CPT 66821 Surgery - Eye

How Much Does After Cataract Laser Surgery Cost?

Also known as: After cataract laser surgery (CPT 66821)

YAG laser capsulotomy to clear cloudy vision after cataract surgery.

The total estimated cost of After Cataract Laser Surgery (CPT 66821) is $693 to $1,127, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $275.

Total Estimated Cost of Care

$693 — $1,127

This estimate includes hospital facility fees, anesthesia, and supplies .

Surgeon/Physician Fee
$275
Hospital Facility Fee
$550
Anesthesia (est.)
$41
Important: The physician fee of $275 shown in the cost cards below is what Medicare pays the surgeon/doctor only. The hospital charges a separate facility fee that typically makes up 70-85% of the total cost.
Medicare Physician Fee (Facility Setting)
$275
Physician component only — CMS PFS 2026
Medicare Physician Fee (Office/Clinic)
$335
Non-facility setting

Patient Guide: After Cataract Laser Surgery

What you need to know before your appointment

What to Expect

A quick laser treatment clears the cloudy membrane that sometimes develops behind the artificial lens months to years after cataract surgery. Your eye is numbed with drops.

How Long Does It Take?

5 minutes

Common Reasons Doctors Order This

Posterior capsule opacification (cloudy vision returning after cataract surgery)

How to Prepare

No preparation. Vision improvement is usually immediate. Arrange a driver.

Procedures Commonly Done Together

These procedures are frequently performed alongside After cataract laser surgery

Loading related procedures...

How to Reduce Your Cost for After cataract laser surgery

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    For this procedure, the office rate ($335) differs from the facility rate ($275). Ask if it can be done in an office setting.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

3.33
Work RVU
4.66
Practice Expense RVU
0.25
Malpractice RVU
10.04
Total RVU

Payment = Total RVU (10.04) x CF ($33.40) = $335

Frequently Asked Questions

How much does After cataract laser surgery cost?

The Medicare facility rate for After cataract laser surgery is $275. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does After cataract laser surgery cost without insurance?

Without insurance, the cost of After cataract laser surgery can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover After cataract laser surgery?

Most commercial health insurance plans and Medicare cover After cataract laser surgery when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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