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Alabama

Cost of a Cataract Surgery Visit
in Alabama

Reviewed by Momentary Medical Group West PC

Alabama's predominantly rural healthcare landscape creates unique challenges for specialty care access, with many patients traveling significant distances to reach qualified Cataract Surgery providers. Despite these geographic barriers, patients across Alabama can find quality eye care services, with costs typically running about 8% below national averages due to lower operating expenses in many regions. The state maintains a substantial network of active Cataract Surgery specialists, allowing patients to browse providers throughout Alabama and compare options based on location and cost considerations.

Average

$767

Median

$688

Lowest

$418

Highest

$1,195

Providers

2,384

National avg: $888Alabama: $767

14% below national average

Compare Similar Procedures

How does cataract surgery compare to related procedures in Alabama?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$964$1,625$2,9462,353
Hip Replacement

Total hip replacement (arthroplasty)

27130$80$1,512$2,7672,636
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$382$619$1,1652,356
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$450$822$1,4502,367
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$80$672$1,2082,672
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$608$1,138$1,8562,372
Septoplasty

Nasal septum repair

30520$433$687$1,3152,358
Tonsillectomy

Tonsillectomy, primary or secondary

42820$195$351$6152,367
Inguinal Hernia Repair

Inguinal hernia repair

49505$356$598$1,1112,352
Mastectomy

Partial or simple mastectomy

19301$366$652$1,2512,366
Carpal Tunnel Surgery

Open carpal tunnel release

64721$294$566$9102,356

Important: These are cost estimates only — not a quote and not medical advice.

The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 66984Extracapsular cataract removal with insertion of intraocular lens). They represent what a patient might pay without insurance.

Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.

This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.

Where this data comes from & what CPT 66984 covers

Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 66984 (Extracapsular cataract removal with insertion of intraocular lens), as mandated by the CMS Price Transparency Rule.

What CPT 66984 covers: the provider's professional fee for cataract surgery. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.

How to read this data

Negotiated Rate

The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.

P5, Median, P95

P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.

What this does not tell you

These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.

Top-Rated Hospitals in Alabama

These hospitals in Alabama are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.

5/5
82% would recommend141 patient surveys
5/5
78% would recommend111 patient surveys
4/5
90% would recommend512 patient surveys
4/5
79% would recommend5,863 patient surveys
4/5
79% would recommend152 patient surveys

Hospital ratings are based on HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) survey data published by CMS.

Why Cataract Surgery Visit Costs Vary Across Alabama

Alabama's healthcare costs run approximately 8% below national averages, reflecting the state's lower cost of living and reduced operational expenses compared to coastal markets. The state's mixture of rural communities and metropolitan centers like Birmingham, Mobile, and Huntsville creates distinct healthcare markets with varying price pressures and provider availability.

Urban vs. Rural Provider Availability

Alabama's rural counties often lack local ophthalmology services, forcing patients to travel to Birmingham, Montgomery, Huntsville, or Mobile for Cataract Surgery consultations. This geographic concentration of specialists in metropolitan areas can create higher demand and potentially higher prices in urban markets, while also increasing travel costs for rural patients. Some rural hospitals partner with traveling ophthalmologists to provide periodic specialty clinics, though these services may have limited availability.

Facility Type and Overhead Costs

Hospital-owned ophthalmology practices have become increasingly common across Alabama, particularly in markets dominated by UAB Medicine, Huntsville Hospital, or Mobile's health systems. These facility-based practices often carry higher overhead costs that translate into higher patient charges compared to independent ophthalmology clinics. Academic medical centers affiliated with teaching programs may have different pricing structures due to their educational and research missions.

Insurance Market Competition in Alabama

Blue Cross Blue Shield of Alabama maintains a dominant market position throughout the state, reducing competitive pressure on negotiated rates compared to markets with multiple major insurers. This concentration means that provider reimbursement rates often reflect BCBS Alabama's pricing preferences rather than competitive market dynamics. Limited insurer competition can result in more uniform pricing across providers within the same network, though it may also reduce incentives for aggressive cost competition.

Physician Supply and Demand in Alabama

With 2,384 active providers reporting Cataract Surgery rates, Alabama maintains a reasonable supply of eye care specialists relative to its population, though distribution remains heavily concentrated in metropolitan areas. This provider density suggests adequate competition in urban markets, which helps moderate pricing pressures and reduces wait times for routine appointments. Rural areas continue to face specialist shortages, which can create access challenges but may also limit local pricing competition.

JP

Jayant Panwar

CEO, Momentary Labs · San Francisco, CA

Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.

The cost figures on this page reflect his ongoing work to make this data accessible to patients.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — Cataract Surgery Costs in Alabama

What is the average cost of a Cataract Surgery visit in Alabama without insurance?

Based on negotiated insurance rates, Cataract Surgery visits in Alabama typically range from $418 to $1,195, with a median cost of $688 for the primary surgical procedure. Uninsured patients often pay more than these negotiated rates, though many providers offer cash-pay discounts of 20-40% when payment is made at the time of service. The total cost may vary significantly depending on the complexity of your case and whether additional diagnostic testing is required during your visit.

Does Alabama Medicaid cover Cataract Surgery visits?

Alabama Medicaid covers Cataract Surgery consultations and procedures for eligible recipients, though the state has not expanded Medicaid, limiting coverage to specific categories like pregnant women, children, parents below certain income thresholds, and disabled individuals. Qualifying patients can access both routine eye exams and cataract surgical procedures through the program. Prior authorization may be required for certain procedures, and patients should verify their eligibility status and find participating providers through the Alabama Medicaid system.

How do I find an affordable Cataract Surgery near me in Alabama?

Compare prices across different practice settings, as independent ophthalmology clinics often charge less than hospital-owned specialty centers due to lower overhead costs. Ask about cash-pay discounts if you're uninsured, as many Alabama providers offer substantial reductions for immediate payment. Community health centers and federally qualified health centers throughout Alabama may provide eye care services on sliding fee scales based on income, making specialty care more accessible for lower-income patients.

What is the difference in cost between an initial consultation and a follow-up visit?

Initial Cataract Surgery consultations typically cost significantly more than follow-up visits due to the comprehensive nature of the first evaluation, which includes detailed medical history, complete eye examination, and diagnostic testing. Follow-up visits for established patients generally focus on monitoring treatment progress or post-surgical care, requiring less time and fewer diagnostic procedures. The cost difference can be substantial, with initial visits often costing 50-100% more than routine follow-up appointments.

Can I use an HSA or FSA to pay for a Cataract Surgery visit in Alabama?

Yes, both Health Savings Accounts and Flexible Spending Accounts can be used to pay for medically necessary Cataract Surgery consultations and procedures in Alabama. These tax-advantaged accounts cover qualified medical expenses including specialist copays, deductibles, and any out-of-pocket costs for eye care services. Keep all receipts and documentation for tax purposes, as cataract treatment is considered a qualified medical expense under IRS guidelines.

How does telemedicine affect the cost of seeing a Cataract Surgery in Alabama?

While initial cataract evaluations require in-person examination for proper diagnosis and surgical planning, telemedicine can be useful for pre-operative consultations, post-surgical follow-ups, or second opinions. Telehealth visits typically cost 20-30% less than in-person appointments when available and covered by insurance. Alabama's rural geography makes telemedicine particularly valuable for follow-up care, reducing travel costs and time for patients living far from metropolitan specialty centers.

Click a state to compare costs

Average Visit Cost

$351
$3,412

Office visit (CPT 66984)

Compare With Other States

RankStateAverage
1Wisconsin
Range: $80$10,062
$3,412
2Wyoming
Range: $667$2,130
$1,240
3Rhode Island
Range: $448$2,135
$1,181
4Massachusetts
Range: $403$2,078
$1,139
5Montana
Range: $85$2,744
$1,127
6Delaware
Range: $343$2,135
$1,056
7Nebraska
Range: $641$1,313
$1,055
8Washington
Range: $616$1,521
$1,034
9New Hampshire
Range: $528$1,548
$1,023
10New York
Range: $364$2,135
$1,005
11Colorado
Range: $85$2,114
$1,003
12New Mexico
Range: $474$1,551
$982
13Alaska
Range: $85$2,135
$972
14Georgia
Range: $93$2,005
$970
15Connecticut
Range: $70$2,135
$961
16Pennsylvania
Range: $85$2,135
$946
17Maine
Range: $643$1,123
$945
18North Carolina
Range: $390$1,609
$940
19California
Range: $85$1,401
$899
20Nevada
Range: $415$1,453
$892
21District of Columbia
Range: $414$1,311
$871
22Vermont
Range: $403$1,548
$865
23Iowa
Range: $85$1,313
$861
24Oregon
Range: $85$1,687
$858
25North Dakota
Range: $80$1,609
$812
26Mississippi
Range: $430$1,451
$806
27Minnesota
Range: $90$1,548
$800
28Utah
Range: $85$1,209
$791
29New Jersey
Range: $364$1,380
$790
30South Carolina
Range: $327$1,383
$785
31Illinois
Range: $418$1,200
$771
32Alabama
Range: $418$1,195
$767
33Idaho
Range: $85$1,348
$743
34Tennessee
Range: $418$1,090
$741
35Hawaii
Range: $85$1,386
$739
36Louisiana
Range: $226$1,345
$730
37South Dakota
Range: $95$1,313
$729
38West Virginia
Range: $85$1,409
$721
39Maryland
Range: $477$1,083
$714
40Kansas
Range: $502$912
$711
41Virginia
Range: $360$1,157
$710
42Indiana
Range: $70$1,385
$708
43Kentucky
Range: $85$1,313
$691
44Missouri
Range: $502$811
$680
45Ohio
Range: $335$1,087
$678
46Texas
Range: $85$1,210
$662
47Michigan
Range: $85$1,073
$645
48Arkansas
Range: $85$1,042
$624
49Arizona
Range: $448$898
$614
50Oklahoma
Range: $85$960
$525
51Florida
Range: $35$964
$351
Cataract Surgery in Other States