Medicare's paying less for cataract surgery. Eye doctors are turning to moneymaking lasers.

Key Points:

• Tammy Chalala paid nearly $4,000 out-of-pocket for laser-assisted cataract surgery, opting for it over traditional scalpel surgery due to perceived better precision and outcomes, despite Medicare typically covering most cataract surgery costs.
• Medicare reimburses about $520 for standard cataract surgery and generally prohibits extra charges, but doctors can bill patients for laser use when it involves premium lenses or astigmatism correction, with fees ranging from $1,000 to $3,000 per eye.
• Research and the American Academy of Ophthalmology indicate laser-assisted cataract surgery does not result in better outcomes or fewer complications compared to traditional methods, though it offers more precise cuts and options for premium lenses.
• The use of laser technology in cataract surgery has grown to nearly 12% of the 5 million annual procedures, partly driven by financial incentives for doctors amid declining Medicare reimbursements.
• Patient experiences vary, with some feeling pressured to pay extra for laser surgery, while others appreciate the precision and choice; ophthalmologists emphasize educating patients about both options without coercion.