Cataract surgery with lens implant cost in AK
What a cataract surgery with lens implant costs at AK hospitals — and the fair price to aim for.
Typical commercial prices here are +121% above the fair benchmark (2.21×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Wide Procedure Spread · Upper-Quartile Skew Pricer
This hospital prices routine shoppable procedures at 2.0× Medicare (median 1.72× Fair BaseRate) while upper-quartile commercial rates jump +34% to 2.31× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 1.33× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 20% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (54/100 safety score) with 72% patient recommendation
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 2.5× markup over Medicare rates
- Commercial insurance median sits at 1.72× Fair BaseRate (2.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 2.31×) jump +34% above the median procedure ratio (Q50 1.72×)
- Unnegotiated chargemaster list prices average 12.8× Medicare (14¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
In general, AK hospitals charge above the fair price — worth shopping around here. how we calculate the BaseRate →
Compared with the rest of the country, AK’s fair BaseRate ($4,127) is above the national fair price of $2,626.
Cheapest AK hospitals for a cataract surgery with lens implant
Audit a Bill or Quote at AK Hospital Benchmark (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $4,889
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $4,889).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask AK Hospital Benchmark's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $4,127 Fair BaseRate ($2,394 Medicare)
Your bill ($13,469) is $9,342 above the denoised Fair BaseRate ($4,127) and 5.6× the $2,394 Medicare rate.