Average Medicaid Cataract Surgery Payments in Portland, ME: $313.65
Avg. Paid
$313.65
Range
$75.54 – $334.92
Total Claims
4,472
Providers
3
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 Portland, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Eyecare Medical Group
53 Sewall Street |
$302.74 | 2,714 | 1,966 |
|
Maine Eye Center, Pa
161 Marginal Way |
$334.92 | 1,728 | 1,335 |
|
Richard M France
53 Sewall St |
$75.54 | 30 | 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 Portland, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Cataract Surgery in Portland, ME is $313.65 per claim, based on 4,472 claims from 3 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 Portland, ME?
There are 3 Medicaid providers offering Cataract Surgery related services in Portland, ME according to public payment data.
What is the price range for Cataract Surgery in Portland, ME?
Medicaid reimbursement for Cataract Surgery in Portland, ME ranges from $75.54 to $334.92 per claim, with an average of $313.65. 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 Portland, ME
Blood Work & Lab Tests
Avg $1.50
622,485 claims
Office Visit
Avg $36.14
593,977 claims
Home Health Visit
Avg $319.11
499,937 claims
Case Management Services
Avg $67.60
459,038 claims
Substance Abuse Treatment
Avg $116.83
397,924 claims
Emergency Room Visit
Avg $145.93
357,964 claims
X-Ray
Avg $10.50
304,258 claims
Behavioral & Mental Health Therapy
Avg $199.04
231,478 claims