Can I Afford Weight Loss Surgery?
The decision to have weight loss surgery is never easy, but is often a turning-point in the lives of our patients. Medical evidence tells us that a very high percentage of patients who have surgery find that their energy levels increase and that many of their comorbid conditions, like diabetes and high cholesterol, disappear.
Because the benefits of surgery often outweigh the risks, we want to help every patient find a financial solution that works for them. Below, you will find information on insurance options, as well as financial options for self-pay patients. Metabolic and bariatric surgery approximately costs between $11,500 and $35,000 depending on where you live. The good news is that, increasingly, insurance providers (including Medicare and, in some states, Medicaid) offer coverage for metabolic and weight loss procedures that covers all or part of the cost of the weight loss surgery if your doctor establishes medical necessity and if you meet the National Institutes of Health insurance requirements.
Self Pay Pricing
In general, when paying cash for bariatric surgery, the cost includes:
- Anesthesia fees
- The hospital facility fee
- The surgeon's fee
- Pre-op lab and X-ray fees
- Follow up with your surgeon for a specified time frame
At St. Mark’s Hospital, we believe that peace of mind is also important and offer additional complication coverage for specific complications depending on which surgery you have. This coverage extends to 90 days following your surgery with some limits. This coverage is offered to patients having a lap band, sleeve gastrectomy, gastric bypass and biliopancreatic diversion with duodenal switch (duodenal switch). Our quoted pricing includes this coverage as well as any additional education fees required by the surgeon’s office. Please contact our office for St. Mark’s Hospital specific bariatric surgery package pricing.
Costs not included in the cost of bariatric surgery:
- Individual consultations for behavior, exercise and diet counseling
- Cost of vitamins and supplements required to maintain good health
- Other physicians that may provide care for you during your course of treatment
- Additional body contouring surgeries to remove excess skin, lift sagging body areas, improve loose muscles or treat fat deposits.
Cost Savings with Surgery
On average, health care costs for morbidly obese patients were reduced by 29% within 5 years following bariatric surgery, due to the reduction or elimination of obesity-related conditions.
[Sampalis J. S., Liberman M., Auger S., et al. (2004). Impact of weight reduction surgery on health care costs in morbidly obese patients. Obesity Surgery. 14(7) pp. 939-47]
Estimates suggest, third-party payers will recover metabolic and bariatric surgery costs within 2-4 years following a patient’s procedure, as a result of the reduction in costs associated with treating obesity-related conditions.
[Crémieux, P. Y., Buchwald, H., Shikora, S. A., et al (2008). A study of economic impact of bariatric surgery. The American Journal of Managed Care. 14(9) pp. 589-596]