Many insurance companies don’t provide coverage for weight loss surgery, despite many years of experience showing that weight loss surgery is an important tool in curing problems such as diabetes, high blood pressure, reflux disease, and sleep apnea. By paying out of pocket for this procedure, you can start the journey towards a better life and a new healthy you TODAY.
By paying for this procedure out of pocket, you avoid the lengthy physician-supervised diet required by most insurance companies, which is usually 7 months.
Insurance companies have very strict requirements to qualify for weight loss surgery, even though the procedure is medically indicated. By paying out of pocket for the procedure, you avoid all of the strict requirements that are unnecessarily created by the insurance companies.
$7,999 Cash Pricing Includes
- Pre-operative testing, including blood work and EKG if necessary
- Surgeon Fee for the procedure
- Anesthesiologist Fee
- Postoperative visits will be covered under the cost of surgery for 90 days following the procedure unless you are participating in BMI Priority Pass. After that time, the patient will be responsible for the cost of the post op visit, which is $125. There is typically a visit at six months postoperatively and then annually.
- Surgery Center Fee. (Unfortunately, not all patients will be candidates for surgery at the outpatient surgery center. If the procedure has to be performed in the hospital setting at St. Vincents East, the total price will be $9999 if performed as an outpatient and $12,800 for a one-night stay in the hospital.)
- Monthly support Group Meetings.
Pricing Doesn’t Include
- If the patient has previously had a gastric band (i.e. LAP-BAND or REALIZE band) placed and removed or a prior fundoplication for reflux, there will be an extra charge of $1000 secondary to the complexity of the surgery.
- If during sleeve gastrectomy or Roux-en-Y gastric bypass the patient is found to have a hiatal hernia, the hiatal hernia will be repaired at that time. The cost of the hernia repair will be billed to the patient’s insurance. If the patient does not have insurance, the cost will be an additional $500.
- Lab work, Including multiple nutritional labs, will be performed three months after surgery, six months after surgery, and 12 months after surgery. The lab work will be billed through insurance or a cash pay option will be offered.
Disclaimer: If paying for the procedure with a Credit Card there will be an administrative fee added to the total price of the procedure.
$5,999 Cash Pricing Includes
- Insertion and removal of the ORBERA balloon in 6 months
- Surgeon Fee for the procedure
- Anesthesiologist Fee
- Surgery Center Fee. ORBERA is performed on an outpatient basis.
Disclaimer: If paying for the procedure with a Credit Card, there will be an administrative fee added to the total price of the procedure.
Other Important Information
ORBERA Coach is a monthly one-on-one telemeeting with a registered dietician. This nutritional program is for twelve months, and this program is very helpful to lose weight while the balloon is in place as well as after the balloon is removed. The total cost of this 12-month program is $750. The cost of the ORBERA Coach is not included in the price listed above for insertion and removal of the balloon.
*Not all patients are candidates for ORBERA.
$19,999 Cash Pricing Includes
- Pre-operative testing, including blood work and EKG if necessary
- Pre-operative nutrition evaluation
- Surgeon Fee for the procedure
- Anesthesiologist Fee
- Surgery Center Fee. LAP- BAND® is performed on an outpatient basis.
- Post-operative visit with the nutritionist within 4 weeks of surgery.
- Monthly support group meetings.
- Disclaimer: If paying for the procedure with a Credit Card or by United Medical Credit, there will be an administrative fee added to the total price of the procedure.
$15,999 Cash Pricing Includes
- Pre-operative testing, including blood work and EKG if necessary
- Pre-operative nutrition evaluation
- Surgeon Fee for the procedure
- Anesthesiologist Fee
- Hospital fee with one night in the hospital after the surgery.
- Post-operative visit with the nutritionist within 4 weeks of surgery.
- Monthly support Group Meetings.
Disclaimer: If paying for the procedure with a Credit Card or by United Medical Credit, there will be an administrative fee added to the total price of the procedure.
*Cash Pricing Includes
- Pre-operative testing, including blood work and EKG if necessary
- Pre-operative nutrition evaluation
- Surgeon Fee for the procedure
- Anesthesiologist Fee
- Facility Fee
- Post-operative visit with the nutritionist within 4 weeks of surgery
- Monthly support Group Meetings
*Pricing Depends on Procedure Needed
- Remove LAP-BAND® and convert to Sleeve Gastrectomy on an Outpatient Basis $10,999
- Remove LAP-BAND® and convert to Sleeve Gastrectomy on an Inpatient Basis (one night stay) $15,999
- Remove LAP-BAND® and convert to Laparoscopic Gastric Bypass on an Inpatient Basis (one night stay) $16,999
- Convert Sleeve Gastrectomy to Laparoscopic Gastric Bypass on an Inpatient Basis (one night stay) $15,999
- Remove LAP-BAND® on an Outpatient Basis $3,999
