Logo
Texas

Cost of a Cataract Surgery Visit
in Texas

Reviewed by Momentary Medical Group West PC

Texas operates over 600 ambulatory surgery centers, creating one of the nation's most competitive markets for outpatient procedures like cataract surgery. Patients typically pay between $85 and $1,210 for Cataract Surgery procedures, with a median negotiated rate of $691 across more than 6,500 active providers statewide. Texas residents benefit from robust provider competition that keeps costs approximately 7% below national averages, and patients can browse all Cataract Surgery specialists throughout the state to find the best value for their specific insurance plan.

Average

$662

Median

$691

Lowest

$85

Highest

$1,210

Providers

6,544

National avg: $888Texas: $662

25% below national average

Compare Similar Procedures

How does cataract surgery compare to related procedures in Texas?

ProcedureCPTLowMedianHighProviders
IUD Removal

Cost of intrauterine device (IUD) removal across the US, with state-by-state pricing for both office-based and hospital outpatient settings.

58301$60$105$1996,391
Knee Replacement

Total knee replacement (arthroplasty)

27447$1,056$1,568$3,0065,230
Hip Replacement

Total hip replacement (arthroplasty)

27130$90$1,139$2,6028,415
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$421$625$1,2505,233
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$90$776$1,30011,548
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$85$663$1,15513,126
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$85$977$1,9125,874
Septoplasty

Nasal septum repair

30520$90$638$1,3097,864
Tonsillectomy

Tonsillectomy, primary or secondary

42820$85$313$5975,861
Inguinal Hernia Repair

Inguinal hernia repair

49505$407$602$1,0865,176
Mastectomy

Partial or simple mastectomy

19301$85$722$1,3415,830
Carpal Tunnel Surgery

Open carpal tunnel release

64721$90$469$8958,448

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 Texas

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

5/5
91% would recommend130 patient surveys
5/5
91% would recommend191 patient surveys
5/5
91% would recommend235 patient surveys
5/5
91% would recommend403 patient surveys
5/5
90% would recommend379 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 Texas

Texas Cataract Surgery costs run approximately 4% below national averages, reflecting the state's business-friendly healthcare market and robust competition among the 600+ ambulatory surgery centers. The state's sprawling rural counties create significant access disparities, with some patients traveling over 100 miles to reach specialized eye care facilities.

Urban vs. Rural Provider Availability

Major Texas metro areas like Houston, Dallas-Fort Worth, San Antonio, and Austin have high concentrations of Cataract Surgery specialists, driving competitive pricing and shorter wait times. Rural East Texas and West Texas regions often have limited specialist access, forcing patients to travel to urban centers but sometimes benefiting from lower facility overhead costs.

Facility Type and Overhead Costs

Texas has more independent ambulatory surgery centers per capita than most states, creating downward pressure on pricing compared to hospital-owned facilities. Major health systems like Houston Methodist, Baylor Scott & White, and Memorial Hermann operate higher-cost outpatient departments, while independent ASCs often provide the same procedures at 20-30% lower rates.

Insurance Market Competition in Texas

The competitive landscape among UnitedHealthcare, Blue Cross Blue Shield of Texas, Aetna, and Cigna has resulted in relatively favorable negotiated rates for specialty procedures across the state. Texas's large employer market and robust individual insurance exchange create insurer competition that benefits patients through lower out-of-pocket costs for Cataract Surgery procedures.

Physician Supply and Demand in Texas

With over 6,500 active Cataract Surgery providers serving a population of 30 million, Texas maintains adequate specialist supply in urban areas but faces shortages in rural regions. This geographic mismatch affects both pricing and access, with urban competition keeping costs reasonable while rural scarcity can drive up prices and extend wait times for non-urgent procedures.

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 Texas

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

Uninsured patients in Texas typically pay between $85 and $1,210 for Cataract Surgery procedures, with a median cost of $691 based on negotiated insurance rates. Many providers offer cash-pay discounts of 20-40% off these rates, and some Texas surgery centers provide package pricing that includes the consultation, procedure, and follow-up visits. Payment plans are widely available to help manage costs for patients without insurance coverage.

Does Texas Medicaid cover Cataract Surgery visits?

Texas Medicaid covers Cataract Surgery consultations and procedures for eligible members, though the state did not expand Medicaid, limiting coverage to very low-income parents, pregnant women, and disabled individuals. Covered services are provided through managed care plans that require patients to use in-network providers. Most Texas Cataract Surgery specialists accept Medicaid, though availability may be limited in rural areas with fewer participating providers.

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

Start by comparing costs at independent ambulatory surgery centers versus hospital-owned facilities, as ASCs typically charge 20-30% less for the same procedures in Texas. Ask about cash-pay discounts if you're uninsured or have a high deductible, and consider community health centers in major cities that may offer sliding-scale fees. Use cost comparison tools to evaluate multiple providers in your area, as prices can vary significantly even within the same city.

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. Follow-up visits after surgery are usually shorter and focus on monitoring healing and visual recovery, resulting in lower costs. Most insurance plans cover both types of visits similarly, though patients may have different copay amounts for new versus established patient visits depending on their specific plan structure.

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

Yes, both Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs) can be used to pay for Cataract Surgery consultations, procedures, and related expenses in Texas. These accounts provide tax advantages for medical expenses, including deductibles, copays, and any out-of-pocket costs for cataract treatment. Keep receipts for all related expenses, including transportation to appointments, as these may also qualify as reimbursable medical expenses.

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

While initial cataract evaluations require in-person examination to assess lens opacity and plan surgery, telemedicine can be useful for pre-operative consultations and some post-operative follow-ups in Texas. Telehealth visits typically cost 15-30% less than in-person appointments and may be more convenient for patients in rural areas who would otherwise travel long distances. However, most insurance plans require the same copays for telehealth specialist visits as in-person consultations.

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