Average Medicaid Cataract Surgery Payments in Loma Linda, CA: $563.21
Avg. Paid
$563.21
Range
$251.15 โ $1,082
Total Claims
2,057
Providers
8
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 โ 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 Loma Linda, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Seventh-Day Adventists Loma Linda University Medical Center
11234 Anderson St Rm 1150 |
$251.15 | 1,058 | 1,037 |
|
Richard Dae Jin Kim
11234 Anderson St |
$1,082 | 473 | 426 |
|
Loma Linda Surgical Institute, Llc
25915 Barton Road |
$834.16 | 402 | 391 |
|
Samantha Ellen Perea
11370 Anderson St |
$353.08 | 30 | 30 |
|
David Sierpina
11234 Anderson St |
$352.66 | 30 | 30 |
|
Michael Rauser
11370 Anderson St Ste 1800 |
$342.49 | 26 | 26 |
|
Aaron Winter
11370 Anderson St |
$411.29 | 25 | 25 |
|
Frank Sun Wook Hwang
11370 Anderson St |
$428.15 | 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 โ 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 | โ | โ | โ |
| 66850 | Lens removal phacofragment | โ | โ | โ |
| 66920 | Lens removal intracapsular | โ | โ | โ |
| 66930 | Lens removal intracap w/implant | โ | โ | โ |
| 66940 | Lens removal extracapsular | โ | โ | โ |
| 66983 | Cataract surgery intracap implant | โ | โ | โ |
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 Loma Linda, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Cataract Surgery in Loma Linda, CA is $563.21 per claim, based on 2,057 claims from 8 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 Loma Linda, CA?
There are 8 Medicaid providers offering Cataract Surgery related services in Loma Linda, CA according to public payment data.
What is the price range for Cataract Surgery in Loma Linda, CA?
Medicaid reimbursement for Cataract Surgery in Loma Linda, CA ranges from $251.15 to $1,082 per claim, with an average of $563.21. 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
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Elmwood Park, NJ
Avg $395.05
22,260 claims ยท 4 providers
Albuquerque, NM
Avg $411.27
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Phoenix, AZ
Avg $366.31
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New York, NY
Avg $518.62
18,915 claims ยท 31 providers
Bronx, NY
Avg $831.03
17,573 claims ยท 17 providers
Indianapolis, IN
Avg $203.50
17,150 claims ยท 13 providers
Brooklyn, NY
Avg $661.17
17,136 claims ยท 24 providers
Other Procedures in Loma Linda, CA
Office Visit
Avg $44.34
1,299,991 claims
Emergency Room Visit
Avg $195.45
795,786 claims
Blood Work & Lab Tests
Avg $6.69
675,947 claims
X-Ray
Avg $9.49
441,716 claims
Vaccines & Immunizations
Avg $2.23
335,666 claims
Dental Cleaning & Exam
Avg $45.29
245,804 claims
CT Scan (Computed Tomography)
Avg $61.37
186,300 claims
EKG / ECG (Electrocardiogram)
Avg $10.04
184,320 claims