Cost of a Cataract Surgery Visit
in Michigan
Reviewed by Momentary Medical Group West PC
Michigan's robust healthcare infrastructure includes major academic medical centers like the University of Michigan Health System and Henry Ford Health, creating a competitive environment for specialized eye care services. Patients seeking Cataract Surgery in Michigan typically pay between $85 and $1,073, with a median negotiated rate of $776 based on insurance plan agreements with the state's 1,788 active providers. With numerous qualified Cataract Surgery specialists across the Great Lakes State, patients can browse all available providers to find the most cost-effective option for their specific insurance coverage.
Average
$645
Median
$776
Lowest
$85
Highest
$1,073
Providers
1,788
27% below national average
Compare Similar Procedures
How does cataract surgery compare to related procedures in Michigan?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $1,136 | $1,872 | $3,355 | 1,660 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $80 | $1,749 | $2,869 | 2,018 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $452 | $753 | $1,294 | 1,677 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $430 | $1,039 | $1,565 | 1,749 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $80 | $833 | $2,021 | 2,239 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $93 | $1,316 | $1,926 | 1,724 |
| Septoplasty Nasal septum repair | 30520 | $532 | $635 | $1,072 | 1,631 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $238 | $409 | $559 | 1,670 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $440 | $736 | $1,216 | 1,658 |
| Mastectomy Partial or simple mastectomy | 19301 | $429 | $654 | $1,470 | 1,712 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $359 | $457 | $1,068 | 1,634 |
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 Michigan
These hospitals in Michigan are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
ANN ARBOR, MI
CARSON CITY, MI
PAW PAW, MI
HANCOCK, MI
SHELBY, MI
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 Michigan
Michigan's Cataract Surgery costs run approximately 3% below the national average, reflecting the state's competitive insurance market and diverse mix of academic medical centers and private practice groups. The state's large population centers around Detroit, Grand Rapids, and Ann Arbor create pricing competition while rural areas often face different cost structures due to lower overhead and patient volume.
Urban vs. Rural Provider Availability
Metro Detroit and the Ann Arbor area have the highest concentration of subspecialty-trained cataract surgeons in Michigan, while rural counties in the Upper Peninsula and northern Lower Peninsula may have fewer options requiring longer travel distances. This geographic disparity can affect both pricing and wait times, with some rural patients choosing to travel to urban centers for more competitive rates or advanced surgical techniques. Urban facilities often have higher overhead costs but may offer more comprehensive services and latest technology.
Facility Type and Overhead Costs
Michigan's major health systems like Henry Ford Health, Beaumont, and University of Michigan Health dominate the hospital-based eye care market, often with higher facility fees than independent ambulatory surgery centers. Many successful private practice ophthalmologists operate their own surgery centers, potentially offering more competitive pricing and personalized service. The choice between hospital-based care and independent facilities can significantly impact your total out-of-pocket costs.
Insurance Market Competition in Michigan
Blue Cross Blue Shield of Michigan maintains significant market share but faces competition from UnitedHealthcare, Aetna, and regional carriers, creating negotiated rate variations across different plans. This competitive environment generally benefits patients through reasonable pricing, though some specialty networks may be more limited with certain insurers. The presence of multiple major employers and union health plans in the automotive industry also influences regional pricing patterns.
Physician Supply and Demand in Michigan
With 1,788 active providers handling cataract surgery in Michigan, the state maintains a relatively robust supply of eye care professionals serving its 10 million residents. This provider density is concentrated heavily in southeastern Michigan around Detroit and in the Ann Arbor-Jackson corridor, creating good access and competitive pricing in these regions. The adequate provider supply generally keeps wait times reasonable and prevents the pricing premiums seen in physician shortage areas.
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 Michigan
What is the average cost of a Cataract Surgery visit in Michigan without insurance?
Does Michigan Medicaid cover Cataract Surgery visits?
How do I find an affordable Cataract Surgery near me in Michigan?
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 Michigan?
How does telemedicine affect the cost of seeing a Cataract Surgery in Michigan?
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 |