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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 available on cataract surgery costs because cataract lenses certainly are a "big business" for manufacturers, surgeons, and surgery facilities. The Medicare program and Medicare patients 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, you then can't be personally billed more for that lenses through the surgeon or surgery center under Medicare rules. If the cataract surgery lens expense is greater than $150, then Medicare enables the facility to bill you since the patient to have an amount on the $150.

Fortunately, these most popular cataract lenses all cost less than $150. They are good lenses and definately will conserve the problem of cloudy vision. You cannot be billed for the price of these cataract lenses since they are cheaper than $150. The "xx" within the models below indicates a placeholder for size. Collectively, I estimate these 3 lenses are utilized in over 90% of cataract surgeries.

Most Popular 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

Depending on my estimates, Alcon's Acrysof IQ above is used in approximately 50% of cataract surgeries and the Bausch & Lomb's Sofport and AMO's Tecnis constitute another 40% of cataract surgeries. These marketshare percentages are based on my experience doing work in the ambulatory surgery business and i also never have verified them against actual sales data.

Surgeons may try to "upsell" you into higher priced lenses that may also correct presbyopia or astigmatism, but you'll must pay 100's of dollars for each lens out of your own pocket. Alcon's Toric lenses and ReSTOR lenses listed here are types of cataract lenses that 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 really is even less expensive to buy eyeglasses for $120 rather than pay an additional $690-$1,490 for premium cataract lenses that may correct presbyopia.

Hospital and surgery center costs

Cataract surgery costs to Medicare people are significantly lacking in ambulatory surgery centers compared to they are in hospital surgery departments. The surgery costs listed here are based on 2011 national Medicare rates that may be adjust slightly for the state.

Facility Cataract Surgery Fees for starters Eye

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

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

Patients will save you 42% business cataract surgery costs on coinsurance by visiting an ambulatory surgery center instead of 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 financial savings

Therefore someone would go to an ambulatory surgery center and chooses among the three lenses under the Medicare allowable limit described in this post, then he or she could save over $1,000 on the cataract surgery costs both for eyes.
  1. 2014/02/07(金) 20:56:14|
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Kaylene Dearborn

Author:Kaylene Dearborn
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