Average Medicaid Cataract Surgery Payments in San Jose, CA: $343.74
Avg. Paid
$343.74
Range
$7.73 – $576.46
Total Claims
9,355
Providers
12
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 San Jose, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Physicians Surgery Services Llc
235 Oconnor Dr |
$576.46 | 4,844 | 4,471 |
|
Nicholas Faberowski
751 S Bascom Ave |
$121.81 | 1,133 | 1,126 |
|
County Of Santa Clara
751 S. Bascom Avenue |
$7.73 | 939 | 920 |
|
Lan Tuyet Nguyen
135 N Jackson Ave |
$62.56 | 612 | 612 |
|
Ngoc Nguyen
2380 Montpelier Dr Ste 300 |
$107.01 | 372 | 371 |
|
Danny B Luong
200 Jose Figueres Ave |
$127.03 | 365 | 337 |
|
Eric Shieh
200 Jose Figueres Ave Ste 350 |
$70.76 | 322 | 260 |
|
Abha Barry Kumar
751 S Bascom Ave |
$134.74 | 225 | 224 |
|
Claudio Salvador Contreras
2120 Mckee Rd |
$357.93 | 178 | 177 |
|
John Zhong Xie
200 Jose Figueres Ave |
$47.93 | 178 | 150 |
|
Hau Thi Nguyen
751 S Bascom Ave |
$151.29 | 160 | 160 |
|
M Regina De Luna
200 Jose Figueres Ave Ste 350 |
$151.36 | 27 | 25 |
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 San Jose, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Cataract Surgery in San Jose, CA is $343.74 per claim, based on 9,355 claims from 12 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 San Jose, CA?
There are 12 Medicaid providers offering Cataract Surgery related services in San Jose, CA according to public payment data.
What is the price range for Cataract Surgery in San Jose, CA?
Medicaid reimbursement for Cataract Surgery in San Jose, CA ranges from $7.73 to $576.46 per claim, with an average of $343.74. 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 San Jose, CA
Office Visit
Avg $17.76
4,087,517 claims
Blood Work & Lab Tests
Avg $2.57
2,345,819 claims
Dental Cleaning & Exam
Avg $52.74
1,100,494 claims
Case Management Services
Avg $220.56
998,173 claims
Behavioral & Mental Health Therapy
Avg $198.51
836,218 claims
Vaccines & Immunizations
Avg $3.93
755,787 claims
X-Ray
Avg $7.17
627,443 claims
Substance Abuse Treatment
Avg $69.65
603,596 claims