Cost of a Cataract Surgery Visit
in Indiana
Reviewed by Momentary Medical Group West PC
Indiana's healthcare market benefits from costs running approximately 6% below national averages, with a growing ambulatory surgery center network serving patients across both metropolitan Indianapolis and rural counties. For Cataract Surgery procedures, patients typically encounter negotiated insurance rates between $70 and $1,385, with a median cost of $669 based on transparency data from 294 active providers statewide. Indiana maintains a solid network of Cataract Surgery specialists, allowing patients to browse all providers in Indiana when selecting the most suitable and affordable option for their vision care needs.
Average
$708
Median
$669
Lowest
$70
Highest
$1,385
Providers
294
20% below national average
Compare Similar Procedures
How does cataract surgery compare to related procedures in Indiana?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $90 | $1,720 | $4,087 | 257 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $85 | $1,619 | $3,549 | 291 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $90 | $663 | $1,642 | 260 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $80 | $827 | $1,834 | 351 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $80 | $757 | $1,804 | 411 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $85 | $1,104 | $2,719 | 294 |
| Septoplasty Nasal septum repair | 30520 | $90 | $683 | $1,472 | 250 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $85 | $347 | $649 | 274 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $90 | $627 | $1,448 | 250 |
| Mastectomy Partial or simple mastectomy | 19301 | $85 | $774 | $1,818 | 273 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $291 | $559 | $1,070 | 246 |
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 Indiana
These hospitals in Indiana are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
INDIANAPOLIS, IN
MISHAWAKA, IN
CROWN POINT, IN
BREMEN, IN
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 Indiana
Indiana's healthcare costs run approximately 6% below national averages, creating opportunities for patients seeking affordable specialty care in both urban centers and smaller communities. The state's expanding ambulatory surgery center network has introduced competitive pricing pressures while maintaining quality standards for outpatient procedures.
Urban vs. Rural Provider Availability
Indianapolis and Fort Wayne concentrate the majority of Indiana's subspecialty ophthalmologists, while rural counties often rely on traveling specialists or require patients to travel significant distances for advanced cataract care. Northern Indiana benefits from proximity to Chicago-area medical centers, while southern counties may find competitive options in Louisville or Cincinnati markets. This geographic dispersion creates cost variations based on local provider competition and overhead expenses.
Facility Type and Overhead Costs
Indiana University Health and Community Health Network operate major ophthalmology departments with higher facility fees than independent surgical practices throughout the state. Freestanding ambulatory surgery centers have proliferated across Indiana, offering competitive pricing for routine cataract procedures while maintaining accreditation standards. Academic medical centers in Indianapolis may charge premium rates but provide access to the latest surgical technologies and complex case expertise.
Insurance Market Competition in Indiana
Anthem Blue Cross Blue Shield maintains the largest market share in Indiana, followed by UnitedHealthcare and regional player MDwise, creating moderate insurer competition in most counties. Rural Indiana counties sometimes have limited insurer options, reducing negotiating power and potentially increasing costs for specialty services. The state's decision not to expand Medicaid has maintained a larger uninsured population, influencing provider pricing strategies and charity care availability.
Physician Supply and Demand in Indiana
With 294 active Cataract Surgery providers reported in transparency data, Indiana maintains reasonable specialist availability relative to its population of 6.8 million residents. The concentration of ophthalmologists in metropolitan areas creates longer wait times and higher costs in rural regions, while urban markets benefit from competitive pricing. Indiana's medical schools and residency programs help maintain steady specialist recruitment, though retirement of senior surgeons in smaller communities sometimes creates temporary access challenges.
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 Indiana
What is the average cost of a Cataract Surgery visit in Indiana without insurance?
Does Indiana Medicaid cover Cataract Surgery visits?
How do I find an affordable Cataract Surgery near me in Indiana?
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 Indiana?
How does telemedicine affect the cost of seeing a Cataract Surgery in Indiana?
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 |