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Colorado

Cost of a Cataract Surgery Visit
in Colorado

Reviewed by Momentary Medical Group West PC

Colorado's competitive ambulatory surgery center market in Denver and surrounding areas has created diverse pricing options for cataract surgery patients across the state. Patients typically pay between $85 and $2,114 for Cataract Surgery procedures, with a median cost of $808. With over 1,400 active Cataract Surgery providers throughout Colorado, patients can browse all providers in Colorado to find quality care that fits their budget.

Average

$1,003

Median

$808

Lowest

$85

Highest

$2,114

Providers

1,468

National avg: $888Colorado: $1,003

13% above national average

Compare Similar Procedures

How does cataract surgery compare to related procedures in Colorado?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$1,136$2,049$3,4751,282
Hip Replacement

Total hip replacement (arthroplasty)

27130$940$1,978$3,3281,345
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$452$805$1,3261,321
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$90$940$1,6351,256
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$85$789$1,4211,461
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$85$1,202$2,2041,315
Septoplasty

Nasal septum repair

30520$526$855$1,5671,308
Tonsillectomy

Tonsillectomy, primary or secondary

42820$85$385$6941,441
Inguinal Hernia Repair

Inguinal hernia repair

49505$441$712$1,2421,269
Mastectomy

Partial or simple mastectomy

19301$85$877$1,5611,292
Carpal Tunnel Surgery

Open carpal tunnel release

64721$364$629$1,1101,293

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 Colorado

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

5/5
92% would recommend191 patient surveys
5/5
85% would recommend182 patient surveys
5/5
82% would recommend337 patient surveys
5/5
80% would recommend215 patient surveys
5/5
77% would recommend107 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 Colorado

Colorado's Cataract Surgery costs run approximately 7% above the national average, reflecting the state's growing population and concentrated specialist availability in the Denver-Boulder metropolitan corridor. The state's mix of urban medical centers and rural mountain communities creates significant geographic disparities in both access and pricing for eye care services.

Urban vs. Rural Provider Availability

The Denver metro area and Colorado Springs concentrate most of the state's Cataract Surgery specialists, while rural counties in the mountains and eastern plains often require patients to travel significant distances for care. This geographic concentration allows urban areas to maintain competitive pricing through provider competition, while rural areas may have limited options and higher costs. Some rural Colorado residents travel to larger cities for surgery, adding travel expenses to their overall care costs.

Facility Type and Overhead Costs

Colorado's robust ambulatory surgery center network, particularly around Denver, often provides more cost-effective options compared to hospital-based outpatient departments. Major health systems like UCHealth, Presbyterian/St. Joseph, and SCL Health operate both hospital and freestanding surgery centers with different pricing structures. Independent surgery centers specializing in eye procedures typically offer the most transparent and competitive pricing for routine cataract surgery.

Insurance Market Competition in Colorado

The presence of major insurers including UnitedHealthCare, Anthem, and Kaiser Permanente creates competitive negotiated rates for Cataract Surgery services across Colorado. Kaiser's integrated model provides different pricing dynamics compared to traditional fee-for-service insurers in the market. The state's competitive insurance marketplace has generally resulted in broader provider networks and more negotiating power for better rates.

Physician Supply and Demand in Colorado

With over 1,400 active Cataract Surgery providers statewide, Colorado maintains adequate specialist availability relative to its population, though distribution favors urban areas. This healthy supply in metro Denver helps keep wait times reasonable and maintains competitive pricing pressure among providers. However, subspecialty services and complex cases may still experience longer scheduling delays due to concentrated expertise at major academic centers like the University of Colorado.

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 Colorado

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

Without insurance, Cataract Surgery procedures in Colorado range from $85 to $2,114, with a median cost of $808. The wide range reflects differences between basic consultations and complex surgical procedures, as well as variation between ambulatory surgery centers and hospital-based facilities. Many providers offer self-pay discounts that can reduce these costs significantly for uninsured patients.

Does Colorado Medicaid cover Cataract Surgery visits?

Yes, Colorado's expanded Medicaid program covers medically necessary cataract surgery when vision impairment significantly affects daily activities. Patients must use participating providers within their assigned managed care network and may need prior authorization for the procedure. Coverage includes standard intraocular lenses, though premium lens upgrades typically require additional out-of-pocket payment.

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

Compare costs between ambulatory surgery centers and hospital outpatient departments, as surgery centers often offer more competitive pricing. Ask about self-pay discounts if you're uninsured, and consider community health centers or academic medical centers that may offer sliding scale fees. Some providers offer package pricing that includes all pre-operative and post-operative care visits.

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

Initial cataract evaluations typically cost more than follow-up visits due to comprehensive eye exams and diagnostic testing required for surgical planning. The median procedure cost of $808 in Colorado often includes the surgical fee, while pre-operative and post-operative visits may be billed separately. Follow-up visits generally focus on healing progress and vision optimization, requiring less extensive testing.

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

Yes, both HSA and FSA funds can be used for medically necessary cataract surgery and related consultations as qualified medical expenses. This includes the surgical procedure, pre-operative evaluations, and post-operative care visits. However, premium lens upgrades beyond basic intraocular lenses may not be fully HSA/FSA eligible, so check with your plan administrator about specific coverage rules.

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

While telemedicine can be useful for initial consultations or post-operative follow-up visits, cataract surgery requires in-person evaluation and treatment that cannot be performed remotely. Some Colorado providers offer virtual pre-operative consultations or post-surgery check-ins at reduced costs compared to office visits. However, the actual surgical procedure and detailed eye examinations must be conducted in person at medical facilities.

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