Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye
Medicare pricing data for 6,244 providers across 51 states
Prices vary significantly by location — from $116 in Minnesota to $2,187 in California. 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
Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye (HCPCS code 66991) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $842.73, but hospitals typically charge $2,652 — a 3.1x 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 $842.73, your out-of-pocket cost would be approximately $168.55. 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 3.1x more than what Medicare allows for this procedure. Medicare actually pays $670.08 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| California | $2,187 | $7,509 | 587 | 9,139 | +159.5% |
| Vermont | $2,122 | $2,820 | 8 | 171 | +151.8% |
| Nevada | $2,065 | $5,681 | 35 | 613 | +145.1% |
| New Jersey | $2,028 | $6,373 | 192 | 3,108 | +140.6% |
| Alaska | $1,966 | $6,773 | 8 | 92 | +133.3% |
| Hawaii | $1,963 | $4,491 | 21 | 332 | +133.0% |
| Delaware | $1,962 | $5,248 | 16 | 577 | +132.8% |
| Maryland | $1,920 | $4,591 | 64 | 1,343 | +127.9% |
| Idaho | $1,876 | $4,091 | 75 | 754 | +122.6% |
| New Hampshire | $1,853 | $6,412 | 20 | 593 | +119.9% |
| New Mexico | $1,822 | $4,403 | 32 | 306 | +116.2% |
| Arizona | $1,788 | $4,529 | 127 | 2,529 | +112.2% |
| Wyoming | $1,764 | $4,104 | 16 | 151 | +109.3% |
| Florida | $1,762 | $5,039 | 322 | 4,818 | +109.1% |
| Colorado | $1,693 | $5,089 | 127 | 1,324 | +100.9% |
| Kansas | $1,682 | $6,258 | 89 | 1,535 | +99.5% |
| Washington | $1,648 | $4,501 | 209 | 2,352 | +95.5% |
| Texas | $1,646 | $5,828 | 384 | 5,169 | +95.3% |
| Arkansas | $1,642 | $2,960 | 55 | 766 | +94.8% |
| Oregon | $1,624 | $4,299 | 110 | 1,113 | +92.7% |
| Pennsylvania | $1,594 | $4,473 | 321 | 4,321 | +89.2% |
| Nebraska | $1,552 | $4,589 | 77 | 1,294 | +84.1% |
| Utah | $1,517 | $6,525 | 72 | 817 | +80.0% |
| South Dakota | $1,467 | $3,260 | 75 | 1,056 | +74.0% |
| Mississippi | $1,447 | $3,889 | 110 | 1,564 | +71.7% |
| Indiana | $1,426 | $5,491 | 105 | 1,942 | +69.2% |
| Oklahoma | $1,398 | $3,798 | 111 | 953 | +65.9% |
| Michigan | $1,395 | $4,357 | 185 | 1,643 | +65.5% |
| Iowa | $1,302 | $4,724 | 108 | 971 | +54.6% |
| Missouri | $1,264 | $4,170 | 151 | 2,156 | +49.9% |
| Montana | $1,229 | $3,318 | 66 | 1,131 | +45.8% |
| Massachusetts | $1,194 | $3,142 | 130 | 3,691 | +41.7% |
| Louisiana | $1,166 | $4,229 | 98 | 1,259 | +38.3% |
| West Virginia | $1,042 | $2,202 | 19 | 299 | +23.6% |
| New York | $1,040 | $2,906 | 276 | 5,443 | +23.4% |
| South Carolina | $993 | $2,468 | 93 | 2,177 | +17.8% |
| North Dakota | $808 | $2,777 | 53 | 895 | -4.1% |
| District of Columbia | $702 | $2,449 | 6 | 55 | -16.7% |
| Kentucky | $668 | $1,902 | 67 | 1,597 | -20.8% |
| Georgia | $626 | $3,385 | 186 | 6,508 | -25.7% |
| Ohio | $535 | $1,495 | 167 | 5,497 | -36.5% |
| Connecticut | $452 | $1,375 | 67 | 2,809 | -46.3% |
| Virginia | $406 | $982 | 109 | 6,214 | -51.8% |
| Tennessee | $398 | $1,171 | 157 | 6,283 | -52.8% |
| Illinois | $315 | $1,192 | 163 | 8,800 | -62.7% |
| North Carolina | $289 | $950 | 214 | 9,753 | -65.7% |
| Rhode Island | $269 | $1,037 | 31 | 1,420 | -68.1% |
| Alabama | $240 | $519 | 99 | 6,589 | -71.5% |
| Wisconsin | $189 | $1,004 | 146 | 11,599 | -77.6% |
| Maine | $158 | $392 | 36 | 2,933 | -81.2% |
| Minnesota | $116 | $424 | 217 | 23,308 | -86.3% |
⚠️ 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