Cost of a Cataract Surgery Visit
in Delaware
Reviewed by Momentary Medical Group West PC
Delaware's small but concentrated healthcare market, anchored by major systems like ChristianaCare and Bayhealth, creates a unique cost environment for surgical procedures. Cataract Surgery patients typically pay between $343 and $2,135, with a median out-of-pocket cost of $691 based on negotiated insurance rates. With 83 active Cataract Surgery providers serving the First State's nearly one million residents, patients can browse all available specialists across New Castle, Kent, and Sussex counties.
Average
$1,056
Median
$691
Lowest
$343
Highest
$2,135
Providers
83
19% above national average
Compare Similar Procedures
How does cataract surgery compare to related procedures in Delaware?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $1,005 | $1,687 | $6,051 | 78 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $80 | $1,574 | $6,060 | 91 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $412 | $640 | $2,410 | 80 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $416 | $773 | $2,073 | 81 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $80 | $622 | $1,893 | 99 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $85 | $1,038 | $3,201 | 83 |
| Septoplasty Nasal septum repair | 30520 | $449 | $726 | $2,160 | 78 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $154 | $319 | $698 | 82 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $330 | $602 | $1,435 | 79 |
| Mastectomy Partial or simple mastectomy | 19301 | $95 | $705 | $2,642 | 84 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $354 | $612 | $1,957 | 77 |
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 66984 — Extracapsular 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.
Why Cataract Surgery Visit Costs Vary Across Delaware
Delaware's compact geography concentrates most specialty surgical care in the Wilmington-Newark corridor, creating cost premiums approximately 11% above national averages. The state's position in the Northeast megalopolis, bordered by higher-cost markets like Philadelphia and Baltimore, influences provider pricing and overhead expenses.
Urban vs. Rural Provider Availability
Most of Delaware's 83 Cataract Surgery providers practice in New Castle County near Wilmington and Newark, leaving residents of rural Kent and Sussex counties with limited local options. Patients from southern Delaware often travel to the Wilmington area or cross state lines to Maryland for specialized surgical care, which can impact both travel costs and scheduling flexibility. The concentration of providers in northern Delaware creates competitive pricing in that region while potentially limiting options for downstate residents.
Facility Type and Overhead Costs
ChristianaCare and Bayhealth dominate Delaware's hospital market, operating multiple outpatient surgical centers with higher overhead costs than independent facilities. Many Cataract Surgery procedures occur at dedicated ambulatory surgery centers like Delaware Eye Surgery Center, which typically offer lower facility fees than hospital-based outpatient departments. The state's proximity to major academic medical centers in Philadelphia also influences local pricing structures and referral patterns.
Insurance Market Competition in Delaware
Delaware's small market is served primarily by Highmark Blue Cross Blue Shield, Aetna, and UnitedHealthcare, creating moderate competition that keeps negotiated rates relatively stable. The state's lack of a major regional insurer means most plans are managed by national companies with standardized pricing models. Limited insurer competition contributes to Delaware's higher-than-average healthcare costs compared to more competitive state markets.
Physician Supply and Demand in Delaware
With 83 active Cataract Surgery providers serving nearly one million residents, Delaware maintains adequate specialist availability concentrated in the northern counties. This supply level creates reasonable access for most patients while supporting competitive pricing among providers in the Wilmington metropolitan area. However, the geographic concentration means patients in southern Delaware may face longer wait times and higher travel-related costs for specialized surgical care.
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.
Frequently Asked Questions — Cataract Surgery Costs in Delaware
What is the average cost of a Cataract Surgery visit in Delaware without insurance?
Does Delaware Medicaid cover Cataract Surgery visits?
How do I find an affordable Cataract Surgery near me in Delaware?
What is the difference in cost between an initial consultation and a follow-up visit?
Can I use an HSA or FSA to pay for a Cataract Surgery visit in Delaware?
How does telemedicine affect the cost of seeing a Cataract Surgery in Delaware?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 66984)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Wisconsin Range: $80 – $10,062 | $3,412 |
| 2 | Wyoming Range: $667 – $2,130 | $1,240 |
| 3 | Rhode Island Range: $448 – $2,135 | $1,181 |
| 4 | Massachusetts Range: $403 – $2,078 | $1,139 |
| 5 | Montana Range: $85 – $2,744 | $1,127 |
| 6 | Delaware Range: $343 – $2,135 | $1,056 |
| 7 | Nebraska Range: $641 – $1,313 | $1,055 |
| 8 | Washington Range: $616 – $1,521 | $1,034 |
| 9 | New Hampshire Range: $528 – $1,548 | $1,023 |
| 10 | New York Range: $364 – $2,135 | $1,005 |
| 11 | Colorado Range: $85 – $2,114 | $1,003 |
| 12 | New Mexico Range: $474 – $1,551 | $982 |
| 13 | Alaska Range: $85 – $2,135 | $972 |
| 14 | Georgia Range: $93 – $2,005 | $970 |
| 15 | Connecticut Range: $70 – $2,135 | $961 |
| 16 | Pennsylvania Range: $85 – $2,135 | $946 |
| 17 | Maine Range: $643 – $1,123 | $945 |
| 18 | North Carolina Range: $390 – $1,609 | $940 |
| 19 | California Range: $85 – $1,401 | $899 |
| 20 | Nevada Range: $415 – $1,453 | $892 |
| 21 | District of Columbia Range: $414 – $1,311 | $871 |
| 22 | Vermont Range: $403 – $1,548 | $865 |
| 23 | Iowa Range: $85 – $1,313 | $861 |
| 24 | Oregon Range: $85 – $1,687 | $858 |
| 25 | North Dakota Range: $80 – $1,609 | $812 |
| 26 | Mississippi Range: $430 – $1,451 | $806 |
| 27 | Minnesota Range: $90 – $1,548 | $800 |
| 28 | Utah Range: $85 – $1,209 | $791 |
| 29 | New Jersey Range: $364 – $1,380 | $790 |
| 30 | South Carolina Range: $327 – $1,383 | $785 |
| 31 | Illinois Range: $418 – $1,200 | $771 |
| 32 | Alabama Range: $418 – $1,195 | $767 |
| 33 | Idaho Range: $85 – $1,348 | $743 |
| 34 | Tennessee Range: $418 – $1,090 | $741 |
| 35 | Hawaii Range: $85 – $1,386 | $739 |
| 36 | Louisiana Range: $226 – $1,345 | $730 |
| 37 | South Dakota Range: $95 – $1,313 | $729 |
| 38 | West Virginia Range: $85 – $1,409 | $721 |
| 39 | Maryland Range: $477 – $1,083 | $714 |
| 40 | Kansas Range: $502 – $912 | $711 |
| 41 | Virginia Range: $360 – $1,157 | $710 |
| 42 | Indiana Range: $70 – $1,385 | $708 |
| 43 | Kentucky Range: $85 – $1,313 | $691 |
| 44 | Missouri Range: $502 – $811 | $680 |
| 45 | Ohio Range: $335 – $1,087 | $678 |
| 46 | Texas Range: $85 – $1,210 | $662 |
| 47 | Michigan Range: $85 – $1,073 | $645 |
| 48 | Arkansas Range: $85 – $1,042 | $624 |
| 49 | Arizona Range: $448 – $898 | $614 |
| 50 | Oklahoma Range: $85 – $960 | $525 |
| 51 | Florida Range: $35 – $964 | $351 |
