Cataract Surgery Cost in Missouri
Xcapsl ctrc rmvl w/o ecp
Missouri Medicare physician rate (2026)
-3.7% vs nationalAverage of 3 localities. Office range $433.83–$452.79.
Your ZIP in Missouri
Enter a ZIP code to see which Missouri locality covers you: metro St. Louis, metro Kansas City, or rest-of-state areas like Springfield, Columbia, Joplin, and the Bootheel.
What this number is
The figures on this page are 2026 Medicare physician allowed amounts for a specific CPT code: the professional fee, adjusted by geographic practice-cost indices. They are not a hospital chargemaster price, not your insurer's contracted rate, and not a quote. Hospital facility fees, anesthesia, implants, imaging reads, and pathology are billed separately when they apply.
National vs Missouri
Where Missouri ranks for this CPT
CPT 66984 by Missouri locality
| Locality | Office |
|---|---|
| metropolitan st. louis | $452.79 |
| metropolitan kansas city | $449.68 |
| rest of missouri | $433.83 |
PE GPCI ranges from 0.862 to 0.952 in Missouri. That index is why the same CPT is not one price statewide.
Cataract Surgery and how Missouri is priced
Missouri is a three-locality state: metropolitan St. Louis and metropolitan Kansas City are each priced separately, and everywhere else falls into a rest-of-state locality with lower geographic adjustments. Both metro localities approve higher amounts than outstate Missouri, and the Kansas City locality applies only to the Missouri side of that metro, since the Kansas side prices under Kansas's statewide locality. Springfield, Columbia, and the rural counties all share rest-of-state factors. The metro-versus-outstate gap is the main pricing story here.
St. Louis and Kansas City hold the state's academic medical centers and most of its specialty depth, drawing patients from far beyond Missouri's borders, including southern Illinois and eastern Kansas. Outstate Missouri is served by regional hubs in Springfield, Columbia, and Cape Girardeau, with the Ozarks and Bootheel among the harder places to reach specialty care. Rural hospital viability has been a persistent concern across the state.
This procedure: Cataract surgery removes the eye's clouded natural lens through a tiny incision using ultrasound to break it up, then implants a clear artificial lens called an IOL. It is the most common surgery performed on Medicare patients and one of the safest. Done one eye at a time under numbing drops with light sedation, the procedure itself takes about 15 minutes, and most people notice better vision within days.
What Is Cataract Surgery?
Cataract surgery removes the eye's clouded natural lens through a tiny incision using ultrasound to break it up, then implants a clear artificial lens called an IOL. It is the most common surgery performed on Medicare patients and one of the safest. Done one eye at a time under numbing drops with light sedation, the procedure itself takes about 15 minutes, and most people notice better vision within days.
What Affects the Cost
- Lens choice is the biggest patient-controlled cost: a standard single-focus lens is covered, while multifocal, extended-depth, or astigmatism-correcting toric lenses cost extra out of pocket, often thousands per eye.
- Laser-assisted surgery, offered as an upgrade over the standard ultrasound technique, is an additional self-pay charge at many practices.
- The facility fee differs between hospital outpatient departments and ambulatory surgery centers, where most cataract surgery now happens.
- Because each eye is a separate surgery weeks apart, all charges effectively occur twice for most patients.
- Pre-surgical eye measurements and testing beyond the standard set may be billed to you when tied to premium lens upgrades.
Questions to Ask Before Booking
- 1.What exactly is included if I choose the standard covered lens, with zero upgrade charges?
- 2.What is your all-in out-of-pocket price for each premium lens option, per eye?
- 3.Is laser assistance clinically necessary for my eyes or an optional upgrade?
- 4.Where will the surgery be done, and what is the facility fee at that location?
- 5.Does my plan require prior authorization, and is the post-surgery eyeglasses benefit being applied?
Other featured procedures in Missouri
Cataract Surgery in other states
Cataract Surgery in Missouri: questions
How much does cataract surgery cost in Missouri?
The 2026 Medicare physician office rate for CPT 66984 averages $445.43 across 3 Missouri localities, from $433.83 in REST OF MISSOURI to $452.79 in METROPOLITAN ST. LOUIS. The hospital physician rate averages $445.43. Enter a ZIP for the exact locality.
Does the rate change inside Missouri?
Yes. CMS splits Missouri into 3 payment localities. For this CPT the office physician fee spans $18.96 from the lowest to highest locality. Enter a ZIP code to see which Missouri locality covers you: metro St. Louis, metro Kansas City, or rest-of-state areas like Springfield, Columbia, Joplin, and the Bootheel.
What will a Medicare patient owe for the physician fee?
After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $89 for the office physician line or $89 for the hospital physician line in Missouri. Medigap may cover that 20%. This is not the hospital facility fee.
Is this the full cataract surgery bill in Missouri?
No. $445.43 is the Medicare physician allowed amount for CPT 66984. Anesthesia, facility fees, implants, and other CPT codes billed the same day are extra. Missouri ranks #17 of 51 states on this physician line (4% below the national office rate of $462.60).