白内障手術の費用はいくら？
Cataract surgery is a procedure to remove the clouded natural lens of the eye and replace it with an artificial intraocular lens. It is one of the most common and safest surgical procedures performed worldwide.
保険なし
$3,500
保険あり
$1,050
メディケア
$800
全国平均
$2,500
By Elena Bellini, MPH, Health Policy & Management · Last reviewed 2026-04-21 ·
Sources: CMS Medicare Provider Utilization and Payment Data 2025 · Methodology · Editorial standards 概要
Cataract surgery removes the clouded natural lens and replaces it with an artificial intraocular lens (IOL). It is one of the highest-volume procedures in American medicine, performed overwhelmingly in ambulatory surgery centers under topical or local anesthesia with light sedation. The operation itself takes roughly 15 to 30 minutes per eye. Most surgeons treat one eye at a time, spaced a week or more apart. The IOL is the single biggest line item you can control: a standard monofocal lens is covered by Medicare and commercial plans, while premium options — toric lenses for astigmatism, multifocal, extended-depth-of-focus (EDOF), and light-adjustable lenses — are considered refractive upgrades and require the patient to pay the upgrade fee out of pocket. Femtosecond laser-assisted cataract surgery is likewise usually billed as a non-covered upgrade. Costs split across the surgeon, the facility, the anesthesia provider, and any premium lens or laser charges.
費用に影響する要素
- IOL choice: standard monofocal lenses are insurance-covered, but toric, multifocal, EDOF, or light-adjustable lenses carry out-of-pocket upgrade fees often running into four figures per eye.
- Laser-assisted technique: femtosecond laser adds a non-covered technology fee at many centers on top of the base surgical fee.
- Site of service: ambulatory surgery centers are the norm and much cheaper than hospital outpatient departments for the same procedure.
- Anesthesia: topical anesthesia with minimal sedation is the least expensive; MAC anesthesia with a dedicated anesthesiologist adds cost.
- Astigmatism correction: limbal relaxing incisions or toric IOLs to correct astigmatism are billed as refractive upgrades.
- Surgeon fee differences: high-volume cataract surgeons sometimes package the professional fee into bundled quotes; others bill separately.
節約方法
- Accept the standard monofocal IOL if glasses for reading or distance after surgery are acceptable — this alone can save thousands per eye.
- Schedule surgery at an ambulatory surgery center rather than a hospital outpatient department.
- Ask the surgeon's office for a written quote that itemizes the surgeon fee, ASC fee, anesthesia, and any premium-lens or laser upgrade before you schedule.
- Use an HSA or FSA to pay the non-covered premium-lens upgrade portion with pre-tax dollars.
- Verify that the surgeon, the ASC, and the anesthesia provider are all in-network with your plan to avoid surprise billing.
- If you have an early-stage cataract and are paying out of pocket, ask whether updated glasses could reasonably defer surgery another year or two.
保険とカバレッジに関する注意事項
Medicare Part B and essentially all commercial plans cover medically necessary cataract surgery when visual impairment is documented. Medicare pays for the surgeon, the ASC or hospital facility fee, anesthesia, and a standard monofocal intraocular lens, and it also provides a one-time pair of post-operative eyeglasses or contact lenses. Upgrades to toric, multifocal, EDOF, or light-adjustable lenses, and femtosecond laser fees, are considered refractive (non-covered) and must be paid out of pocket. Commercial plans follow a similar pattern. Prior authorization is usually not required by traditional Medicare but is increasingly required by Medicare Advantage and some commercial plans. Expect to owe 20% coinsurance under Medicare Part B after the deductible.
Data sources for this page
Cost figures on this page are compiled from the following sources, triangulated per the rules in our methodology:
- CMS Medicare Provider Utilization and Payment Data 2025 — primary CMS reference used as the Medicare-rate anchor.
- Hospital Price Transparency machine-readable files (HPT MRFs) from a sample of major hospitals in each state, per the federal Hospital Price Transparency rule.
- Transparency in Coverage payer in-network rate files for commercial-rate cross-validation.
- State All-Payer Claims Database (APCD) summaries where published (Colorado, New Hampshire, Massachusetts, Minnesota, Maine, Utah, Vermont, Rhode Island, Washington, Oregon).
Last reviewed 2026-04-21. See editorial standards for our fact-checking process and correction policy.
Range: $2,560 to $4,830 · 50 states shown
州別費用
| 州 | 保険なし | 保険あり | メディケア |
|---|---|---|---|
| Mississippi | $2,560 | $768 | $587 |
| Arkansas | $2,620 | $786 | $601 |
| West Virginia | $2,620 | $786 | $601 |
| Oklahoma | $2,670 | $801 | $613 |
| Alabama | $2,710 | $813 | $620 |
| Kentucky | $2,950 | $885 | $677 |
| Louisiana | $3,010 | $903 | $691 |
| Iowa | $3,060 | $918 | $702 |
| New Mexico | $3,060 | $918 | $702 |
| South Carolina | $3,060 | $918 | $702 |
| South Dakota | $3,060 | $918 | $702 |
| Kansas | $3,110 | $933 | $714 |
| North Dakota | $3,110 | $933 | $714 |
| Idaho | $3,150 | $945 | $723 |
| Nebraska | $3,150 | $945 | $723 |
| Tennessee | $3,150 | $945 | $723 |
| Indiana | $3,250 | $975 | $746 |
| Missouri | $3,250 | $975 | $746 |
| Utah | $3,250 | $975 | $746 |
| Wyoming | $3,250 | $975 | $746 |
| Georgia | $3,290 | $987 | $755 |
| North Carolina | $3,290 | $987 | $755 |
| Michigan | $3,330 | $999 | $764 |
| Montana | $3,330 | $999 | $764 |
| Arizona | $3,420 | $1,026 | $784 |
| Ohio | $3,440 | $1,032 | $790 |
| Wisconsin | $3,440 | $1,032 | $790 |
| Maine | $3,460 | $1,038 | $794 |
| Texas | $3,500 | $1,050 | $803 |
| Florida | $3,570 | $1,071 | $819 |
| Minnesota | $3,570 | $1,071 | $819 |
| Illinois | $3,600 | $1,080 | $826 |
| Pennsylvania | $3,600 | $1,080 | $826 |
| Delaware | $3,650 | $1,095 | $837 |
| Nevada | $3,650 | $1,095 | $837 |
| Vermont | $3,650 | $1,095 | $837 |
| Virginia | $3,650 | $1,095 | $837 |
| Colorado | $3,710 | $1,113 | $851 |
| New Hampshire | $3,710 | $1,113 | $851 |
| Oregon | $3,750 | $1,125 | $860 |
| Maryland | $3,850 | $1,155 | $883 |
| Rhode Island | $3,900 | $1,170 | $895 |
| Washington | $3,900 | $1,170 | $895 |
| Connecticut | $4,200 | $1,260 | $963 |
| New Jersey | $4,200 | $1,260 | $963 |
| California | $4,620 | $1,386 | $1,060 |
| Massachusetts | $4,650 | $1,395 | $1,067 |
| Alaska | $4,730 | $1,419 | $1,083 |
| New York | $4,760 | $1,428 | $1,092 |
| Hawaii | $4,830 | $1,449 | $1,108 |
よくある質問
保険なしで白内障手術はいくらかかりますか？
米国での白内障手術の保険なし平均費用は$3,500です。州によって費用は大きく異なります。
保険は白内障手術をカバーしますか？
ほとんどの医療保険は、医学的に必要な場合に白内障手術をカバーします。保険適用時の平均自己負担額は$1,050です。
メディケアは白内障手術をカバーしますか？
メディケアパートBは通常、医師の処方がある場合に白内障手術をカバーします。メディケア承認の平均額は$800です。
Elena Bellini による確認 · 最終確認日：2026-04-21
データ出典：CMS Medicare Provider Utilization and Payment Data 2025。最終更新：2026-03-01。この情報は教育目的のみであり、医療アドバイスではありません。 本ウェブサイトは情報提供のみを目的としており、医療アドバイスではありません。必ず資格のある医療専門家にご相談ください。