Average Medicaid Cataract Surgery Payments in Los Angeles, CA: $526.26
Avg. Paid
$526.26
Range
$5.95 โ $2,240
Total Claims
6,891
Providers
23
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 Los Angeles, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Bethel Eye Center Medical Corporation
266 S Harvard Blvd |
$155.98 | 12 | 12 |
|
County Of Los Angeles
1670 E 120Th St |
$69.19 | 12 | 12 |
|
Sok Hwan Nam
4278 W 3Rd St |
$263.39 | 26 | 25 |
|
Alliance Surgery Partners, Llc
1828 E Cesar Chavez Ave |
$176.96 | 27 | 24 |
|
Aleksandr Yelenskiy
200 Stein Plaza 1-340 |
$568.39 | 28 | 28 |
|
Sok H Nam Md Inc
4278 W 3Rd St |
$120.39 | 29 | 26 |
|
Kaiser Foundation Hospitals
6041 Cadillac Ave |
$5.95 | 42 | 31 |
|
Dignity Community Care
1401 S Grand Ave |
$70.64 | 43 | 43 |
|
Los Angeles Endoscopy Center
266 S Harvard Blvd |
$550.97 | 46 | 28 |
|
Usc Care Medical Group, Inc
1520 San Pablo St |
$114.34 | 49 | 44 |
|
Serrano Eye Center Medical Group
4220 W 3Rd St |
$141.34 | 67 | 66 |
|
White Memorial Medical Center
1720 E Cesar E Chavez Ave |
$314.23 | 84 | 82 |
|
Paul T Urrea
4560 E Cesar E Chavez Ave |
$669.36 | 136 | 136 |
|
Khaled Aly Tawansy
7447 N Figueroa St |
$568.78 | 178 | 172 |
|
Nishant G Soni
1450 San Pablo St |
$634.96 | 199 | 179 |
|
Stephan Yuan-Yee Chiu
100 Stein Plz |
$740.20 | 226 | 223 |
|
Kaiser Foundation Hospitals
4867 Sunset Blvd |
$2,240 | 347 | 343 |
|
Miguel Angel Unzueta
1700 E Cesar E Chavez Ave |
$506.87 | 412 | 411 |
|
Pejman Bakhtiary
200 Stein Plz # 1-340 |
$587.02 | 549 | 462 |
|
Grand Avenue Surgery Center, Llc
1400 S Grand Ave Ste 700 |
$449.38 | 939 | 841 |
|
Jules Stein Eye Institute Medical Group
100 Stein Plz |
$241.91 | 1,001 | 929 |
|
Alvarado Eye Surgery Center Llc
1127 Wilshire Blvd Ste 1515 |
$431.00 | 1,013 | 975 |
|
Third Street Surgery Center Llc
420 E 3Rd St Ste 110 |
$440.07 | 1,426 | 1,219 |
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 Los Angeles, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Cataract Surgery in Los Angeles, CA is $526.26 per claim, based on 6,891 claims from 23 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 Los Angeles, CA?
There are 23 Medicaid providers offering Cataract Surgery related services in Los Angeles, CA according to public payment data.
What is the price range for Cataract Surgery in Los Angeles, CA?
Medicaid reimbursement for Cataract Surgery in Los Angeles, CA ranges from $5.95 to $2,240 per claim, with an average of $526.26. 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 ยท 9 providers
Elmwood Park, NJ
Avg $395.05
22,260 claims ยท 4 providers
Albuquerque, NM
Avg $411.27
20,680 claims ยท 19 providers
Phoenix, AZ
Avg $366.31
20,427 claims ยท 22 providers
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 Los Angeles, CA
Office Visit
Avg $24.20
16,948,065 claims
Blood Work & Lab Tests
Avg $4.54
14,406,706 claims
Dental Cleaning & Exam
Avg $49.60
3,990,780 claims
X-Ray
Avg $17.59
3,407,369 claims
Behavioral & Mental Health Therapy
Avg $203.16
3,345,905 claims
Urinalysis & Urine Tests
Avg $2.44
3,302,824 claims
Vaccines & Immunizations
Avg $3.85
3,256,340 claims
Emergency Room Visit
Avg $84.68
3,238,140 claims