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Ohio

Cost of a Cataract Surgery Visit
in Ohio

Reviewed by Momentary Medical Group West PC

Ohio's healthcare market operates approximately 2% below national averages, with Medicaid expansion providing broader access to surgical specialists across the state's diverse urban and rural regions. For Cataract Surgery procedures, patients typically pay between $335 and $1,087, with a median out-of-pocket cost of $613. Ohio maintains over 3,282 active Cataract Surgery providers, giving patients substantial choice when browsing all providers across the state.

Average

$678

Median

$613

Lowest

$335

Highest

$1,087

Providers

3,282

National avg: $888Ohio: $678

24% below national average

Compare Similar Procedures

How does cataract surgery compare to related procedures in Ohio?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$848$1,471$2,4913,206
Hip Replacement

Total hip replacement (arthroplasty)

27130$85$1,415$2,4913,692
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$338$585$9833,234
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$85$667$1,1854,653
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$355$660$1,1854,341
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$85$917$1,5973,541
Septoplasty

Nasal septum repair

30520$357$592$1,1163,245
Tonsillectomy

Tonsillectomy, primary or secondary

42820$85$297$5593,518
Inguinal Hernia Repair

Inguinal hernia repair

49505$328$547$1,0393,201
Mastectomy

Partial or simple mastectomy

19301$303$598$1,1753,266
Carpal Tunnel Surgery

Open carpal tunnel release

64721$268$453$7973,211

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.

Top-Rated Hospitals in Ohio

These hospitals in Ohio are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.

5/5
93% would recommend661 patient surveys
5/5
93% would recommend252 patient surveys
5/5
87% would recommend209 patient surveys
5/5
85% would recommend414 patient surveys
5/5
84% would recommend141 patient surveys

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 Ohio

Ohio's healthcare costs run approximately 2% below national averages, benefiting from the state's lower cost of living and competitive insurance market. The state's balanced mix of urban medical centers and rural communities creates distinct pricing patterns across different regions.

Urban vs. Rural Provider Availability

Ohio's major metropolitan areas like Columbus, Cleveland, and Cincinnati concentrate most specialist providers, creating competitive pricing in these markets. Rural counties in southeastern and northwestern Ohio often have limited access to Cataract Surgery specialists, requiring patients to travel 50+ miles for care. This geographic disparity can affect both cost and convenience, with urban patients typically having more affordable options.

Facility Type and Overhead Costs

Hospital-based outpatient surgical centers in Ohio typically charge 20-40% more than independent ambulatory surgery centers due to higher overhead costs. Major health systems like Cleveland Clinic, OhioHealth, and Kettering Health have significant market presence, while independent surgical centers often offer more competitive cash-pay rates. Academic medical centers associated with Ohio State University and Case Western Reserve University may have higher facility fees but offer access to cutting-edge surgical techniques.

Insurance Market Competition in Ohio

Medical Mutual, Anthem, and UHC compete actively across Ohio, creating relatively favorable negotiated rates for surgical procedures. The state's insurance market remains competitive with multiple regional players, preventing the monopolistic pricing seen in some other states. This competition has helped keep Cataract Surgery costs below national averages while maintaining quality care access.

Physician Supply and Demand in Ohio

With over 3,282 active Cataract Surgery providers, Ohio maintains adequate specialist availability relative to its population of 11.8 million residents. This healthy provider supply helps contain costs and reduces wait times for non-urgent procedures. The concentration of providers in urban areas creates competitive pricing pressure, while rural regions may see higher costs due to limited local 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 Ohio

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

Without insurance, Cataract Surgery procedures in Ohio typically cost between $335 and $1,087, with a median cost of $613 based on negotiated rate data from major insurers. These prices reflect what insurance companies actually pay providers, so uninsured patients may face higher list prices but can often negotiate cash-pay discounts. Many providers offer payment plans or reduced rates for self-pay patients to make treatment more affordable.

Does Ohio Medicaid cover Cataract Surgery visits?

Yes, Ohio's expanded Medicaid program covers Cataract Surgery consultations and medically necessary cataract removal procedures for eligible residents. Coverage includes standard intraocular lens implants, though premium lens upgrades may require patient cost-sharing or prior authorization. Ohio expanded Medicaid in 2014, providing coverage to approximately 3 million residents who previously lacked access to specialist eye care.

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

Start by comparing costs among ambulatory surgery centers versus hospital-based facilities, as independent centers often charge 20-40% less for the same procedures. Ask about cash-pay discounts if you're uninsured, as many Ohio providers offer 10-30% reductions for upfront payment. Community health centers in urban areas like Columbus and Cleveland may also provide sliding-scale fees based on income for uninsured patients.

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

Initial Cataract Surgery consultations typically cost more than follow-up visits due to comprehensive eye examinations and diagnostic testing required for surgical planning. Based on Ohio pricing data, the median cost for cataract procedures is $613, while follow-up visits generally cost significantly less as they focus on monitoring healing and vision outcomes. Insurance plans often have different copay structures for new patient visits versus established patient follow-up care.

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

Yes, both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) can be used to pay for Cataract Surgery consultations, procedures, and related medical expenses in Ohio. These accounts allow you to use pre-tax dollars for qualified medical expenses, including copays, deductibles, and any out-of-pocket costs for medically necessary cataract treatment. Premium intraocular lens upgrades may also qualify if recommended by your surgeon for medical reasons.

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

Telemedicine consultations for Cataract Surgery are limited since surgical evaluation requires in-person examination of the eyes and diagnostic testing that cannot be performed remotely. However, some Ohio providers use telehealth for pre-operative education, post-operative follow-up visits, or initial screening consultations, which typically cost 20-30% less than in-person visits. Most insurance plans in Ohio now cover telehealth visits at the same rate as office visits when clinically appropriate.

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