CostKits Healthcare, Organized
Login

Cataract Surgery Cost in Madison, WI (2026): Average Prices & What You'll Pay

What does a cataract surgery cost in Madison, WI?

The same cataract surgery in Madison, WI might cost you $626 at one facility and $1,942 at another - the building you walk into drives the difference. The median cash price across 6 reporting hospitals is $1,180. These figures come straight from hospital price transparency files published under federal law.

Where cataract surgery costs vary in Madison, WI

Pins show hospitals with price-transparency data (colored by vs. state average) and nearby ambulatory surgery centers, imaging centers, and other facilities (colored by type). Click any pin for facility name and estimated cost range.

Hospital (below avg) Hospital (above avg) Click a pin for details.

26+ people checked prices near them this month.

Insurance covers cataract surgery - but the premium lens it won't cover can add $1,500–$3,000 per eye.

Your personalized cost report includes:

  • ✓ Why the standard lens is covered but a toric/multifocal upgrade is billed directly to you
  • ✓ The four separate bills (facility, surgeon, anesthesia, lens) and which to scrutinize
  • ✓ Why an ambulatory surgery center usually costs less than a hospital for the identical operation
  • ✓ How anesthesia ends up out-of-network even at an in-network surgery center
  • ✓ A real patient billing breakdown, line by line

Free for patients - takes 30 seconds to get.

We'll send a sign-in link to your email - click it to get your guide. No account required, no spam.

Cheapest Cataract Surgery Providers in Madison, WI

Based on declared cash/self-pay prices from CMS hospital price transparency files.

# Facility City Price vs Median
1 Stoughton Hospital WI $572 -$608
2 Aspirus Divine Savior Hospital Portage, WI $679 -$501
3 Ssm Health St. Mary's Hospital - Madison Madison, WI $1,681 +$501
4 Meriter Hospital, Inc Madison, WI $2,203 +$1,023
5 Prairie Ridge Health Columbus, WI $2,357 +$1,177

Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.

Quick take

  • Stoughton Hospital is the lowest-cost option at $572 - $608 below the state median, just by choosing where you go.
  • Ask for the cash price if your deductible isn't met - the median cash price here is $1,180, and it's often lower than what insurance pays before your deductible is satisfied.
  • Freestanding ambulatory surgical centers (ASCs) are often 30-60% cheaper than hospital outpatient departments for the same procedure and may not appear in this hospital-only dataset - ask your doctor if one is an option.

Advocate Aurora Health (formed in the Illinois-Wisconsin merger) and Ascension Wisconsin are the dominant systems in the Milwaukee market, while UW Health anchors the Madison market. Wisconsin's hospital market is moderately competitive in major metros but increasingly concentrated in rural areas. Prices tend to run near or slightly below the Midwest median. Medicare covers cataract surgery at a defined allowed amount wage-adjusted for your location - the main cost variable isn't geography but lens type. Standard monofocal lenses are fully covered; premium multifocal or toric lenses add $1,500–$3,000 per eye out-of-pocket regardless of insurance. Ambulatory surgery centers consistently charge less than hospital outpatient departments for the identical procedure.

Received a bill? Check it for errors → Estimate YOUR cost before you go → Managing more than one bill? See the family tracker →

Why prices vary - and what it means for your coverage

Facility classification matters as much as the hospital itself - a hospital-owned outpatient center adds a facility fee that a freestanding clinic does not. Setting drives most of the spread here: an ambulatory surgical center (ASC) is usually meaningfully cheaper than a hospital operating room for the same procedure, when your case qualifies.

None of the prices above are what you'll necessarily owe: your deductible, out-of-pocket maximum, and each provider's network status all still apply.

Your situation Estimated out-of-pocket
Deductible not yet met ~$1,180
Deductible met - 20% coinsurance ~$236
Out-of-network provider $2,596+

Frequently asked questions: cataract surgery costs in Madison, WI

How much does a cataract surgery cost in Madison, WI?

Across 6 Madison, WI hospitals that publish prices, a cataract surgery ranges from $504 to $2,357, with a median of $1,180. Most facilities fall between $599 and $1,942. What you pay depends on the facility, your insurance, and whether you have met your deductible.

Where is the cheapest place to get a cataract surgery in Madison, WI?

Based on declared prices, the lowest-cost facility in our Madison, WI data is Upland Hills Health in Dodgeville at about $504. By metro, Madison has the lowest median ($1,942). Freestanding ambulatory surgery and imaging centers are often cheaper still and may not appear in hospital price data - ask your doctor whether one is an option.

Why is a cataract surgery so much cheaper at some Madison, WI hospitals?

Prices vary up to 4.7× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Madison, WI, the median cash (self-pay) price is $1,180 versus a median negotiated rate of $1,681 - about 0.7× higher. Asking for the cash price or your insurer's negotiated rate is often the single biggest lever on what you pay.

How much will I actually pay out of pocket for a cataract surgery in Madison, WI?

Your out-of-pocket cost depends on your deductible, coinsurance, out-of-pocket maximum, and whether the facility is in-network - not just the sticker price. If you have not met your deductible, you will typically pay the negotiated rate in full until you do. Use the CostKits cost forecaster to estimate your specific out-of-pocket amount before you go.

Before you book

Other procedures in Madison, WI

Cataract Surgery, elsewhere

What matters before you schedule

ASC vs. hospital

Hospital outpatient departments typically charge 2-4x more than ASCs or independent centers for the same cataract surgery - same outcome, very different bill. Call ahead and ask for a self-pay or cash quote at each setting you're considering.

What's on your bill

A cataract surgery involves multiple providers who bill separately - typically Facility Fee, Surgeon Professional Fee, Anesthesia. Check each line item against your Explanation of Benefits to catch billing errors.

Cost by type

Which type your doctor orders for this cataract surgery changes the billing code, and what you pay. For example: A recognized variation that can change the billing code and what you owe.

What to ask before you book

Get the CPT code from your doctor, confirm every provider involved (not just the facility) is in-network, ask for the cash-pay rate if you're uninsured or haven't met your deductible, and request a written estimate for cataract surgery before you schedule.


CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).

Other Procedure Costs in Madison, WI

Interested in understanding healthcare costs and managing your medical expenses?

About the Author

John Caruso, FSA, MAAA

Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.

Connect on LinkedIn →

Ready to take control of your healthcare costs?

Use the free cost estimator →  ·  Get your bill screened for free →  ·  See the family plan →

Published June 12, 2026

Track Your Healthcare Costs

Create a free account to save procedures, compare prices, and analyze future medical bills.