At first one might think that PRK should cost less than LASIK, but in most cases it is about the same. One thing to realize is that because PRK involves removing the epithelium from the eye, the recovery is longer and many times requires more visits. Because the visits are bundled into the cost in most cases, the increased intensity of care offsets the fact that a flap does not need to be made in PRK like it does in LASIK. Also, the patients who have PRK are in general higher risk which is the reason that they are having PRK rather than LASIK in the first place. The exception to this is PRK when the patient has occupational reasons for this choice. Another factor is many times PRK patients are also treated with Mitomycin C to prevent hazing and this must be purchased as a freshly compounded medication from a special type of pharmacy and this is an expensive medication. Patients also have a slightly greater chance of needing a repeat treatment or enhancement with PRK as compared to LASIK and this is included in the cost and needs to be considered in the overall costs as well. Finally, and most importantly, the doctor should be providing the care which is in the patient's best interest. For this reason, many doctors do not want to discriminate between similar procedures based on cost and simplify the process by providing one price regardless of the exact procedure. This way patients do not have to make a decision about which procedure to have based on cost considerations. All doctors and centers set their own pricing, so there is no absolute rule here, but in general expect to pay about the same for either procedure.