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Lower Medical Bill Costs For Cataract Surgery

Patients can minimize their cataract surgery costs by selecting affordable lenses and providers. There is a lot of biased information on the market on cataract surgery costs because cataract lenses really are a "big business" for manufacturers, surgeons, and surgery facilities. The Medicare program and Medicare people are the most common payors of cataract surgery costs.

Cataract surgery lens costs

If the cataract surgery lens expense is less than $150 per eye, then you definitely cannot be personally billed more for that lenses by the surgeon or surgery center under Medicare rules. If the cataract surgery lens expense is a lot more than $150, then Medicare permits the facility to bill you because the patient with an amount on the $150.

Fortunately, the 3 most widely used cataract lenses all are cheaper than $150. These are good lenses and will maintain your problem of cloudy vision. You cannot be billed for that cost of these cataract lenses because they cost less than $150. The "xx" in the models below indicates a placeholder for size. Collectively, I estimate these three lenses are employed in over 90% of cataract surgeries.

Most favored Cataract Lenses:

Model: Acrysof IQ SN60WF "xx"
Company: Alcon
Cost: $150
Under Medicare Limit: Yes

Model: Sofport LI61AO "xx"
Company: Bausch & Lomb
Cost: $150
Under Medicare Limit: Yes

Model: Tecnis ZA9003 "xx"
Company: AMO
Cost: $135
Under Medicare Limit: Yes

According to my estimates, Alcon's Acrysof IQ above is used within 50% of cataract surgeries as well as the Bausch & Lomb's Sofport and AMO's Tecnis make-up another 40% of cataract surgeries. These marketshare percentages provide my experience working in the ambulatory surgery business and i also never have verified them against actual sales data.

Surgeons may attempt to "upsell" you into more expensive lenses that will also correct presbyopia or astigmatism, but you'll have to pay big money for each and every lens from your own comprido [look at this site] pocket. Alcon's Toric lenses and ReSTOR lenses here are types of cataract lenses who have large patient out-of-pocket costs.

Cost per Eye of "Premium" Cataract Lenses

Model: Acrysof IQ Toric SN6AT3-5 "xx"
Company: Alcon
Provider Cost: $495
Patient Cost: $345
Under Limit: No

Model: Acrysof IQ ReSTOR
Company: Alcon
Provider Cost: $495-$895
Patient Cost: $345-$745
Under Limit: No

It's even less expensive to buy eyeglasses for $120 rather than to pay an additional $690-$1,490 for premium cataract lenses that may correct presbyopia.

Hospital and surgery center costs

Cataract surgery costs to Medicare patients are significantly lacking in ambulatory surgery centers compared to what they are in hospital surgery departments. The surgery costs below are based on 2011 national Medicare rates which may be adjust slightly for your state.

Facility Cataract Surgery Fees for starters Eye

Ambulatory Surgery Center
Medicare Pays: $761
Patient Pays: $190

Hospital
Medicare Pays: $1,307
Patient Pays: $326

Patients helps you to save 42% business cataract surgery costs on coinsurance when you go to an ambulatory surgery center rather than a hospital surgery department. The Medicare program itself saves big bucks when patients have cataract surgeries performed in true ambulatory surgery centers as opposed to hospitals.

Total cataract surgery cost savings

Therefore if someone visits an ambulatory surgery center and chooses one of many three lenses under the Medicare allowable limit described in this post, the real key or she could save over $1,000 on their own cataract surgery costs both for eyes.
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Kaylene Dearborn

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