Printable planning worksheet
Compare the whole quote—not one headline price
Use the same questions for every written quote so differences in scope and exclusions are easier to see. A lower total is not automatically a better or comparable offer.
People and setting
- Surgeon professional fee
- Anesthesia professional fee
- Facility or operating-room fee
- Accreditation and clinician credentials verified
Procedure scope
- Upper, lower, combined, ptosis, brow, or reconstructive work named
- Laterality and planned technique described
- Included and optional procedures separated
- Revision policy explained in writing
Before and after care
- Consultation and preoperative testing
- Prescriptions, garments, or supplies
- Routine postoperative visits
- After-hours questions or urgent evaluation process
Money and timing
- Total written price and expiration date
- Deposit and payment schedule
- Cancellation and rescheduling terms
- Possible additional charges and who bills them
Use this beside the interactive comparer
The cost estimator and quote comparer helps organize figures. This checklist helps confirm whether those figures describe the same services.
Educational planning only. This worksheet is not a price estimate, recommendation, insurance determination, or substitute for a written quote and questions answered by the treating practice.
2024 average surgeon fee ranges ↗American Society of Plastic SurgeonsNational projected surgeon-fee ranges; not an all-in price.What an eyelid surgery quote may include ↗American Society of Plastic SurgeonsLists common components such as facility, anesthesia, tests, and prescriptions.
“This average cost is only part of the total price”