Average Medicaid Cataract Surgery Payments in Philadelphia, PA: $492.41
Avg. Paid
$492.41
Range
$135.21 – $953.29
Total Claims
4,314
Providers
18
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 Philadelphia, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Vincent Basan Lam
1740 South St Ste 400 |
$481.29 | 1,177 | 1,150 |
|
Vincent K Young
5401 Old York Rd |
$707.94 | 1,059 | 1,028 |
|
Stadium Campus Ambulatory Surgical Center, Llc
3340 S Broad St |
$408.84 | 876 | 826 |
|
Grace Huang
2610 E Allegheny Ave |
$205.69 | 385 | 304 |
|
Cottman Ambulatory Surgery Center
8400 Roosevelt Blvd |
$353.79 | 341 | 297 |
|
The Pennsylvania Surgery And Laser Center Llc
601 Franklin Mills Cir |
$495.81 | 145 | 140 |
|
Liberty Eye Surgical Center Llc
9122 Blue Grass Rd |
$649.90 | 99 | 88 |
|
City Of Phila Trustee Acting By The Brd Of Dir Of City Trusts
840 Walnut St |
$769.14 | 53 | 51 |
|
Omair Badshah Ali
840 Walnut St Ste 1230 |
$135.21 | 39 | 26 |
|
Gary F Domeracki
3401 N Broad St |
$953.29 | 30 | 29 |
|
John J Siliquini
2818 Cottman Ave |
$250.39 | 17 | 15 |
|
Yelena Doych
219 N Broad St |
$334.93 | 15 | 13 |
|
Stephen E Orlin
3801 Filbert St |
$422.89 | 14 | 12 |
|
Igor L Benenson
9892 Bustleton Ave |
$370.89 | 14 | 13 |
|
Kelly Anne Williamson
219 N Broad St |
$321.16 | 13 | 12 |
|
Michael David Abendroth
1930 S Broad St Unit 9 |
$261.28 | 13 | 12 |
|
Stephen T Armenti
3400 Civic Center Blvd. |
$730.42 | 12 | 12 |
|
Michelle Sun
51 North 39Th Street |
$207.63 | 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 Philadelphia, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Cataract Surgery in Philadelphia, PA is $492.41 per claim, based on 4,314 claims from 18 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 Philadelphia, PA?
There are 18 Medicaid providers offering Cataract Surgery related services in Philadelphia, PA according to public payment data.
What is the price range for Cataract Surgery in Philadelphia, PA?
Medicaid reimbursement for Cataract Surgery in Philadelphia, PA ranges from $135.21 to $953.29 per claim, with an average of $492.41. 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
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 Philadelphia, PA
Office Visit
Avg $47.22
5,853,067 claims
Substance Abuse Treatment
Avg $57.23
5,131,687 claims
Psychiatric Evaluation
Avg $69.22
3,688,209 claims
Emergency Room Visit
Avg $135.52
3,661,931 claims
X-Ray
Avg $9.69
1,822,183 claims
Behavioral & Mental Health Therapy
Avg $119.23
1,618,868 claims
Blood Work & Lab Tests
Avg $6.85
1,492,079 claims
Dental Cleaning & Exam
Avg $29.51
1,399,541 claims