Cost analysis for CPT 66982 — Complex removal of cataract with insertion of prosthetic lens
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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The most expensive state pays 8.3x more than the cheapest for this procedure. AK averages $826.55 vs NC at $99.47.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AK | $826.55 | $414.1K | 501 | 12 |
| CA | $795.62 | $16.4M | 20.7K | 514 |
| HI | $781.85 | $484.0K | 619 | 19 |
| NY | $749.72 | $9.8M | 13.1K | 276 |
| CT | $746.36 | $1.2M | 1.6K | 44 |
| NJ | $739.96 | $6.5M | 8.8K | 160 |
| WA | $724.17 | $3.3M | 4.6K | 121 |
| OR | $723.73 | $1.3M | 1.8K | 63 |
| MD | $715.19 | $4.5M | 6.2K | 130 |
| NV | $710.72 | $1.0M | 1.4K | 34 |
| GU | $700.13 | $165.9K | 237 | 4 |
| DE | $697.79 | $1.3M | 1.8K | 21 |
| CO | $696.67 | $1.5M | 2.1K | 61 |
| ID | $696.38 | $452.6K | 650 | 16 |
| AZ | $693.61 | $2.8M | 4.1K | 103 |
| MA | $680.29 | $5.2M | 7.7K | 142 |
| FL | $664.57 | $8.1M | 12.2K | 293 |
| NH | $662.17 | $795.9K | 1.2K | 30 |
| NM | $662.03 | $808.3K | 1.2K | 26 |
| TX | $651.25 | $6.4M | 9.9K | 274 |
| PA | $644.49 | $4.7M | 7.3K | 202 |
| SC | $634.46 | $1.3M | 2.0K | 54 |
| DC | $634.07 | $98.3K | 155 | 8 |
| LA | $632.90 | $873.4K | 1.4K | 46 |
| VT | $626.12 | $276.7K | 442 | 13 |
| MI | $625.68 | $2.8M | 4.4K | 125 |
| TN | $621.45 | $2.8M | 4.5K | 112 |
| UT | $619.72 | $1.2M | 1.9K | 52 |
| VA | $616.09 | $3.4M | 5.6K | 119 |
| MN | $614.40 | $1.5M | 2.5K | 65 |
| MO | $611.74 | $1.9M | 3.0K | 83 |
| MT | $608.78 | $770.1K | 1.3K | 26 |
| IN | $602.11 | $3.6M | 5.9K | 121 |
| WY | $596.02 | $305.2K | 512 | 10 |
| MS | $595.81 | $1.1M | 1.9K | 53 |
| OK | $593.86 | $1.6M | 2.7K | 59 |
| AR | $593.30 | $1.1M | 1.9K | 49 |
| IL | $590.23 | $5.0M | 8.5K | 185 |
| AL | $589.56 | $1.1M | 1.8K | 55 |
| ND | $587.32 | $499.2K | 850 | 17 |
| KS | $584.49 | $1.3M | 2.2K | 51 |
| SD | $582.97 | $599.3K | 1.0K | 24 |
| NE | $567.54 | $1.4M | 2.5K | 47 |
| WI | $494.25 | $1.8M | 3.7K | 83 |
| GA | $486.01 | $2.5M | 5.1K | 114 |
| OH | $466.55 | $3.8M | 8.2K | 154 |
| IA | $454.51 | $2.1M | 4.7K | 55 |
| RI | $410.45 | $327.5K | 798 | 13 |
| WV | $401.01 | $520.5K | 1.3K | 29 |
| KY | $275.34 | $1.4M | 5.2K | 69 |
| ME | $201.76 | $297.6K | 1.5K | 14 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Essex Specialized Surgical Institute Llc | Ambulatory Surgical Center | NJ | $607.2K | 742 | $818.35 |
| River Drive Surgery Center, Llc | Ambulatory Surgical Center | NJ | $591.5K | 605 | $977.68 |
| The Mackool Eye Institute, Llc | Ambulatory Surgical Center | NY | $513.3K | 539 | $952.31 |
| Brooklyn Eye Surgery Center Llc | Ambulatory Surgical Center | NY | $509.9K | 543 | $939.00 |
| Peninsula Eye Surgery Center Llc | Ambulatory Surgical Center | CA | $482.5K | 394 | $1224.62 |
| Dupage Eye Surgery Center, Llc | Ambulatory Surgical Center | IL | $425.0K | 501 | $848.34 |
| Brook Plaza Ambulatory Surgical Center, Inc. | Ambulatory Surgical Center | NY | $424.5K | 463 | $916.95 |
| West Suburban Eye Surgery Center Llc | Ambulatory Surgical Center | MA | $349.2K | 402 | $868.68 |
| Wolfe Surgery Center, Llc | Ambulatory Surgical Center | IA | $347.9K | 440 | $790.78 |
| Island Eye Surgicenter Llc | Ambulatory Surgical Center | NY | $331.6K | 351 | $944.78 |
| Douglas Grayson | Ophthalmology | NJ | $320.9K | 594 | $540.27 |
| 481 Asc Project Llc | Ambulatory Surgical Center | CA | $301.6K | 254 | $1187.28 |
| Long Island Ambulatory Surgery Center, Llc | Ambulatory Surgical Center | NY | $288.2K | 305 | $944.80 |
| Maryland Eye Surgery Center, L.L.C. | Ambulatory Surgical Center | MD | $287.3K | 358 | $802.42 |
| Cataract & Laser Center West, Llc | Ambulatory Surgical Center | MA | $282.8K | 344 | $822.04 |
| Specialized Surgical Center Of Central New Jersey, Llc | Ambulatory Surgical Center | NJ | $274.5K | 317 | $865.82 |
| Specialty Surgical Center, Llc | Ambulatory Surgical Center | CA | $270.2K | 282 | $958.26 |
| Wills Surgery Center Of Cherry Hill | Ambulatory Surgical Center | NJ | $267.1K | 315 | $847.93 |
| Advanced Eye Surgery Center | Ambulatory Surgical Center | MA | $264.3K | 269 | $982.53 |
| Albany Regional Eye Surgery Center, Llc | Ambulatory Surgical Center | NY | $262.9K | 352 | $746.80 |
The data suggests significant pricing inconsistencies for CPT 66982. With a 8.3x 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.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.