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Arizona

Cost of a Cataract Surgery Visit
in Arizona

Reviewed by Momentary Medical Group West PC

Arizona's competitive ambulatory surgery center market offers patients more options for Cataract Surgery than most states, with over 5,000 active providers participating in insurance networks. Patients typically pay between $448 and $898 for cataract surgery procedures, with a median out-of-pocket cost of $496 based on negotiated insurance rates. You can browse all Cataract Surgery providers across Arizona to find the most affordable option in your network.

Average

$614

Median

$496

Lowest

$448

Highest

$898

Providers

5,028

National avg: $888Arizona: $614

31% below national average

Compare Similar Procedures

How does cataract surgery compare to related procedures in Arizona?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$1,097$1,136$2,2764,502
Hip Replacement

Total hip replacement (arthroplasty)

27130$1,097$1,137$2,2795,350
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$452$452$9074,418
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$557$557$1,1155,012
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$90$507$1,0166,248
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$749$752$1,5074,305
Septoplasty

Nasal septum repair

30520$498$535$1,0724,221
Tonsillectomy

Tonsillectomy, primary or secondary

42820$240$240$4804,297
Inguinal Hernia Repair

Inguinal hernia repair

49505$432$440$8824,188
Mastectomy

Partial or simple mastectomy

19301$525$553$1,1084,299
Carpal Tunnel Surgery

Open carpal tunnel release

64721$352$364$7294,203

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 Arizona

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

5/5
94% would recommend1,050 patient surveys
5/5
87% would recommend230 patient surveys
5/5
86% would recommend154 patient surveys
5/5
84% would recommend301 patient surveys
4/5
86% would recommend366 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 Arizona

Arizona's Cataract Surgery costs run approximately 5% above the national average, reflecting the state's growing population and strong demand for eye care services among retirees. The concentration of specialists in Phoenix and Tucson creates competitive pricing in metro areas, while rural regions face higher costs due to limited provider availability and travel requirements.

Urban vs. Rural Provider Availability

Phoenix and Tucson metropolitan areas contain over 80% of Arizona's Cataract Surgery specialists, creating significant access challenges for residents in rural counties like Apache, Navajo, and Cochise. Rural patients often face 2-3 hour drives to reach specialists, leading some to seek care in Albuquerque or Las Vegas instead of Arizona providers. This geographic concentration allows urban practices to maintain competitive pricing while rural-serving providers can command premium rates due to limited competition.

Facility Type and Overhead Costs

Arizona's robust ambulatory surgery center market provides cost-effective alternatives to hospital-based procedures, with many independent ASCs offering cataract surgery at 20-30% below hospital outpatient rates. Major health systems like Banner Health and Dignity Health operate both hospital and ASC facilities, sometimes steering patients toward higher-cost hospital settings unless patients specifically request outpatient centers. The state's favorable ASC regulations have encouraged development of specialty eye surgery centers that focus exclusively on high-volume, efficient cataract procedures.

Insurance Market Competition in Arizona

Strong competition between UnitedHealthcare, Blue Cross Blue Shield of Arizona, and Aetna has prevented the market concentration seen in other states, leading to broader provider networks and more competitive negotiated rates. The state's individual marketplace offers multiple carrier options in most counties, giving consumers leverage to choose plans with better specialist access. This competitive environment has kept Arizona's commercial insurance reimbursement rates for Cataract Surgery relatively favorable compared to more consolidated markets.

Physician Supply and Demand in Arizona

With over 5,000 active Cataract Surgery providers, Arizona maintains adequate specialist supply in urban areas but faces shortages in rural regions where recruitment remains challenging. The state's rapidly aging population, particularly in retirement destinations like Sun City and Green Valley, creates strong demand that keeps wait times moderate and pricing stable. Phoenix's emergence as a medical destination has attracted subspecialty-trained surgeons who can command premium rates for complex cases while maintaining competitive pricing for routine procedures.

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 Arizona

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

Uninsured patients in Arizona typically pay between $448 and $898 for cataract surgery, with a median cost of $496 based on actual negotiated insurance rates. Many providers offer cash discounts of 20-40% for self-pay patients, potentially reducing these costs significantly. The wide price range reflects differences between ambulatory surgery centers and hospital-based facilities, with ASCs generally offering lower rates.

Does Arizona Medicaid cover Cataract Surgery visits?

Yes, Arizona's expanded Medicaid program covers medically necessary cataract surgery for eligible adults, including both the surgeon and facility fees. Coverage includes standard monofocal lens implants, though patients wanting premium multifocal or toric lenses may need to pay the difference out-of-pocket. Some practices limit Medicaid appointments, so patients may face longer wait times than those with commercial insurance.

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

Compare costs across multiple providers since prices can vary by $300-400 even within the same city, with ambulatory surgery centers typically offering lower rates than hospital outpatient departments. Ask about cash discounts if you're uninsured, and consider community health centers in Phoenix and Tucson that may offer sliding-scale fees. Rural Arizona residents might find better pricing by traveling to metro areas where competition keeps costs lower.

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

Initial Cataract Surgery consultations typically cost $200-400 and involve comprehensive eye exams, measurements, and surgical planning, while follow-up visits range from $100-250 for post-operative care. The surgical procedure itself ($448-898) represents the largest cost component, with most insurance plans covering post-operative visits as part of the global surgical fee. Some practices bundle consultation costs into surgical fees if you proceed with surgery.

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

Yes, cataract surgery is considered a qualified medical expense eligible for Health Savings Account (HSA) or Flexible Spending Account (FSA) reimbursement. This includes surgeon fees, facility costs, and medically necessary lens implants, though premium lens upgrades beyond standard monofocal lenses may not qualify. Keep all receipts and documentation from your Arizona provider for FSA/HSA claims processing.

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

While cataract surgery itself requires in-person procedures, some Arizona practices offer telehealth consultations for initial evaluations or post-operative follow-ups at reduced rates of $75-150. Telemedicine can be particularly valuable for rural Arizona patients to avoid long drives for routine follow-ups. However, comprehensive pre-surgical evaluations and measurements must be done in-person, limiting telemedicine's cost-saving potential for surgical candidates.

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