Surgery · procedure code 66984

Cataract surgery cost in West Virginia

Fairmont, WV has 36 filings for Cataract surgery with lens insertion. We need 100 before we will publish a market figure, so this page shows West Virginia instead and says so. These are the rates plans published under federal law. Not billed charges, and nothing here is scaled, adjusted or estimated to stand in for the market we do not hold.

State market

Cataract surgery

WV · procedure code 66984

Statewide· n=3,364Pooled filings, payers not identified

We do not have a publishable distribution for Fairmont, WV, so this is the WV market instead. The label above says so on purpose.

Medicare
$417
25th
$662
Median
$952
75th
$1,300
90th
$41725th
$662Median
$95275th
$1,30090th
$444Medicare

Middle price

$662

Half of this market is above it, half below

Middle half spans

$417 to $952

2.3x from low to high

The expensive end

$1,300

What the priciest providers charge

Medicare reference · West Virginia (nearest published locality)

$444

Performed in an office

Negotiated prices from published filings, reported only where the sample supports it. Statewide peer distribution, not a single-city sample. What plans have agreed to pay, not what a patient is billed. Filings as of July 20, 2026.

Reading it

What this distribution actually says.

The spread

The middle half of this market runs from $417 to $952, a 2.3x difference for the same procedure code in the same city. That gap is between contracts, not between quality.

Against Medicare

Medicare pays $444 for this service at its West Virginia locality. We do not turn that into a percentage here, because the price above is West Virginia and that Medicare figure is one locality inside it. Two different maps do not divide.

The expensive end

One in ten filings sits at or above $1,300. If a plan's network is weighted toward that end, the difference does not show up in a premium quote. It shows up in the claims.

How wide the data runs

The carriers that filed for this procedure in this market. What each plan has agreed to pay, side by side. These are prices, not bills, so they do not show how often anyone needs it.

The same service elsewhere

Cataract surgery across other markets.

Local · metro5 of 6 measured locally
MarketLow endMiddleHigh endProvidersBasis
West Virginia this page$417$662$9523,364Statewide
Huntington, WV$436$664$8832,783Local · metro
Charleston, WV$474$721$1,123368Local · metro
Morgantown, WV$492$766$1,202349Local · metro
Beckley, WV$500$634$1,009100Local · metro
Wheeling, WV$417$568$801707Local · metro

Put this in front of a client.

Every figure on this page carries its source, its scope and the date the corpus was built, so it survives being forwarded to someone who was not in the meeting.

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