YAG laser capsulotomy (eye) Cost by Hospital

YAG laser capsulotomy (eye) is a surgical procedure. Prices are from 1341 US hospitals across 52 states, from their machine-readable files.

$960median cash price · 1341 hospitals, 52 statestypically $353–$2,705 depending on the hospital
≈ 2.9× Medicare · On the higher sideFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$1,677
Cash / self-pay
$960
Insurer-negotiated
$698
Medicare pays
$335
$353$2,705
Median cash $960  ·  Medicare $335  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $960 — about 2.9× the Medicare rate ($335). On the higher side. A fair cash price is usually within ~2× Medicare ($671).

💡 Asking for the cash price instead of the $1,677 list price could save about $717 (43%).

Estimate what you’ll pay
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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Saint Vincent Hospital Erie, PA $153 $414 ★ 4/5 212 min 14.7%
University of Md Shore Medical Ctr at Chestertown Chestertown, MD $158 — ★ 5/5 174 min 14.0%
Jefferson Hospital Louisville, GA $162 $402 — 92 min 15.2%
Jefferson Hospital Jefferson Hills, PA $162 $402 ★ 4/5 172 min 15.4%
Nacogdoches Memorial Hospital Nacogdoches, TX $187 $499 ★ 2/5 178 min 15.4%
Westfield Memorial Hospital, Inc Westfield, NY $187 $414 — 114 min 14.8%
Canonsburg General Hospital Canonsburg, PA $187 $391 ★ 3/5 155 min 15.6%
Forbes Hospital Monroeville, PA $187 $414 ★ 3/5 252 min 16.5%
Seton Medical Center Harker Heights Harker Heights, TX $189 $738 ★ 4/5 174 min 16.3%
Mercy Hospital Springfield Springfield, MO $192 $455 ★ 3/5 293 min 14.3%
Grove City Medical Center Grove City, PA $196 $391 ★ 4/5 147 min 14.1%
Allegheny Valley Hospital Natrona, PA $204 $391 ★ 4/5 201 min 15.7%
Allegheny General Hospital Pittsburgh, PA $204 $391 ★ 3/5 274 min 14.7%
Adventist Health Tulare Tulare, CA $209 $288 ★ 3/5 195 min 15.0%
Brookings Health System Brookings, SD $211 $409 ★ 4/5 100 min 13.7%
Ahn Wexford Hospital Wexford, PA $221 $414 ★ 5/5 186 min 15.3%
University of Md Medical Center Midtown Campus Baltimore, MD $230 — ★ 3/5 246 min 14.4%
West Penn Hospital Pittsburgh, PA $230 $414 ★ 3/5 203 min 16.3%
University of Maryland Medical Center Baltimore, MD $234 — ★ 3/5 330 min 14.3%
University of Md Charles Regional Medical Center La Plata, MD $234 — ★ 3/5 278 min 13.6%
University of Md St Joseph Medical Center Towson, MD $234 — ★ 5/5 281 min 13.1%
East Jefferson General Hospital Metairie, LA $242 $2,176 ★ 2/5 162 min 15.3%
Scripps Mercy Hospital San Diego, CA $252 $707 ★ 4/5 193 min 15.3%
Scripps Memorial Hospital La Jolla La Jolla, CA $252 $707 ★ 5/5 180 min 13.8%
Scripps Green Hospital La Jolla, CA $252 $707 ★ 5/5 — 13.9%

CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated July 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.

What insurers pay for YAG laser capsulotomy (eye)

Median in-network negotiated rate by insurer, across hospitals that publish it (cheapest first). Your actual rate depends on your specific plan and deductible. Cash / self-pay for comparison: $960; Medicare pays $335.

InsurerHospitalsNegotiated median
Univera 7
$202
$32 – $338
Amerigroup 128
$219
$219 – $581
Geisinger 33
$346
$284 – $1,247
Medicaid 141
$431
$213 – $1,030
AmeriHealth 117
$468
$227 – $3,473
Highmark 51
$499
$299 – $1,198
Tricare / VA 146
$533
$315 – $1,365
Devoted Health 119
$540
$509 – $650
Priority Health 18
$544
$242 – $1,224
Medicare 270
$562
$301 – $849
Molina Healthcare 369
$574
$225 – $3,224
UCare 40
$576
$318 – $1,255
UPMC Health Plan 36
$599
$281 – $2,734
Independent Health 10
$649
$474 – $1,965
Humana 575
$697
$295 – $4,690
Kaiser Permanente 129
$703
$383 – $1,839
HealthPartners 98
$721
$321 – $1,541
MVP Health Care 31
$790
$400 – $2,405
Coventry 47
$809
$467 – $2,469
Workers' Comp / No-Fault 43
$894
$231 – $1,297
Blue Cross Blue Shield 716
$912
$314 – $3,283
Centene / Ambetter 468
$929
$270 – $2,160
Sanford Health Plan 28
$976
$309 – $2,643
Harvard Pilgrim 17
$1,002
$496 – $1,672
Medica 86
$1,013
$389 – $2,807
Health Net 124
$1,028
$258 – $3,821
UnitedHealthcare 849
$1,101
$276 – $3,546
Bright Health 41
$1,184
$870 – $3,105
Anthem 329
$1,455
$250 – $5,003
SelectHealth 29
$1,473
$549 – $5,307
Security Health Plan 23
$1,473
$534 – $3,365
Healthcare Highways 37
$1,474
$1,210 – $2,251
MultiPlan / PHCS network 290
$1,648
$559 – $3,806
Aetna 751
$1,804
$370 – $5,084
EmblemHealth 37
$2,358
$649 – $18,105
Oscar Health 148
$3,008
$725 – $3,505
Cigna 619
$3,016
$564 – $8,253
AvMed 32
$8,168
$966 – $11,972

Negotiated rates are from hospitals’ machine-readable files (45 CFR §180); payer names are normalized to major brands, so a brand may span several plans. Estimates — confirm with your insurer.

Where it’s cheapest

StateMedian cash
Maryland$234
Virginia$252
Tennessee$252
Georgia$424
North Carolina$469
Louisiana$535

Prices by city

Chicago, ILAustin, TXDallas, TXHouston, TXNew York, NYPhiladelphia, PASacramento, CABronx, NYBrooklyn, NYCharlotte, NCCleveland, OHFort Worth, TXLos Angeles, CANashville, TNSan Antonio, TXArlington, TXCincinnati, OHMilwaukee, WIRochester, NYSan Diego, CASan Francisco, CAAurora, COColorado Springs, COJacksonville, FL

Prices by state

TexasCaliforniaOhioWisconsinFloridaNew YorkMinnesotaIllinoisTennesseePennsylvaniaColoradoLouisianaNorth CarolinaGeorgiaMichiganIndianaNew JerseyWest VirginiaMissouriOklahomaWashingtonVirginiaNebraskaIowaKansasMaineAlabamaKentuckyArkansasSouth CarolinaMassachusettsIdahoMississippiUtahArizonaConnecticutSouth DakotaNew HampshireNevadaMarylandNorth DakotaMontanaVermontOregonNew MexicoWyomingDelaware

Doctors who perform this

Clinicians who reported the most Medicare volume for this service. This reflects Original Medicare activity only and is a volume signal, not a quality ranking.

ClinicianSpecialtyLocationMedicare services
Jason Kvitle, O.D.OptometryQuincy, IL9,982
John Paulsen, O.D.OptometrySturgeon Bay, WI4,676
Rachelle Penka, ODOptometrySpartanburg, SC4,363
Elissa Harvey, O.D.OptometrySalem, IL3,954
Alan Montgomery, ODOptometrySalem, IL3,693
John Maria, O.D.OptometryDover, TN3,660
Kristie Chevalier, O.D.OptometryQuincy, IL3,641
Margaret Powell, ODOptometrySpartanburg, SC3,560
Jessica Oneil, ODOptometrySwansboro, NC3,339
Elizabeth Wolff, O.D.OptometrySalem, IL3,242
William Younger, ODOptometrySpartanburg, SC2,859
Daniel Wolf, O.D.OptometryCentralia, IL2,844

Browse doctors by specialty & city →

Does Medicare cover YAG laser capsulotomy (eye)?

Yes — Medicare generally covers YAG laser capsulotomy (eye). It is typically an outpatient service under Medicare Part B, with a Medicare-approved amount of about $335. After your annual Part B deductible, you typically owe the 20% coinsurance — roughly $67 — unless a Medicare Advantage or supplemental (Medigap) plan covers it.

General guidance from Medicare’s national rates — your actual coverage and share depend on medical necessity, your plan, and where the service is performed. Confirm with Medicare or your plan.

About these prices

Based on prices published by 1341 US hospitals across 52 states, the typical (median) cash price is $960, versus a chargemaster (list) price around $1,677, a median insurer-negotiated rate of $698, a Medicare rate of about $335. Most cash prices fall between $353 and $2,705 — a wide spread, which is exactly why comparing hospitals pays off.

How to save

  • Ask each hospital for its cash / self-pay price — for shoppable services it is often far below the list price.
  • Compare several nearby hospitals; prices for the same service can differ severalfold.
  • Request a written estimate and the billing code (CPT/DRG) before scheduling.
  • Use the Medicare benchmark above to judge whether a quote is reasonable.
  • If you are uninsured, ask about financial assistance or prompt-pay discounts.

Frequently asked questions

How much does YAG laser capsulotomy (eye) cost without insurance?
The median cash (self-pay) price across 1341 US hospitals is $960. Most hospitals fall between $353 and $2,705. Prices vary widely between hospitals, so it pays to compare before you book.
Does Medicare cover YAG laser capsulotomy (eye)?
Yes — it is generally covered under Medicare Part B as an outpatient service (Medicare-approved amount about $335). After your Part B deductible you typically owe 20% coinsurance, unless a Medicare Advantage or Medigap plan covers it.
What does Medicare pay for YAG laser capsulotomy (eye)?
Medicare pays about $335. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.
Why do YAG laser capsulotomy (eye) prices vary between hospitals?
Hospitals set their own chargemaster and cash prices and negotiate different rates with each insurer, so two hospitals in the same area can charge very differently for the same service.
Is the cash price lower than using insurance?
Sometimes. If you are uninsured or have a high deductible, the cash/self-pay price can be lower than the insurer-negotiated rate — ask the hospital for both.

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