Cataract Surgery Cost in Wisconsin (2026): Average Prices & What You'll Pay
What does a cataract surgery cost in Wisconsin?
You could pay $1,175 or $2,357 for the same cataract surgery in Wisconsin - depending entirely on which facility you choose. The median cash price across 111 reporting hospitals is $2,214. This data comes directly from hospital price transparency files published under federal law. Pick your coverage in the tabs below to see your number.
Insurance
With commercial insurance, cataract surgery in Wisconsin typically runs $1,175–$2,357, facility and physician fees combined. What you pay out of pocket depends on your deductible and coinsurance.
Medicare
Medicare pays the same national rate to every provider that accepts it, adjusted slightly for local wages, so choosing a different hospital doesn't change what Medicare pays. For cataract surgery that rate is about $2,358–$4,223 (typically near $2,358). After the $257 Part B deductible you generally pay 20% of the approved amount, about $472.
Read the full Medicare coverage guide →
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
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Medicaid
Medicaid is run by each state, and it pays fixed rates to the providers that accept it, so the price doesn't change from one hospital to the next. Most people on Medicaid owe nothing or a small copay for covered care, but what's covered and what you owe depends on your state and plan. CostKits doesn't show a Medicaid price here because those rates are set by the state, not negotiated by each hospital. The question that matters is whether the provider accepts your Medicaid plan, so ask before you schedule.
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.
No insurance
Posted cash prices for cataract surgery at 117 Wisconsin hospitals range from $754–$4,425, with a median of $2,214. The lowest posted price we found is Memorial Medical Center INC in Ashland, WI at $662. Ask for the cash or self-pay price and for the hospital’s financial-assistance policy before you book.
Once you have a bill or an appointment on the calendar, CostKits can help you keep it all organized.
Where cataract surgery costs vary in Wisconsin
Pins show hospitals with price-transparency data (colored by vs. state average) and nearby ambulatory surgery centers and other facilities (colored by type). Click any pin for facility name and estimated cost range.
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 Wisconsin
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs Median |
|---|---|---|---|---|
| 1 | Memorial Medical Center INC | Ashland, WI | $662 | -$1,552 |
| 2 | Hospital name hidden | Your City, WI | $926 | -$000 |
| 3 | Hospital name hidden | Your City, WI | $925 | -$000 |
| 4 | ST MARYS HOSPITAL MEDICAL CENTER OF GREEN BAY INC HOSPITAL SISTERS | Green Bay, WI | $754 | -$1,460 |
| 5 | ST NICHOLAS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS | Sheboygan, WI | $754 | -$1,460 |
| 6 | Hospital name hidden | Your City, WI | $922 | -$000 |
| 7 | Hospital name hidden | Your City, WI | $921 | -$000 |
| 8 | Hospital name hidden | Your City, WI | $920 | -$000 |
Your ranked price list is on its way to your email. Open the PDF now.
Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.
Email me this price comparison plus what to ask before booking
Sends a PDF with all 111 facilities ranked cheapest first, plus a short checklist of questions that change what you pay. We don't sell your information (privacy policy).
Before you book: three questions that change the price
- Is this the self-pay price, and does it include the doctor, anesthesia and any lab or pathology? Those are often billed separately.
- Can you give me the price in writing, with the billing codes it covers?
- What happens to the price if something extra is needed during the procedure?
Estimate your out-of-pocket cost → · When the bills arrive, we check them for errors →
Quick take
- Memorial Medical Center INC is the lowest-cost option at $662 - $1,552 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 $2,214, and it's often lower than what insurance pays before your deductible is satisfied.
- Ask whether this procedure can be done at a freestanding ambulatory surgical center - they're typically 30-60% cheaper than a hospital for identical care, and most aren't in this hospital-only dataset.
| Coverage | Hospitals with a rate | Typical range | Median |
|---|---|---|---|
| Medicare (national rate) | — | $2,358 to $4,223 | $2,358 |
| With insurance (commercial, average) | 72 | $1,398 to $6,312 | $4,582 |
| Without insurance (cash price) | 117 | $754 to $4,425 | $2,214 |
| Anthem Blue Cross and Blue Shield | 49 | $650 to $5,761 | $5,342 |
| UnitedHealthcare | 43 | $1,293 to $6,228 | $3,057 |
| Cigna | 23 | $4,334 to $20,000 | $17,500 |
| Aetna | 21 | $3,008 to $3,008 | $3,008 |
Rates are negotiated allowed amounts and cash prices from hospital price-transparency files (October 2026), shown at each hospital’s lowest-priced typical billing code for this procedure. Facility fees only. The typical range is the middle 80% of hospitals, not a quote for your visit.
How much does a cataract surgery cost with Medicare in Wisconsin?
Medicare's national hospital outpatient payment for cataract surgery is about $2,358 to $4,223 (typically near $2,358). After the $257 Part B deductible, you generally pay 20% of the Medicare-approved amount, about $472 on a $2,358 payment, with no out-of-pocket cap unless you have supplemental coverage or a Medicare Advantage plan.
Doctor, anesthesia and pathology fees are billed separately. Medicare rates are national CMS amounts, adjusted slightly by local wage levels.
How much does a cataract surgery cost with insurance in Wisconsin?
Across 72 Wisconsin hospitals, the negotiated rates commercial insurers pay for cataract surgery average $1,398 to $6,312 per hospital, with a median near $4,582. That is the amount your plan and you pay the hospital together; you owe your deductible, then coinsurance, up to your out-of-pocket maximum.
Each hospital’s figure is the average of the commercial insurers it lists. Medicare, Medicare Advantage and Medicaid rates are excluded.
How much does a cataract surgery cost without insurance in Wisconsin?
Cash (self-pay) prices for cataract surgery at 117 Wisconsin hospitals range from $754 to $4,425, with a median of $2,214. Ask for the cash or self-pay price and for any financial-assistance discount before you book; both can be lower than the posted price.
Cash prices are the hospital’s published discounted rate for patients paying without insurance.
How much does a cataract surgery cost with Anthem Blue Cross and Blue Shield in Wisconsin?
Anthem Blue Cross and Blue Shield negotiated rates for cataract surgery at 49 Wisconsin hospitals range from $650 to $5,761, with a median near $5,342. Your own cost depends on your plan’s deductible and coinsurance, and on whether the hospital is in your network.
Includes Blue Cross and Blue Shield and Anthem plans listed by each hospital.
How much does a cataract surgery cost with UnitedHealthcare in Wisconsin?
UnitedHealthcare negotiated rates for cataract surgery at 43 Wisconsin hospitals range from $1,293 to $6,228, with a median near $3,057. If a hospital is out of network for your UnitedHealthcare plan, you may owe more than the negotiated rate, so check the network first.
How much does a cataract surgery cost with Cigna in Wisconsin?
Cigna negotiated rates for cataract surgery at 23 Wisconsin hospitals range from $4,334 to $20,000, with a median near $17,500. If a hospital is out of network for your Cigna plan, you may owe more than the negotiated rate, so check the network first.
How much does a cataract surgery cost with Aetna in Wisconsin?
Aetna negotiated rates for cataract surgery at 21 Wisconsin hospitals range from $3,008 to $3,008, with a median near $3,008. If a hospital is out of network for your Aetna plan, you may owe more than the negotiated rate, so check the network first.
How where you go changes what you pay for cataract surgery
The same cataract surgery bundles different services depending on the setting - facility fee, surgeon fee, and anesthesia each arrive as separate bills. Estimated ranges below reflect the typical full bundled cost, including all expected charges.
- Facility fee $154–$7,500
- Professional fee $803–$2,932
Estimated from CMS fee schedules + commercial rate multipliers
- Facility fee $328–$7,500
- Professional fee $803–$2,932
Estimated from CMS fee schedules + commercial rate multipliers
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
A small number of hospitals (3) report prices above $5,621, including Cumberland Memorial Hospital Inc at $7,500, which drives most of the overall spread - excluding them, most facilities cluster in a much tighter band. Setting matters too: the median outpatient price is $2,214 versus $1,175 inpatient, so where a procedure happens often matters more than which hospital you pick. 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.
What you pay out of pocket on top of this depends on your deductible, your plan's out-of-pocket maximum, and whether every provider involved is in-network - not just the facility.
| Your situation | Estimated out-of-pocket |
|---|---|
| Deductible not yet met | ~$2,214 |
| Deductible met - 20% coinsurance | ~$443 |
| Out-of-network provider | $4,871+ |
Frequently asked questions: cataract surgery costs in Wisconsin
How much does a cataract surgery cost in Wisconsin?
The typical insurer-negotiated rate is $1,787, with most facilities between $476 and $2,291 (based on 110 hospitals reporting negotiated rates). Full market pricing - including cash rates, gross charges, and outlier facilities - ranges more widely, from $437 to $23,500 across all 111 Wisconsin hospitals that publish prices. 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 Wisconsin?
Based on declared prices, the lowest-cost facility in our Wisconsin data is STOUGHTON HOSPITAL ASSOCIATION at about $154. By metro, Green Bay has the lowest median ($782). Freestanding ambulatory surgery 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 Wisconsin hospitals?
Prices vary up to 53.8× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Wisconsin, the median cash (self-pay) price is $2,214 versus a median negotiated rate of $4,582 - cash is the lower number at many hospitals. Asking for the cash price as well as 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 Wisconsin?
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
- Deductible vs out-of-pocket max
- How to negotiate your medical bills
- EOB vs medical bill: complete guide
- Already have a bill? Check it for errors
- How to read an EOB line by line
Other procedures in Wisconsin
Cataract Surgery, elsewhere
- Cataract Surgery costs across all states
- Cataract Surgery cost in Eau Claire, WI
- Cataract Surgery cost in Fond Du Lac, WI
- Cataract Surgery cost in Green Bay, WI
- Cataract Surgery cost in Janesville, WI
- Cataract Surgery cost in Madison, WI
- Cataract Surgery cost in Milwaukee, WI
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- California
- Texas
- Florida
What matters before you schedule
ASC vs. hospital
Hospital outpatient departments typically charge 2-4x more than ambulatory surgery 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).
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About the Author
John Caruso, FSA, MAAA
Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.
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