Cash-pay ophthalmology is one of the largest elective procedure markets in medicine. LASIK, premium IOL, cosmetic oculoplastics, and dry eye treatment programs all run on a direct-payment model that needs procedure-based documentation, before-and-after photos, GFE compliance, and package billing. Brooke provides all of these at $99 a month flat.
The largest revenue segments in ophthalmology are not insurance-reimbursed — they are elective and direct-pay. LASIK, PRK, and other refractive procedures are paid directly by the patient. Premium IOL upgrades during cataract surgery are a direct-pay election. Cosmetic eyelid surgery, brow procedures, and oculoplastic work are direct-pay aesthetics. Dry eye treatment programs with in-office procedures are direct-pay clinical services. These service lines share a common workflow: consultation, procedure or series, post-operative follow-up, and direct checkout.
A LASIK or PRK patient journey starts with a consultation, continues through the procedure, and completes through a series of post-operative visits. The entire episode — from first consult to final post-op — needs to be documented in one chart, with before-and-after documentation, consent, and compliance records at every stage. The procedure itself is paid directly by the patient, often as a package fee at the consultation visit.
Blepharoplasty, ptosis repair, brow lifts, and other cosmetic eyelid and periorbital procedures are cash-pay aesthetic surgery. The documentation requirements — GFE compliance, before-and-after photos, surgical record, post-operative notes — are identical to any other cash-pay aesthetic procedure. Brooke was built for this workflow and applies directly to cosmetic ophthalmology without modification.
Each of these cash-pay ophthalmology service lines operates on a direct-payment, procedure-based model that Brooke handles with GFE compliance, before-and-after documentation, series scheduling, and package checkout.
Consultation, procedure, and post-operative care documented in one chart. Package billing for the full LASIK or PRK episode, before-and-after visual outcome documentation, GFE compliance before the procedure, and series scheduling for post-operative visits.
Premium IOL upgrades, extended-depth-of-focus lenses, and other elective cataract services billed directly by the patient. Pre-surgical consultation, procedure documentation, and post-op visit series handled through one platform.
Blepharoplasty, ptosis repair, brow procedures, and periorbital cosmetic surgery. Pre-op consultation, surgical record, post-operative documentation, before-and-after photos, and GFE compliance — identical to any cash-pay aesthetic procedure.
In-office dry eye procedures — LipiFlow, IPL, meibomian gland treatments, and punctal plug placements — sold as direct-pay treatment programs. Series scheduling, per-session documentation, and package checkout for multi-treatment dry eye protocols.
Botox around the eyes, tear trough filler, and periorbital injectable treatments administered by ophthalmologists or oculoplastic surgeons. Injection mapping, lot number capture, GFE documentation, and before-and-after photo records in the same treatment record as any other aesthetic injectable.
Direct-access eye wellness programs, VIP refractive consultations, and premium preventive eye care billed directly by the patient. Membership billing, package checkout, and comprehensive intake for ongoing vision wellness relationships.
A LASIK patient does not come in once. The journey from first consultation to final post-operative visit covers multiple encounters across several weeks. Brooke tracks the full episode in one chart.
Brooke's platform covers the clinical and operational workflow for every cash-pay ophthalmic procedure and service line — from first consultation through final post-operative visit.
Good faith exam templates, state-specific compliance workflows, physician review tools, and tamper-proof audit trails built into the chart. Every cash-pay eye procedure is documented with the compliance record required before treatment begins — whether that procedure is LASIK, blepharoplasty, or a periorbital injection.
Before-and-after photo documentation is attached to the treatment record for every ophthalmic procedure. For LASIK, refractive outcome photos document the clinical result. For blepharoplasty and cosmetic eyelid work, before-and-after photos are both a clinical record and a patient-facing outcome documentation tool.
A LASIK patient's full post-operative schedule — Day 1, Week 1, Month 1, Month 3 — is booked at the consultation visit and managed through Brooke's scheduling module with automated reminders before each appointment. Patients who miss post-op visits are the most common documentation gap in refractive surgery compliance records.
Every supply and medication used in a cash-pay ophthalmic procedure is documented with its lot number inside the treatment record. For LASIK excimer laser ablations, premium IOL implants, or surgical consumables in a blepharoplasty case, lot capture provides the liability traceability required for procedural ophthalmology.
LASIK, premium IOL upgrades, and cosmetic oculoplastic procedures are typically priced as a package — a single fee covering the consultation, the procedure, and the post-operative care. Brooke handles package billing, split payment, and card-on-file checkout at the point of care in the same screen as the clinical record.
Surgical supplies, eye drops, dry eye treatment products, and injectable medications are tracked automatically. Low-stock alerts trigger before the clinic runs short. Lot-level inventory connects each supply unit to the treatment records that used it.
Cosmetic oculoplastics — blepharoplasty, ptosis repair, brow lifting, and periorbital procedures — is aesthetic surgery performed by ophthalmologists or oculoplastic surgeons. The documentation requirements, compliance structure, and payment model are identical to any other cash-pay aesthetic procedure. Brooke was built for aesthetic procedure clinics, and cosmetic oculoplastics maps onto that workflow precisely.
A blepharoplasty patient needs a pre-operative consultation, a GFE documented before surgery, intraoperative supply lot capture, before-and-after photos at pre-op and post-op visits, and a complete post-operative care record. All of this lives in the same Brooke chart — the same structure used for any cash-pay aesthetic procedure, applied to a cosmetic eyelid surgery patient.
Blepharoplasty and other cosmetic oculoplastic procedures are priced as packages. A patient paying for upper lid blepharoplasty pays a single fee covering the consultation, the surgical procedure, and the post-operative visits. Brooke handles that package fee at the consultation visit, with any additional post-op visit charges billed separately at each appointment.
A cash-pay ophthalmology practice tracks its business through procedure volume, average procedure revenue, post-operative completion rates, and rebooking for maintenance or follow-up care. Brooke reports these numbers automatically.
What percentage of LASIK or surgical patients complete their full post-operative visit series. For a refractive or oculoplastic practice, incomplete post-operative care creates both a clinical risk and a documentation gap. Tracking completion rate tells the practice where patients are dropping out of the post-op schedule.
Which cash-pay ophthalmic procedure categories — LASIK, premium IOL, blepharoplasty, dry eye treatment, or aesthetic eye injections — generate the most revenue. A cash-pay ophthalmology practice deciding where to invest marketing or capacity uses this report to identify its highest-return service lines.
How much the average cash-pay ophthalmic procedure generates in revenue. For a LASIK practice considering whether to offer premium enhancement packages or dry eye treatment add-ons, average procedure revenue provides the baseline for evaluating whether new service lines improve or dilute the average.
What percentage of patients return for maintenance treatments — dry eye follow-up sessions, enhancement procedures, or ongoing aesthetic eye care. For a cash-pay ophthalmology practice that offers recurring service lines, the rebooking rate tells the practice whether those maintenance relationships are being retained.
A solo refractive surgeon and a five-surgeon ophthalmology group pay the same $99 per location. No per-surgeon fees, no appointment caps, and no upgrade required to access GFE documentation, before-after photo records, or package billing.
Per location
Cash-pay ophthalmology practices are procedure businesses, not insurance billing operations. Brooke is built for procedure-based cash-pay care — the same platform that runs aesthetic procedure clinics applies directly to LASIK, oculoplastics, and dry eye programs.
No setup fee. No credit card required to start.
We switched from Aesthetic Record and never looked back. My injectors actually enjoy using it. Setup took one afternoon.
The GFE documentation alone was worth switching. Everything is compliant, auditable, and takes half the time it used to.
$99 flat. Unlimited providers. Everything works. I don't know why anyone pays $400 a month for the same features wrapped in a terrible UI.
The best ophthalmology EMR for elective procedures handles GFE compliance, before-after documentation, series scheduling, and package billing from one platform. Book a 15-minute demo or start your free trial.
