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Oregon

Cost of a Cataract Surgery Visit
in Oregon

Reviewed by Momentary Medical Group West PC

Oregon's Medicaid expansion and growing ambulatory surgery center market have helped increase access to specialized eye care across the state. Cataract Surgery patients typically pay between $85 and $1,687, with a median out-of-pocket cost of $803 when using insurance networks. With 188 active Cataract Surgery providers throughout Oregon, patients can browse all available specialists to find quality care that fits their budget.

Average

$858

Median

$803

Lowest

$85

Highest

$1,687

Providers

188

National avg: $888Oregon: $858

3% below national average

Compare Similar Procedures

How does cataract surgery compare to related procedures in Oregon?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$1,116$2,114$3,635165
Hip Replacement

Total hip replacement (arthroplasty)

27130$90$1,921$3,637201
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$80$763$1,591250
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$80$751$1,770326
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$80$745$1,616366
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$85$1,271$3,201186
Septoplasty

Nasal septum repair

30520$80$843$1,641243
Tonsillectomy

Tonsillectomy, primary or secondary

42820$85$413$774176
Inguinal Hernia Repair

Inguinal hernia repair

49505$440$758$1,399156
Mastectomy

Partial or simple mastectomy

19301$85$934$1,746180
Carpal Tunnel Surgery

Open carpal tunnel release

64721$90$643$1,930170

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 Oregon

Oregon's healthcare costs run approximately 9% above national averages, reflecting the state's mix of urban concentration in the Portland metro area and vast rural regions with limited specialist access. The growing ambulatory surgery center market has created new options for outpatient eye procedures while maintaining competitive pricing.

Urban vs. Rural Provider Availability

Most of Oregon's ophthalmology specialists concentrate in Portland, Salem, and Eugene, leaving eastern and southern Oregon counties with limited local access. Rural patients often travel significant distances for specialty care, potentially offsetting lower facility costs with transportation expenses and time away from work.

Facility Type and Overhead Costs

Hospital-based ophthalmology clinics affiliated with systems like OHSU, Legacy Health, or Providence typically charge higher facility fees than independent practices. The state's growing network of ambulatory surgery centers offers a middle ground, providing advanced equipment without full hospital overhead costs.

Insurance Market Competition in Oregon

Oregon's balanced competition between Regence BCBS, PacificSource, and UHC helps moderate negotiated rates compared to states with single dominant insurers. The presence of regional plans alongside national carriers creates diverse network options, though rural areas may have more limited insurer participation.

Physician Supply and Demand in Oregon

With 188 active Cataract Surgery providers serving Oregon's population, the state maintains reasonable specialist availability in metro areas while facing shortages in rural regions. This geographic imbalance affects both pricing and wait times, with urban practices facing more competitive pressure on rates than isolated rural providers.

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 Oregon

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

Uninsured patients in Oregon typically pay between $85 and $1,687 for a Cataract Surgery consultation, with a median cost of $803. Many providers offer cash-pay discounts that can reduce these rates by 20-40%, and some practices provide sliding scale fees based on income. Payment plans are often available to help manage costs for uninsured patients.

Does Oregon Medicaid cover Cataract Surgery visits?

Yes, Oregon's expanded Medicaid program covers Cataract Surgery visits for eligible adults, including those up to 138% of federal poverty level. Coverage includes both consultations and medically necessary cataract procedures, though patients may need referrals from primary care providers. Appointment availability with Medicaid-accepting specialists may vary by geographic region.

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

Compare costs across different facility types, as independent practices often charge less than hospital-based clinics for the same services. Ask about cash-pay discounts if uninsured, and consider community health centers that may offer sliding scale fees. Rural patients might find lower base costs but should factor in travel expenses when comparing urban versus distant rural providers.

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

Initial Cataract Surgery consultations typically cost between $85 and $1,687 based on complexity and facility type, while follow-up visits generally range lower depending on the services provided. New patient visits often involve comprehensive eye exams and diagnostic testing, whereas established patient follow-ups focus on monitoring progress or addressing specific concerns. Insurance copays may also differ between new and established patient visit types.

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

Yes, Cataract Surgery consultations and treatments qualify as eligible medical expenses for both Health Savings Accounts and Flexible Spending Accounts. This includes diagnostic visits, surgical procedures, and related eye care services prescribed by your ophthalmologist. Keep receipts and documentation for HSA/FSA reimbursement purposes.

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

While initial cataract evaluations require in-person examination, some follow-up consultations and pre-operative discussions can be conducted via telemedicine at lower costs. Oregon has expanded telehealth coverage since 2020, with many insurers covering virtual visits at similar rates to office visits. However, surgical planning and post-operative care typically require hands-on examination that telemedicine cannot replace.

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