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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Procedures
  3. 66821
  4. Cost Analysis

How Much Does Removal of recurring cataract in lens capsule using a laser Cost on Medicare?

Cost analysis for CPT 66821 — Removal of recurring cataract in lens capsule using a laser

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Average Medicare Payment

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Total Payments (Latest)

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Services (Latest)

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Price Change (–)

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🗺️ State-by-State Cost Variation

The most expensive state pays 4.5x more than the cheapest for this procedure. GU averages $313.73 vs IL at $69.40.

StateAvg PaymentTotal PaymentsServicesProviders
GU$313.73$38.9K1243
DC$287.89$210.4K73122
AK$280.81$402.4K1.4K29
CA$270.82$17.5M64.7K954
CT$269.85$1.3M4.9K113
NY$267.90$7.4M27.5K515
RI$266.84$369.8K1.4K25
NJ$265.24$4.9M18.3K290
HI$255.97$547.3K2.1K47
PR$252.83$41.7K1658
MD$251.27$3.7M14.6K219
VT$250.84$210.5K83916
NH$245.32$833.1K3.4K43
CO$239.51$2.7M11.5K177
NM$238.35$810.4K3.4K38
NV$236.44$1.9M7.9K72
UT$235.20$1.3M5.5K99
DE$233.85$1.1M4.8K30
PA$233.12$7.7M32.8K417
TX$232.94$13.9M59.6K695
MI$231.45$4.2M18.0K311
SD$231.17$1.2M5.2K34
WA$230.28$5.3M23.1K261
OR$228.64$2.5M11.0K163
ND$228.36$791.5K3.5K29
FL$227.49$17.8M78.3K738
AZ$222.62$5.5M24.9K209
MT$220.57$1.2M5.4K65
LA$219.14$2.7M12.5K166
WY$215.31$387.8K1.8K26
MO$212.26$4.6M21.8K219
OK$211.42$3.3M15.8K219
NE$210.43$1.8M8.6K79
VA$210.42$5.4M25.6K234
MA$209.75$4.2M19.9K240
GA$206.72$5.6M27.1K268
IA$206.18$1.9M9.3K133
KS$205.92$2.8M13.4K111
ME$204.72$612.3K3.0K41
AR$204.44$2.8M13.5K122
MS$203.46$2.7M13.4K155
ID$198.22$1.1M5.6K61
IN$197.51$5.6M28.5K243
WV$191.31$762.9K4.0K47
OH$185.02$5.8M31.2K364
TN$118.47$4.7M39.9K228
MN$112.39$2.4M21.2K172
KY$111.35$2.6M23.6K163
AL$107.23$2.5M23.3K145
NC$105.06$5.1M48.1K307
SC$103.33$4.4M42.6K174

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Laser & Surgical Services At Center For Sight LlcAmbulatory Surgical CenterFL$329.6K2.0K$163.34
Surgery Center Of Eye Specialists Of Indiana, PcAmbulatory Surgical CenterIN$273.5K1.4K$198.07
Island Eye Surgicenter LlcAmbulatory Surgical CenterNY$271.1K1.1K$238.82
Eye Surgery Center Of Augusta, LlcAmbulatory Surgical CenterGA$260.5K1.3K$195.39
William ShultzOphthalmologyIN$257.6K1.4K$189.93
Sight Partners, LlcAmbulatory Surgical CenterWA$252.2K1.3K$198.72
Seymour Operations LlcAmbulatory Surgical CenterAR$245.6K1.3K$185.76
Roanoke Valley Center For Sight LlcAmbulatory Surgical CenterVA$236.6K1.4K$163.15
Randal HughesOphthalmologyIN$232.1K1.1K$217.96
Nathaniel RuttigOphthalmologyFL$229.6K918$250.13
Columbia Eye Surg Center IncAmbulatory Surgical CenterSC$216.9K1.2K$179.87
Physicians Eye Surgery Center LlcAmbulatory Surgical CenterSC$214.3K1.1K$203.71
Virginia Eye Institute IncAmbulatory Surgical CenterVA$213.4K1.1K$197.98
Eye Surgery Centers Of Arizona, LlcAmbulatory Surgical CenterAZ$209.8K1.0K$201.52
Andrew RabinowitzOphthalmologyAZ$204.0K843$241.99
Doctors Outpatient Surgery Center, LlcAmbulatory Surgical CenterFL$202.2K1.0K$194.82
Carolina Specialty Eye Surgery, LlcAmbulatory Surgical CenterSC$190.1K946$200.99
Amarillo Cataract And Eye SurgeryAmbulatory Surgical CenterTX$187.3K1.0K$186.02
John GoochOphthalmologyFL$185.4K632$293.37
St Marks Surgical Center LlcAmbulatory Surgical CenterFL$185.1K940$196.94

🤔 Is Removal of recurring cataract in lens capsule using a laser Overpriced?

The data suggests significant pricing inconsistencies for CPT 66821. With a 4.5x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.

Costs have remained relatively stable over time, but the geographic variation suggests Medicare's geographic adjustment factors may not fully capture the true cost differences across states.

This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • Medicare Physician Fee Schedule

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.