Average Medicaid Cataract Surgery Payments in Santa Rosa, CA: $282.99
Avg. Paid
$282.99
Range
$0.00 – $783.77
Total Claims
1,526
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 Rosa, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
4Th Street Laser & Surgery Center Inc
1720 4Th St |
$161.50 | 1,013 | 779 |
|
Eye Care Institute, A Medical Corporation
3035 Cleveland Ave Ste 100 |
$375.31 | 287 | 234 |
|
Lillian Yang
3035 Cleveland Ave Ste 100 |
$783.77 | 184 | 130 |
|
Grace Shuang Zhang
1140 Sonoma Ave Ste 2A |
$604.37 | 27 | 27 |
|
Robert Louis Anderson
1017 2Nd St |
$0.00 | 15 | 13 |
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 Rosa, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Cataract Surgery in Santa Rosa, CA is $282.99 per claim, based on 1,526 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 Rosa, CA?
There are 5 Medicaid providers offering Cataract Surgery related services in Santa Rosa, CA according to public payment data.
What is the price range for Cataract Surgery in Santa Rosa, CA?
Medicaid reimbursement for Cataract Surgery in Santa Rosa, CA ranges from $0.00 to $783.77 per claim, with an average of $282.99. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Cataract Surgery in Other Cities
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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
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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 Santa Rosa, CA
Office Visit
Avg $21.94
1,410,868 claims
Emergency Room Visit
Avg $93.87
505,118 claims
Blood Work & Lab Tests
Avg $10.43
454,321 claims
Substance Abuse Treatment
Avg $71.21
265,758 claims
X-Ray
Avg $16.73
255,609 claims
Dental Cleaning & Exam
Avg $50.06
255,325 claims
Non-Emergency Medical Transportation
Avg $40.57
251,882 claims
Psychiatric Evaluation
Avg $37.81
234,328 claims