Complex removal of cataract with insertion of prosthetic lens
Medicare pricing data for 15,446 providers across 52 states
Prices vary significantly by location — from $60 in Kentucky to $978 in Alaska. Where you get this procedure matters more than almost any other factor. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Complex removal of cataract with insertion of prosthetic lens (HCPCS code 66982) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $362.75, but hospitals typically charge $1,481 — a 4.1x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $362.75, your out-of-pocket cost would be approximately $72.55. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 4.1x more than what Medicare allows for this procedure. Medicare actually pays $287.18 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $978 | $5,974 | 40 | 609 | +169.7% |
| California | $972 | $4,465 | 1,296 | 24,271 | +167.8% |
| Hawaii | $906 | $3,608 | 71 | 840 | +149.8% |
| New Jersey | $895 | $4,680 | 436 | 10,153 | +146.8% |
| Maryland | $875 | $2,442 | 275 | 6,968 | +141.3% |
| Delaware | $867 | $3,212 | 50 | 1,884 | +139.1% |
| Washington | $865 | $2,411 | 368 | 5,509 | +138.3% |
| Nevada | $856 | $4,652 | 82 | 1,695 | +136.0% |
| New Mexico | $821 | $2,519 | 50 | 1,328 | +126.2% |
| Oregon | $821 | $2,292 | 245 | 2,620 | +126.2% |
| Colorado | $811 | $3,107 | 260 | 2,921 | +123.6% |
| Florida | $806 | $2,946 | 869 | 15,120 | +122.2% |
| District of Columbia | $802 | $2,433 | 30 | 275 | +121.1% |
| Arizona | $799 | $2,309 | 234 | 5,063 | +120.2% |
| Vermont | $788 | $2,850 | 18 | 479 | +117.3% |
| Texas | $783 | $4,211 | 968 | 13,109 | +115.9% |
| Idaho | $763 | $1,829 | 102 | 988 | +110.4% |
| Pennsylvania | $763 | $2,712 | 717 | 9,555 | +110.3% |
| Utah | $749 | $3,283 | 155 | 2,421 | +106.5% |
| Puerto Rico | $723 | $861 | 36 | 97 | +99.4% |
| Kansas | $693 | $2,602 | 184 | 2,569 | +90.9% |
| Louisiana | $692 | $2,583 | 187 | 2,126 | +90.9% |
| Arkansas | $680 | $2,050 | 210 | 2,460 | +87.5% |
| Mississippi | $679 | $2,562 | 191 | 2,396 | +87.3% |
| Michigan | $678 | $2,447 | 545 | 6,705 | +86.9% |
| Nebraska | $675 | $2,566 | 152 | 2,844 | +86.0% |
| Wyoming | $671 | $2,859 | 38 | 633 | +84.9% |
| Montana | $666 | $1,736 | 106 | 1,685 | +83.6% |
| Indiana | $662 | $2,837 | 418 | 7,428 | +82.4% |
| Connecticut | $626 | $2,971 | 172 | 3,245 | +72.5% |
| Oklahoma | $612 | $2,494 | 291 | 3,795 | +68.8% |
| South Dakota | $598 | $2,052 | 112 | 1,395 | +65.0% |
| New York | $598 | $2,386 | 781 | 23,809 | +64.8% |
| Missouri | $564 | $2,193 | 328 | 5,218 | +55.6% |
| Massachusetts | $551 | $1,711 | 370 | 13,330 | +52.0% |
| North Dakota | $540 | $2,141 | 109 | 1,358 | +48.8% |
| New Hampshire | $464 | $2,804 | 64 | 2,414 | +28.0% |
| Iowa | $460 | $1,845 | 323 | 6,555 | +26.7% |
| South Carolina | $356 | $1,479 | 224 | 5,833 | -2.0% |
| West Virginia | $289 | $909 | 87 | 2,600 | -20.4% |
| Georgia | $260 | $1,180 | 373 | 15,288 | -28.3% |
| Tennessee | $254 | $1,059 | 364 | 15,725 | -30.0% |
| Virginia | $194 | $602 | 382 | 25,330 | -46.5% |
| Ohio | $185 | $696 | 581 | 32,967 | -49.0% |
| Illinois | $179 | $804 | 572 | 40,952 | -50.7% |
| Rhode Island | $143 | $454 | 57 | 3,454 | -60.6% |
| Alabama | $124 | $520 | 243 | 13,781 | -65.9% |
| Maine | $90 | $278 | 80 | 5,740 | -75.2% |
| Minnesota | $78 | $307 | 368 | 33,323 | -78.6% |
| Wisconsin | $77 | $638 | 358 | 36,662 | -78.7% |
| North Carolina | $73 | $280 | 548 | 55,989 | -79.8% |
| Kentucky | $60 | $256 | 304 | 35,265 | -83.5% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber