The numbers of 200-300K are wrong. Maybe if you have an endowed chair, but very doubtful for assistant and associate professors. I know for a fact at two of the frequently sited "top 10" programs you are coming in just over six figures as a new assistant professor, even fellowship trained retina. At some smaller programs the numbers are slightly higher to start. As mentioned many places are going to a more private practice model. However, at many tertiary referral centers you have patients that can't pay/have no insurance. At most places your productivity is based on collections, not billing, so this model really hurts your bottom line. Coupled with the fun filled dean's tax, usually high overhead, and occational "town vs gown" mentality it makes academics a difficult row to hoe financially. However, the lifestyle (read: call) is excellent as are usually the retirement and benefits.