Cost of a Cataract Surgery Visit
in Idaho
Reviewed by Momentary Medical Group West PC
Idaho's rural healthcare landscape, where 35% of residents live in medically underserved areas, creates unique challenges for accessing specialized eye care services. Cataract Surgery patients in Idaho typically encounter costs ranging from our available data, though specific ranges vary by provider and location. With active Cataract Surgery providers distributed across the state's diverse geography, patients can browse all available specialists throughout Idaho to find the most suitable and affordable care options.
Average
$743
Median
$797
Lowest
$85
Highest
$1,348
Providers
101
16% below national average
Compare Similar Procedures
How does cataract surgery compare to related procedures in Idaho?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $1,061 | $1,894 | $3,049 | 78 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $90 | $1,843 | $3,023 | 93 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $80 | $838 | $4,173 | 201 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $80 | $738 | $1,480 | 145 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $80 | $719 | $1,349 | 182 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $85 | $1,196 | $2,021 | 96 |
| Septoplasty Nasal septum repair | 30520 | $80 | $785 | $1,422 | 122 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $85 | $388 | $679 | 96 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $438 | $690 | $1,197 | 76 |
| Mastectomy Partial or simple mastectomy | 19301 | $85 | $839 | $1,484 | 93 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $90 | $581 | $1,031 | 80 |
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.
Top-Rated Hospitals in Idaho
These hospitals in Idaho are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
BOISE, ID
MCCALL, ID
BOISE, ID
MOSCOW, ID
POST FALLS, ID
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 Idaho
Idaho's healthcare costs run approximately 3% below national averages, reflecting the state's lower cost of living and rural market dynamics. The state's vast rural geography creates significant disparities in both provider access and pricing between urban centers like Boise and remote mountain communities.
Urban vs. Rural Provider Availability
Boise and surrounding Ada County contain the majority of Idaho's ophthalmology specialists, while rural counties often lack local cataract surgeons, forcing patients to travel significant distances for care. This geographic concentration drives higher demand and potentially higher costs in urban areas, while rural patients face additional travel and lodging expenses.
Facility Type and Overhead Costs
Hospital-based outpatient surgery centers typically charge higher facility fees than independent surgical centers in Idaho, though major health systems like Saint Alphonsus and Kootenai Health dominate certain markets. Ambulatory surgery centers often provide more competitive pricing for routine cataract procedures compared to full-service hospital facilities.
Insurance Market Competition in Idaho
Limited insurer competition with Regence BlueCross and PacificSource controlling much of the market creates less pressure for competitive negotiated rates compared to states with more diverse insurance options. This market concentration can result in higher out-of-pocket costs for patients, particularly in areas where provider networks overlap minimally.
Physician Supply and Demand in Idaho
With 101 active providers performing cataract surgery procedures statewide, Idaho maintains adequate specialist coverage for its population, though geographic distribution favors urban areas. This supply level helps moderate pricing in competitive markets like Boise while potentially creating longer wait times and higher costs in underserved rural regions.
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 Idaho
What is the average cost of a Cataract Surgery visit in Idaho without insurance?
Does Idaho Medicaid cover Cataract Surgery visits?
How do I find an affordable Cataract Surgery near me in Idaho?
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 Idaho?
How does telemedicine affect the cost of seeing a Cataract Surgery in Idaho?
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 |