per claim, based on 15,731 claims from 22 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 Fresno, CA?
There are 22 Medicaid providers offering Cataract Surgery related services in Fresno, CA according to public payment data.
What is the price range for Cataract Surgery in Fresno, CA?
Medicaid reimbursement for Cataract Surgery in Fresno, CA ranges from $14.12 to $383.46 per claim, with an average of $84.51. 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 Fresno, CA
Office Visit
Avg $9.04
7,118,942 claims
Substance Abuse Treatment
Avg $27.33
4,413,563 claims
Blood Work & Lab Tests
Avg $2.74
2,444,948 claims
Dental Cleaning & Exam
Avg $51.51
1,690,843 claims
Urinalysis & Urine Tests
Avg $0.70
1,247,642 claims
Vaccines & Immunizations
Avg $0.97
1,207,674 claims
Emergency Room Visit
Avg $38.60
1,035,563 claims
Behavioral & Mental Health Therapy
Avg $160.45
952,885 claims