Average Medicaid Cataract Surgery Payments in San Juan, PR: $299.15
Avg. Paid
$299.15
Range
$212.23 – $865.44
Total Claims
7,798
Providers
14
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 Juan, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Grupo Anestesiologos De Ojos
352 Calle Angel Buonomo |
$259.78 | 2,251 | 2,086 |
|
Francisco J Torres Sierra
352 Calle Angel Buonomo |
$235.04 | 2,105 | 1,569 |
|
Ibsen Perez Santini
100 Calle Del Muelle |
$226.51 | 1,264 | 1,044 |
|
Antonio J Mattei Pacheco
150 Ave De Diego |
$237.65 | 946 | 887 |
|
Carmen E Amaral
71 Calle Arzuaga |
$726.48 | 290 | 272 |
|
Centro Oftalmologico Metropolitano Csp
Ave Jesus T Pinero #1250 Caparra Terrace |
$660.89 | 283 | 267 |
|
Benjamin Muniz Roldos
150 Ave De Diego |
$233.76 | 210 | 195 |
|
Gabriela Juliana Trabal-Yulfo
735 Ave Ponce De Leon Ste 503 |
$714.80 | 188 | 171 |
|
Arnold Daniel Cortes
San Juan Va Hospital, Casia St. |
$599.86 | 70 | 64 |
|
Edgar Alexis De Jesus Rodriguez
Centro Medico De Puerto Rico Barrio Monacillos |
$695.54 | 51 | 16 |
|
Carlos E Ruiz
150 Ave De Diego Ste 300 |
$212.23 | 44 | 35 |
|
Ian K Piovanetti
Ave Jesus T Pinero 1250 Caparra Terrace |
$685.12 | 38 | 24 |
|
Mariola Monagas
1213 Calle Tomas Agrait |
$865.44 | 32 | 28 |
|
Jaime J Jackson Diaz
Ave Jesus T Pinero #1250 |
$784.30 | 26 | 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 Juan, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Cataract Surgery in San Juan, PR is $299.15 per claim, based on 7,798 claims from 14 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 Juan, PR?
There are 14 Medicaid providers offering Cataract Surgery related services in San Juan, PR according to public payment data.
What is the price range for Cataract Surgery in San Juan, PR?
Medicaid reimbursement for Cataract Surgery in San Juan, PR ranges from $212.23 to $865.44 per claim, with an average of $299.15. 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 Juan, PR
Office Visit
Avg $18.99
3,140,039 claims
Blood Work & Lab Tests
Avg $9.31
1,652,042 claims
Pathology & Lab Services
Avg $77.12
603,331 claims
Dental Cleaning & Exam
Avg $20.92
561,409 claims
X-Ray
Avg $9.69
517,944 claims
Emergency Room Visit
Avg $66.54
406,486 claims
Urinalysis & Urine Tests
Avg $3.33
343,385 claims
Eye Exam
Avg $38.11
328,091 claims