You've posted before. There are some things you can do. 1. Ask for a meeting with the surgeon explain the situation and ask that the additional costs of LRI and other add on like femtosecond laser be written off. If you can't get in to see Dr. Wonderful ask to speak to the office manager and make the same complaint. If that doesn't work you can make a complaint to: his hospital, local medical society, state medical society, better business bureau and even Medicare as "informed consent" needs to be in language a patient understands.
That being said I don't think limbal relaxing incision is a good way to correct corneal astigmatism in 2018-2019. In my opinion a much better way would be a toric IOL (these add out of pocket costs) or femtosecond laser, or post operative lasik. Unless you persist it is likely the surgeon will continue business as usual. In our practice the surgeon does NOT explain the costs. The patients (and we try and get family in with them) has a thorough explaination by an insurance specialist, the costs estimates are written out this includes: List cost of procedures/ discount to Medicare or insurance company, yearly deductibles that have not been met, and the insurance/medicare co-payment. If the person has secondary insurance (medicare) we estimate what that will be. The person leaves knowing exactly what the procedure will cost them. For medicare we even tell them Medicare does not cover the cost of glasses testing after the surgery is healed and we cannot legally write it off (right now we charge $40). If their are extras (toric or multifocal IOLs, femtosecond laser, ORA technology) we clearly tell them this not a regular part of the cataract surgery and they are solely responsible for those costs. We do not LEAN on people to upgrade. I posted my wife (non-medicare) had surgery on both eyes this year, we did not opt for any extras. Physicians can no longer be discounted surgical costs. Our out of pocket was about $475/eye. (Compare that to the $1500-$3000 dentists charge for a 2 visit crown on a tooth).