Medicare Cataract Surgery Cost 2026 | Out-of-Pocket Estimator
Cataract surgery with lens implant (CPT 66984) is the most common Medicare surgery. Medicare covers the basic IOL; premium lenses (toric, multifocal) may have added out-of-pocket costs.
2026 Medicare Cost Summary — Cataract Surgery (CPT 66984)
Source: CMS 2026 MPFS, OPPS Final Rule, ASC Final Rule, IPPS. All amounts are national averages.
| Cost Component | Medicare-Approved Amount | Your Share (20%) |
|---|---|---|
| Surgeon Fee — Cataract Surgery (CPT 66984) | $462 | $92 |
| Hospital Outpatient (HOPD) Facility Fee | $2,357 | $471 |
| Ambulatory Surgery Center (ASC) Facility Fee | $1,255 | $251 |
| Anesthesia (estimated) | $150–$300 | 20% of approved |
What Medicare Pays
Medicare pays 80% of the approved amount for Part B services after your $283 annual deductible. With no supplemental insurance, you owe the remaining 20% with no annual out-of-pocket cap. With Medigap Plan G, you pay only the $283 Part B deductible — everything else is covered. With Medigap Plan N, you pay the $283 deductible plus a $20 copay per visit.
About This Calculator
MediCostCalc uses 2026 CMS official fee schedules — the Medicare Physician Fee Schedule (MPFS), Outpatient Prospective Payment System (OPPS), Ambulatory Surgical Center (ASC) Final Rule, and Inpatient Prospective Payment System (IPPS) — to give you a personalized, line-item cost estimate. No sign-up required. All data is from official CMS sources.