Average Medicaid Cataract Surgery Payments in Napa, CA: $628.73
Avg. Paid
$628.73
Range
$344.41 – $687.16
Total Claims
176
Providers
2
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 Napa, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
David Sungmin Kim
895 Trancas St |
$687.16 | 146 | 114 |
|
Eyelliance Vision Partners Asc Llc
800 Trancas St |
$344.41 | 30 | 24 |
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 Napa, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Cataract Surgery in Napa, CA is $628.73 per claim, based on 176 claims from 2 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 Napa, CA?
There are 2 Medicaid providers offering Cataract Surgery related services in Napa, CA according to public payment data.
What is the price range for Cataract Surgery in Napa, CA?
Medicaid reimbursement for Cataract Surgery in Napa, CA ranges from $344.41 to $687.16 per claim, with an average of $628.73. 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 · 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 Napa, CA
Office Visit
Avg $27.44
409,277 claims
Emergency Room Visit
Avg $90.93
169,696 claims
Blood Work & Lab Tests
Avg $6.52
166,854 claims
Ambulance Transport
Avg $110.34
155,727 claims
Dental Cleaning & Exam
Avg $48.12
142,562 claims
Behavioral & Mental Health Therapy
Avg $249.25
92,451 claims
Vaccines & Immunizations
Avg $8.32
84,474 claims
Psychiatric Evaluation
Avg $48.40
75,967 claims