Average Medicaid Cataract Surgery Payments in New York, NY: $518.62
Avg. Paid
$518.62
Range
$76.27 – $1,763
Total Claims
18,915
Providers
31
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 New York, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Bingjing Z Roberts
185 Canal St |
$169.24 | 3,862 | 3,716 |
|
Retinal Ambulatory Surgery Center Of New York, Inc.
138-140 E 80Th St |
$905.91 | 2,292 | 2,098 |
|
Gramercy Surgery Center, Inc
380 2Nd Ave |
$989.57 | 2,028 | 1,847 |
|
Raymond Fong
109 Lafayette St |
$203.45 | 1,692 | 1,643 |
|
Arthur Michael Cotliar
635 West 165Th Street |
$172.43 | 1,400 | 1,295 |
|
Keith C Chang
217 Grand St # 302 |
$199.08 | 1,073 | 1,055 |
|
Jeremy M Cotliar
130 Fort Washington Ave |
$305.51 | 976 | 897 |
|
Nathan M Radcliffe
1305 York Ave |
$284.02 | 908 | 756 |
|
Nyu Langone Hospitals
550 1St Ave |
$1,643 | 700 | 607 |
|
The New York And Presbyterian Hospital
622 W 168Th St |
$1,364 | 612 | 584 |
|
Hudson Yards Surgery Center, Llc
450 West 31St Street, 2S |
$1,014 | 567 | 515 |
|
Valeria Rubinstein
110 East 40Th Street |
$280.86 | 475 | 411 |
|
Elana Sarah Rosenberg
20 E 46Th St |
$207.79 | 387 | 294 |
|
Kevin Lai
139 Centre St Ste 610 |
$168.01 | 310 | 306 |
|
Julia Schneider
635 W 165Th St |
$176.96 | 239 | 220 |
|
The New York And Presbyterian Hospital
525 E 68Th St |
$1,763 | 237 | 221 |
|
Nancy Nai-En Tsai
99 Elizabeth Street, 2Fl |
$128.35 | 196 | 194 |
|
Lawrence Roy Blum
572 Park Avenue |
$230.07 | 172 | 147 |
|
Lenox Hill Hospital
100 E 77Th St |
$1,589 | 156 | 138 |
|
Gautam Kamthan
17 E 102Nd St Fl 8 |
$219.13 | 140 | 113 |
|
Gabriel Martin Ferreira
4966 Broadway Ste 1&2 |
$98.64 | 113 | 108 |
|
Sirikishan Ramkishan Shetty
1305 York Ave |
$120.45 | 101 | 94 |
|
Rebecca Ann Shields
1497 3Rd Ave |
$201.04 | 82 | 80 |
|
Andrew Naing
202 Canal St |
$168.05 | 58 | 50 |
|
Roslyn Stahl
178 E 71St St |
$128.04 | 57 | 54 |
|
Mark Louis Hornfeld
125 W 79Th Street |
$97.04 | 16 | 12 |
|
Susan Diane Fromer
550 Park Ave |
$172.84 | 15 | 12 |
|
Gregory J Pamel
115 E 61St St |
$76.27 | 14 | 12 |
|
Matthew Nguyen
1305 York Ave Fl 11 |
$190.87 | 13 | 13 |
|
New York City Health And Hospitals Corporation
462 First Avenue |
$1,312 | 12 | 12 |
|
Roosevelt Surgery Center, Llc
619 W 54Th St |
$686.73 | 12 | 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 New York, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Cataract Surgery in New York, NY is $518.62 per claim, based on 18,915 claims from 31 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 New York, NY?
There are 31 Medicaid providers offering Cataract Surgery related services in New York, NY according to public payment data.
What is the price range for Cataract Surgery in New York, NY?
Medicaid reimbursement for Cataract Surgery in New York, NY ranges from $76.27 to $1,763 per claim, with an average of $518.62. 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
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
Fresno, CA
Avg $84.51
15,731 claims · 22 providers
Other Procedures in New York, NY
Home Health Visit
Avg $167.81
48,743,027 claims
Office Visit
Avg $81.86
23,551,154 claims
Blood Work & Lab Tests
Avg $8.39
10,014,709 claims
Psychiatric Evaluation
Avg $116.70
6,547,727 claims
Physical Therapy
Avg $39.29
5,089,280 claims
Emergency Room Visit
Avg $130.02
3,905,512 claims
Case Management Services
Avg $322.62
3,682,218 claims
Eye Exam
Avg $50.07
3,393,865 claims