Average Medicaid Cataract Surgery Payments in Santa Maria, CA: $312.21
Avg. Paid
$312.21
Range
$125.57 – $522.41
Total Claims
2,384
Providers
5
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 Santa Maria, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Premier Surgery Center Of Santa Maria Llc
816 East Enos Drive |
$273.54 | 1,428 | 1,264 |
|
Shahriar Rami Zarnegar
910 E Stowell Rd |
$475.92 | 393 | 323 |
|
Elite Eyecare Medical Group A Medical Corporation
910 E Stowell Rd |
$125.57 | 307 | 241 |
|
Stephen S. Bylsma
910 E Stowell Rd |
$522.41 | 210 | 186 |
|
Randall Goodman
910 E Stowell Rd |
$399.84 | 46 | 40 |
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 Santa Maria, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Cataract Surgery in Santa Maria, CA is $312.21 per claim, based on 2,384 claims from 5 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 Santa Maria, CA?
There are 5 Medicaid providers offering Cataract Surgery related services in Santa Maria, CA according to public payment data.
What is the price range for Cataract Surgery in Santa Maria, CA?
Medicaid reimbursement for Cataract Surgery in Santa Maria, CA ranges from $125.57 to $522.41 per claim, with an average of $312.21. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Cataract Surgery in Other Cities
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Avg $411.27
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New York, NY
Avg $518.62
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Bronx, NY
Avg $831.03
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Indianapolis, IN
Avg $203.50
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Avg $661.17
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Other Procedures in Santa Maria, CA
Office Visit
Avg $37.09
1,228,678 claims
Substance Abuse Treatment
Avg $33.75
838,009 claims
Vaccines & Immunizations
Avg $8.33
429,641 claims
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Avg $49.04
294,594 claims
Behavioral & Mental Health Therapy
Avg $207.91
257,630 claims
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Avg $20.86
238,954 claims
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Avg $58.29
188,411 claims
Psychiatric Evaluation
Avg $74.82
184,750 claims