Surgery · procedure code 66984

Cataract surgery cost in Wilmington, OH

What health plans have contracted to pay providers for Cataract surgery with lens insertion in the Wilmington market, from the machine-readable files those plans publish under federal law. Not billed charges, and not an estimate.

Metro market

Cataract surgery

Wilmington, OH · procedure code 66984

Local · metro· n=432Pooled filings, payers not identified
Medicare
$417
25th
$651
Median
$865
75th
$993
90th
$41725th
$651Median
$86575th
$99390th
$445Medicare

Middle price

$651

Half of this market is above it, half below

Middle half spans

$417 to $865

2.1x from low to high

The expensive end

$993

What the priciest providers charge

Medicare reference · Ohio (nearest published locality)

$445

Performed in an office

Negotiated prices from published filings, reported only where the sample supports it. For your city, not a statewide average. 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 $865, a 2.1x difference for the same procedure code in the same city. That gap is between contracts, not between quality.

Against Medicare

The middle price sits at 146% of what Medicare pays for the same service at its Ohio locality. Medicare is a fixed reference line most finance teams already have a feel for, which is why we print it beside every figure. It is not a fair price and not what anything should cost.

The expensive end

One in ten filings sits at or above $993. 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, though this is a smaller market and we mark it as one. 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.

Of the 6 markets compared here, Wilmington, OH has the 5th highest middle price.

Local · metro
MarketLow endMiddleHigh endProvidersBasis
Wilmington, OH this page$417$651$865432Local · metro
Columbus, OH$546$782$1,35634,028Local · metro
Cleveland, OH$511$753$1,13024,827Local · metro
Cincinnati, OH$504$718$99333,946Local · metro
Dayton, OH$417$638$91513,859Local · metro
Akron, OH$452$711$1,0598,775Local · 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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