PAL with AR Coating Category 3

Adult Standard Plan Private Lab Price

PAL with Premium AR Coating Price
Lens with AR Cat
Lens
3 Retail $539.00 Uncut Finished
Enter Lens Price $539.00 $539.00
Patient Charges Enter Lab Bill $84.70 $118.30
Code Desc Charge Back Service Fee Patient Fee AR Xzilon $34.00 $34.00
06-ND PAL Poly $136.00 $15.00 $151.00 Enter Lab Discount 26% 26%
QT AR Cat 3 $41.00 $20.00 $61.00 Patient Charges 100%
02-SP - NO Edge Polish $0.00 $0.00 $0.00 Lens Retail Price $539.00 $539.00
02-SV - NO UV Protection $0.00 $0.00 $0.00 VSP Lens Allowable $151.00 $151.00
02-PP - No Transitions $0.00 $0.00 $0.00 VSP AR Allowable $61.00 $61.00
Total $177.00 $35.00 $212.00 VSP Polish Allowable $0.00 $0.00
VSP UV Allowable $0.00 $0.00
VSP Transitions Allow $0.00 $0.00
Doctor Income Patient Charges $212.00 $212.00 Total Patient Charge
Collect From Patient $212.00 PAL Disp. Fee $48.00 $48.00
Pay back to VSP -$177.00 Lens Allowance Fee $35.00 $35.00
Lens Profit $35.00 Total VSP Income $83.00 $83.00
Dispensing Fee $85.00 Total Income $295.00 $295.00
Net Profit $120.00
Lab Bill $87.84 $112.70 RCVC Lab Charge

Net Profit $207.16 $182.30

Additional Profit to ECP $87.16 $62.30

VSP member saved $244.00

 SV with AR Coating Category 3
Adult Standard Plan Private Lab Price
SV with Premium AR Coating Price
Lens with AR Cat 3 Lens Retail $258.00 Uncut Finished
Enter Lens Price $258.00 $258.00
Patient Charges Enter Lab Bill $14.00 $41.50
Code Desc Charge Back Service Fee Patient Fee Enter Lab Discount 0% 0.00%
06 AD Poly - Adult Poly $12.00 $13.00 $25.00 Patient Charges 100%
00 Aspheric No Aspheric $0.00 $0.00 $0.00 Lens Retail Price $258.00 $258.00
01 QT Yes AR Coating $41.00 $20.00 $61.00 VSP Lens Allowable $25.00 $25.00
02 QQ No Scratch Coating $0.00 $0.00 $0.00 VSP Aspheric $0.00 $0.00
02 IV NO UV Protection $0.00 $0.00 $0.00 VSP AR Allowable $61.00 $61.00
02 PP NO Transitions $0.00 $0.00 $0.00 VSP SRC Allowable $0.00 $0.00
02 SP No Edge Polish $0.00 $0.00 $0.00 VSP UV Allowable $0.00 $0.00
Total $53.00 $33.00 $86.00 VSP Transitions Allow $0.00 $0.00
VSP Polish Allowable $0.00 $0.00
Patient Charges $86.00 $86.00 Total Patient Charge
Doctor Income Disp. Fee $34.00 $34.00
Collect From Patient $86.00 Lens Allowance Fee $20.00 $20.00
Pay back to VSP -$53.00 Total VSP Income $54.00 $54.00
Lens Profit $33.00 Total Income $140.00 $140.00
Dispensing Fee $34.00
Net Profit $67.00 Lab Bill $14.00 $41.50

Net Profit $126.00 $98.50

Additional Profit to ECP $59.00 $31.50

VSP member saved $118.00 $118.00

Adult Standard Plan Private Lab Price
SV with Premium AR Coating Price
Lens with AR Cat 3 Lens Retail $340.00 Uncut Finished
Enter Lens Price $340.00 $340.00
Patient Charges Enter Lab Bill $57.60 $73.30
Code Desc Charge Back Service Fee Patient Fee AR Xzilon $34.00 $34.00
Plastic ST 28 Plastic $0.00 $0.00 $0.00 Enter Lab Discount 26% 26.00%
00 Aspheric No Aspheric None $0.00 $0.00 $0.00 Patient Charges 100%
01 QT Yes AR Coating $41.00 $20.00 $61.00 Lens Retail Price $340.00 $258.00
02 QQ No Scratch Coating $0.00 $0.00 $0.00 VSP Lens Allowable $0.00 $0.00
02 IV NO UV Protection $0.00 $0.00 $0.00 VSP Aspheric $0.00 $0.00
02 SP No Edge Polish $0.00 $0.00 $0.00 VSP AR Allowable $61.00 $61.00
Total $41.00 $20.00 $61.00 VSP SRC Allowable $0.00 $0.00
VSP UV Allowable $0.00 $0.00
VSP Polish Allowable $0.00 $0.00
Doctor Income Patient Charges $61.00 $61.00 Total Patient Charge
Collect From Patient $61.00 Disp. Fee $48.00 $48.00
Pay back to VSP -$41.00 Lens Allowance Fee $35.00 $35.00
Lens Profit $20.00 Total VSP Income $83.00 $83.00
Dispensing Fee $23.00 Total Income $144.00 $144.00
Net Profit $43.00
Lab Bill $67.78 $79.40 RCVC Lab Charge

Net Profit $76.22 $64.60

Additional Profit to ECP $33.22 $21.60

VSP member saved $279.00 $279.00

60% RCVC Lab Charge $19.93

40% Office Profit $13.29
 VSP Increased Reimbursements per month with AR Xzilon - based on polycarbonate SV and PAL AR
Per Day
Units Sold Single Vision AR Coated with AR Xzilon 2 SV Income per Unit $59.00 Daily Profit $118.00
Units Sold PAL AR Coated with AR Xzilon 2 PAL Income per Unit $92.35 Daily Profit $184.70
Total per Day 4 Total per Month Total Daily Profit $302.70
Workdays per month 14 Per Month $4,237.80
Total per Month 56
Comparisons VSP VSP VSP w/ Edge Polish Private Lab Private Lab w/ edge