Logo
Hawaii

Cost of a Cataract Surgery Visit
in Hawaii

Reviewed by Momentary Medical Group West PC

Hawaii's island geography creates unique healthcare delivery challenges, with patients on outer islands often traveling to Oahu for specialized surgical care. Cataract Surgery patients typically pay between $85 and $1,386, with a median out-of-pocket cost of $746, based on negotiated insurance rates across the state's 51 active providers. Hawaii maintains a robust network of ophthalmologists and eye surgeons, allowing patients to browse providers across all islands for their cataract treatment needs.

Average

$739

Median

$746

Lowest

$85

Highest

$1,386

Providers

51

National avg: $888Hawaii: $739

17% below national average

Compare Similar Procedures

How does cataract surgery compare to related procedures in Hawaii?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$1,018$1,894$2,94646
Hip Replacement

Total hip replacement (arthroplasty)

27130$90$1,896$2,94750
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$80$752$1,28752
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$80$929$1,50768
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$80$846$1,37675
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$85$1,235$1,92946
Septoplasty

Nasal septum repair

30520$80$858$1,37647
Tonsillectomy

Tonsillectomy, primary or secondary

42820$85$399$66545
Inguinal Hernia Repair

Inguinal hernia repair

49505$426$734$1,14942
Mastectomy

Partial or simple mastectomy

19301$85$922$1,47545
Carpal Tunnel Surgery

Open carpal tunnel release

64721$358$604$1,04041

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.

Why Cataract Surgery Visit Costs Vary Across Hawaii

Hawaii's healthcare costs run approximately 16% above the national average, driven by the state's remote island location and the logistical challenges of importing medical supplies and equipment. The concentration of specialized surgical facilities on Oahu creates access disparities for neighbor island residents.

Urban vs. Rural Provider Availability

Oahu hosts the majority of Hawaii's cataract surgeons, with Honolulu offering the most competitive pricing due to provider density. Neighbor islands like Maui, Kauai, and the Big Island have limited surgical options, often requiring patient travel to Oahu for advanced procedures. This geographic limitation can add travel and accommodation costs for outer island residents seeking cataract treatment.

Facility Type and Overhead Costs

Hospital-based outpatient surgery centers in Hawaii typically charge 40-60% more than independent ambulatory surgery centers due to higher overhead costs. The Queen's Health System and Hawaii Pacific Health dominate the hospital market, while independent surgical centers offer more competitive pricing. Facility fees often represent the largest component of cataract surgery costs, making venue selection crucial for cost management.

Insurance Market Competition in Hawaii

Hawaii's insurance market is served primarily by HMSA (BCBS), UnitedHealthcare, and Kaiser Permanente, creating moderate competition that helps control negotiated rates. HMSA's dominant market position gives it significant leverage in rate negotiations with surgical providers. The state's regulatory environment and small population limit the entry of new insurers, maintaining relatively stable but concentrated market dynamics.

Physician Supply and Demand in Hawaii

With 51 active cataract surgery providers serving Hawaii's 1.4 million residents, the state maintains adequate surgical capacity for routine cases. The concentration of specialists on Oahu creates scheduling flexibility and competitive pricing in urban areas. However, the limited provider network can result in longer wait times for non-urgent procedures, particularly for patients seeking specific surgeons or premium lens options.

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 Hawaii

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

Uninsured patients in Hawaii typically pay between $85 and $1,386 for cataract surgery, with a median cost of $746 based on negotiated insurance rates. These prices reflect what insurers pay providers and may be higher for cash-paying patients. Many surgical centers offer self-pay discounts of 20-30% to help reduce out-of-pocket costs for uninsured individuals.

Does Hawaii Medicaid cover Cataract Surgery visits?

Yes, Hawaii's expanded Medicaid program covers medically necessary cataract surgery for eligible residents. Coverage includes the surgical procedure and standard intraocular lens implants, though patients may face longer wait times due to limited participating providers. Premium lens upgrades are not covered and require separate payment arrangements with the surgical practice.

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

Compare costs between hospital-based surgical centers and independent ambulatory surgery centers, as independent facilities often charge 40-60% less for the same procedure. Ask about self-pay discounts if you're uninsured, and consider scheduling surgery on Oahu where provider competition helps keep prices competitive. Community health centers can provide referrals to providers who offer sliding fee scales based on income.

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

Initial cataract consultations typically involve comprehensive eye examinations with diagnostic testing and cost more than routine follow-up visits. New patient evaluations often include specialized imaging and measurements for surgical planning, while follow-up visits focus on monitoring healing and visual outcomes. The specific cost difference depends on your insurance coverage and the complexity of testing required.

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

Yes, both HSA and FSA funds can be used to pay for cataract surgery consultations, surgical procedures, and related medical expenses. These accounts cover deductibles, copays, and coinsurance associated with medically necessary cataract treatment. However, premium intraocular lens upgrades may require documentation of medical necessity to qualify for tax-advantaged account reimbursement.

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

Telemedicine consultations for cataract surgery are limited since the procedure requires in-person examination and precise measurements of the eye. Some practices offer virtual pre-operative consultations or post-operative follow-ups at reduced costs compared to office visits. Hawaii's geography makes telehealth particularly valuable for neighbor island residents, potentially reducing travel costs while maintaining continuity of care with Oahu-based specialists.

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