Average Medicaid Cataract Surgery Payments in Lexington, KY: $356.68
Avg. Paid
$356.68
Range
$128.85 – $695.00
Total Claims
9,890
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 Lexington, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Commonwealth Eye Clinic Inc
2353 Alexandria Dr |
$290.29 | 3,463 | 1,816 |
|
Lexington Surgery Center Ltd
2115 Harrodsburg Rd |
$544.76 | 2,669 | 1,900 |
|
Johannes C Evans
601 Perimeter Dr |
$340.31 | 1,449 | 1,092 |
|
Gary Nathanael Wortz
2353 Alexandria Dr Ste 260 |
$171.66 | 1,130 | 697 |
|
Lance Stirling Ferguson
2353 Alexandria Dr |
$139.11 | 337 | 207 |
|
Baptist Health Surgery Center Llc
3000 Baptist Health Blvd Ste 110 |
$415.21 | 269 | 176 |
|
University Of Kentucky
800 Rose St |
$695.00 | 196 | 139 |
|
John D Conklin
740 S Limestone |
$261.67 | 186 | 100 |
|
Asim R Piracha
2353 Alexandria Dr Ste 260 |
$201.09 | 89 | 60 |
|
James Matthew Huffman
2704 Old Rosebud Rd Ste 230 |
$240.95 | 51 | 39 |
|
William J Curtis
601 Perimeter Dr |
$128.85 | 35 | 24 |
|
Michael S Tanner
2720 Old Rosebud Rd Ste 110 |
$193.27 | 16 | 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 Lexington, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Cataract Surgery in Lexington, KY is $356.68 per claim, based on 9,890 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 Lexington, KY?
There are 12 Medicaid providers offering Cataract Surgery related services in Lexington, KY according to public payment data.
What is the price range for Cataract Surgery in Lexington, KY?
Medicaid reimbursement for Cataract Surgery in Lexington, KY ranges from $128.85 to $695.00 per claim, with an average of $356.68. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Cataract Surgery in Other Cities
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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 Lexington, KY
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Avg $14.22
4,452,973 claims
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Avg $40.42
4,343,155 claims
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Avg $156.12
2,128,548 claims
X-Ray
Avg $27.62
1,657,833 claims
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Avg $54.73
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Avg $62.23
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Avg $36.91
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