Nevada · 66761

Creation Of Eye Fluid Drainage Tracts In Iris Using A Laser, Per Session in Nevada

Nevada Medicare Avg
$206.61
1% below national avg
National Medicare Avg
$207.86
All states combined
Billed Charge (NV)
$869.91
What providers submit
Est. Commercial (NV)
$636.17
National avg: $606.68
Est. Cash / Self-Pay (NV)
$438.03
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

313
Services in NV
42
Providers
N/A
Min Payment
N/A
Max Payment

Nevada Pricing in Context

In Nevada, CPT code 66761 (Creation Of Eye Fluid Drainage Tracts In Iris Using A Laser, Per Session) carries an average Medicare payment of $206.61 — 1% below the national benchmark of $207.86. 42 providers across the state submitted claims for this procedure in 2023, performing 313 total services. Individual payments in NV ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.

The average billed charge in Nevada is $869.91, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Nevada sits below the national Medicare average, commercial rates in the state may also run lower than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Eye Surgery procedures, the estimated commercial insurance price in Nevada lands near $636.17, with self-pay cash prices typically around $438.03. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does Creation Of Eye Fluid Drainage Tracts In Iris Using A Laser, Per Session cost in Nevada?

The average Medicare payment for Creation Of Eye Fluid Drainage Tracts In Iris Using A Laser, Per Session in Nevada is $206.61, which is 1% below the national average of $207.86. Providers in NV typically bill $869.91 for this procedure.

What does Creation Of Eye Fluid Drainage Tracts In Iris Using A Laser, Per Session cost with insurance in Nevada?

With commercial insurance in Nevada, Creation Of Eye Fluid Drainage Tracts In Iris Using A Laser, Per Session costs an estimated $636.17. Without insurance, the estimated cash price is $438.03. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Creation Of Eye Fluid Drainage Tracts In Iris Using A Laser, Per Session in Nevada?

42 providers in Nevada billed Medicare for Creation Of Eye Fluid Drainage Tracts In Iris Using A Laser, Per Session in 2023, performing 313 total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Creation Of Eye Fluid Drainage Tracts In Iris Using A Laser, Per Session cheaper in Nevada than the national average?

Yes — Creation Of Eye Fluid Drainage Tracts In Iris Using A Laser, Per Session costs 1% below the national average in Nevada. The state average Medicare payment is $206.61 compared to $207.86 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Related

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure Editorial