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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. 66991
  4. Cost Analysis

How Much Does Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye Cost on Medicare?

Cost analysis for CPT 66991 — Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye

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Average Medicare Payment

$1382.27

2023 data

Total Payments (2023)

$90.5M

Services (2023)

58.8K

Price Change (2022–2023)

+1.8%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2022$1358.38$89.0M58.9K—
2023$1382.27$90.5M58.8K+1.8%

🗺️ State-by-State Cost Variation

The most expensive state pays 2.7x more than the cheapest for this procedure. VT averages $2158.45 vs RI at $805.02.

StateAvg PaymentTotal PaymentsServicesProviders
VT$2158.45$263.3K1222
ID$2123.27$968.2K45611
NJ$2031.30$4.5M2.2K54
CA$1941.45$13.8M7.1K178
CT$1908.08$875.8K45912
HI$1829.75$486.7K2666
NY$1819.41$3.6M2.0K54
NM$1817.30$239.9K1325
NV$1776.92$845.8K47615
OR$1669.14$1.1M67824
MA$1649.08$3.3M2.0K46
CO$1612.35$1.6M96229
GA$1609.66$2.5M1.5K41
ME$1605.43$245.6K1535
DE$1599.88$855.9K53510
MD$1591.15$1.9M1.2K29
NH$1583.28$821.7K51911
AZ$1545.36$3.2M2.1K56
KS$1523.92$2.0M1.3K21
TX$1521.04$5.5M3.6K98
FL$1509.09$5.3M3.5K92
SC$1499.67$1.4M95423
VA$1474.89$1.7M1.1K27
WA$1465.91$2.5M1.7K39
MN$1447.92$1.6M1.1K29
MI$1442.63$1.3M92226
AR$1440.01$728.6K50611
PA$1434.68$4.6M3.2K69
TN$1424.94$1.7M1.2K35
IN$1419.00$1.8M1.3K23
KY$1405.53$601.6K42814
UT$1405.07$691.3K49216
NE$1404.64$1.5M1.1K27
OK$1386.93$721.2K52015
SD$1369.81$1.2M87210
MT$1369.26$954.4K69712
IA$1339.37$853.2K63717
ND$1327.39$550.9K41511
MS$1316.45$1.5M1.1K24
NC$1287.63$1.7M1.4K34
WI$1272.43$1.5M1.2K28
AL$1260.68$1.0M82114
MO$1240.71$1.7M1.4K31
IL$1190.52$1.6M1.3K35
WV$1117.22$205.6K1845
OH$1065.97$1.9M1.8K36
LA$961.61$846.2K88020
RI$805.02$238.3K2969

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
River Drive Surgery Center, LlcAmbulatory Surgical CenterNJ$1.2M404$2973.52
Specialty Surgical Center, LlcAmbulatory Surgical CenterCA$649.4K218$2978.88
Island Eye Surgicenter LlcAmbulatory Surgical CenterNY$628.4K213$2950.44
Vance Thompson Vision Surgery Center Prof LlcAmbulatory Surgical CenterSD$509.3K223$2284.03
Laser & Surgical Services At Center For Sight LlcAmbulatory Surgical CenterFL$507.1K206$2461.81
East Bay Surgery Center LlcAmbulatory Surgical CenterMA$503.4K194$2595.09
Freedom Vision Surgery Center LlcAmbulatory Surgical CenterCA$487.8K164$2974.52
Ocean County Eye Associates LlcAmbulatory Surgical CenterNJ$463.0K175$2645.97
Roanoke Valley Center For Sight LlcAmbulatory Surgical CenterVA$454.6K193$2355.57
Long Island Ambulatory Surgery Center, LlcAmbulatory Surgical CenterNY$416.7K142$2934.34
Sltlbk Associates, LlcAmbulatory Surgical CenterPA$412.1K166$2482.80
Surgical Care Center, Inc.Ambulatory Surgical CenterIN$403.6K159$2538.12
Eye Surgery Center Of North Alabama, Inc.Ambulatory Surgical CenterAL$397.8K177$2247.24
Sacramento Surgery Center Associates, L PAmbulatory Surgical CenterCA$388.5K113$3438.17
4th Street Laser & Surgery Center IncAmbulatory Surgical CenterCA$383.7K108$3552.59
481 Asc Project LlcAmbulatory Surgical CenterCA$380.1K104$3654.71
The Eye Surgery Center Of The Carolinas LpAmbulatory Surgical CenterNC$375.0K163$2300.83
Hancock Park Surgery Center, LlcAmbulatory Surgical CenterCA$374.3K126$2970.71
North Valley Surgery Center LlcAmbulatory Surgical CenterCA$372.0K139$2675.93
Tower Clock Surgery Center LlcAmbulatory Surgical CenterWI$368.0K148$2486.32

🤔 Is Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye Overpriced?

The data suggests significant pricing inconsistencies for CPT 66991. With a 2.7x 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.