Average Medicaid Cataract Surgery Payments in Phoenix, AZ: $366.31
Avg. Paid
$366.31
Range
$137.71 – $1,262
Total Claims
20,427
Providers
22
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 Phoenix, AZ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm
4212 N 16Th St |
$812.42 | 13 | 12 |
|
Jung T Dao
3815 E Bell Rd |
$241.20 | 44 | 42 |
|
Sushma Rai
4800 N 22Nd St |
$333.93 | 47 | 43 |
|
Ijeoma Muriel Asota
4800 N 22Nd St |
$316.07 | 50 | 42 |
|
Matthew Heller
515 W Buckeye Road |
$292.84 | 65 | 51 |
|
Benjamin Heller
515 W Buckeye Rd Ste 104 |
$322.03 | 230 | 188 |
|
Andrew Caswell Wallmann
2601 E Roosevelt St |
$293.19 | 261 | 216 |
|
Warren Harvey Heller
515 W Buckeye Rd |
$238.02 | 372 | 291 |
|
Alex W Cohen
2222 E Camelback Rd Ste 250 |
$137.71 | 380 | 323 |
|
Bsc Biltmore Llc
2222 E Highland Ave Ste 100 |
$473.29 | 481 | 375 |
|
Maricopa County Special Health Care District
2601 E Roosevelt St |
$1,262 | 535 | 514 |
|
Aasim Kamal
2226 W Northern Ave Ste C203 |
$382.35 | 598 | 470 |
|
Corey Hochman
8410 W Thomas Rd |
$312.02 | 727 | 488 |
|
Robert Nettleship Brems
300 E Osborn Rd |
$264.20 | 937 | 839 |
|
Laser Surgery Holding Company, Ltd
10255 N 32Nd St |
$517.23 | 1,034 | 785 |
|
Aaron George Amacher
4800 N 22Nd St |
$278.30 | 1,198 | 895 |
|
Spectra Eye Institute, Llc
15401 N 29Th Ave |
$424.97 | 1,415 | 1,231 |
|
Scott A Perkins
4800 N 22Nd St |
$275.17 | 1,685 | 1,292 |
|
Barnet Dulaney Perkins Eye Center, Pc
4800 N 22Nd St Ste 100 |
$410.91 | 1,708 | 1,328 |
|
Neil J Atodaria
4800 N 22Nd St |
$262.85 | 2,099 | 1,608 |
|
Phoenix Ophthalmology Asc Llc
300 E Osborn Rd |
$351.82 | 2,498 | 2,082 |
|
Eye Surgery Centers Of Arizona, Llc
2222 E Highland Ave Ste 101 |
$357.46 | 4,050 | 3,242 |
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 Phoenix, AZ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Cataract Surgery in Phoenix, AZ is $366.31 per claim, based on 20,427 claims from 22 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 Phoenix, AZ?
There are 22 Medicaid providers offering Cataract Surgery related services in Phoenix, AZ according to public payment data.
What is the price range for Cataract Surgery in Phoenix, AZ?
Medicaid reimbursement for Cataract Surgery in Phoenix, AZ ranges from $137.71 to $1,262 per claim, with an average of $366.31. 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
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
Fresno, CA
Avg $84.51
15,731 claims · 22 providers
Other Procedures in Phoenix, AZ
Blood Work & Lab Tests
Avg $4.07
28,642,228 claims
Case Management Services
Avg $37.73
14,607,817 claims
Office Visit
Avg $47.53
13,269,420 claims
Substance Abuse Treatment
Avg $94.34
10,076,493 claims
Personal Care Services
Avg $130.72
9,443,796 claims
Non-Emergency Medical Transportation
Avg $10.65
6,526,097 claims
Urinalysis & Urine Tests
Avg $1.58
4,901,181 claims
Behavioral & Mental Health Therapy
Avg $123.66
4,416,857 claims