Search thousands of topics on CostHelper

BROWSE ALL TOPICS >> babies & children  cars  consumer electronics health & personal care home & garden personal finance  pets  schools small business sports weddings
CostHelper > Health & Personal Care  > General Surgery & Neurosurgery > Gastric Bypass Surgery

Gastric Bypass Surgery Cost


How Much Does Gastric Bypass Surgery Cost?

 
average costMedium: Copays, deductibles and coinsurance with insurance coveragehigh costHigh: Typically $18,000-$35,000 without insurance
post Post    

Gastric bypass surgery -- the most common type is called Roux-en-Y gastric bypass -- is a form of weight loss surgery in which the doctor permanently reduces the size of the stomach to a small pouch, then attaches a tube of intestine to the pouch, bypassing about two feet of intestines. This restricts the amount of food the patient can eat and inhibits absorption of some calories.

Typical costs:

  • Gastric bypass surgery typically costs between $18,000 and $35,000, depending on the surgeon and geographic region. It usually costs toward the higher end of the range in large, urban areas, especially on the East and West coasts.Cash prices quoted for gastric bypass surgery almost always are for laparoscopic[1] surgery, which is less invasive and has fewer complications than open surgery. For example, according to the Obesity Surgery Center of Louisiana, the typical cash price paid for a laparoscopic gastric bypass is $21,500. At the Videoscopic Institute of Atlanta, Dr. J.K. Champion, M.D. offers laparoscopic gastric bypass surgery for $23,000 to $23,500. The Weight Loss Surgery Centers[2] in Houston, Dallas and Baton Rouge, quote a price of $25,000.
  • Gastric bypass surgery sometimes is covered by insurance, but that varies based on the insurance company, the policy, the geographic location and the patient's individual health status and history. Some health plans specifically exclude weight loss surger
  • Medicare covers gastric bypass surgery for individuals with a BMI of 35 or higher, an unsuccessful history of weight loss attempts and at least one co-morbidity -- other health problem -- associated with obesity.
  • For patients with insurance coverage, it is not uncommon for out-of-pocket costs for gastric bypass surgery -- which often include copays for office visits and coinsurance for surgery, to run from hundreds to several thousand of dollars. For example, federal employees covered by one Blue Cross Blue Shield plan pay 10 percent of the plan allowance for the surgery and a $100 hospital admission fee when using a preferred provider. In a weight loss surgery forum on ThinnerTimes.com[3] , patients share their individual out-of-pocket costs with various insurance companies.
Related articles: Lap Band, Liposuction, Tummy Tuck, Breast Lift

What should be included:
  • The surgeon will meet with the patient to do an initial screening, take a health history, make sure the patient is a candidate for the procedure and clearly explain the options, procedures, benefits and risks.
  • In addition to the surgery, the total fee usually includes the hospital's facility fee and the anesthesiologist's services.
  • Routine follow-up visits for the first year after surgery generally are included.
  • After the surgery, patients must change their eating habits, including eating different types of foods and much smaller portions, in order to feel well and have successful weight loss. The MayoClinic offers general information on the required changes. To help patients maintain these changes, many doctors include lifetime membership in a support group.
  • Benefits can include loss of large amounts of weight, lowering of cholesterol and blood pressure and improvements in sleep apnea and type 2 diabetes.
  • The Mayo Clinic[4] offers a primer on gastric bypass surgery.
Additional costs:
  • Patients sometimes have to pay additional fees of a few hundred dollars or more for consultations with a nutritionist and psychologist, before and sometimes after surgery.
  • Patients should be aware that surgery complications can result in extended hospitalizations and even the need for further surgery, which can run up medical bills into the thousands and tens of thousands of dollars or more, depending on the situation. To lessen risks, some surgeons use the BLIS program, which is a type of insurance against complications. Usually surgeons who use BLIS build the cost of the premium into the price of surgery and then, if complications occur, the company covers the cost. Even without major complications, patients will have to pay for follow-up visits, usually after the first year.
  • Some patients, once they lose weight, require plastic surgery to remove loose, extra skin. Some also choose to have breast lifts, liposuction, or other surgeries.
Discounts:
  • A patient who pays for the surgery out-of-pocket might be eligible for tax breaks if the cost is high enough in relation to income. The U.S. Internal Revenue Service[5] has information on medical deductions.
Shopping for gastric bypass surgery:
  • A doctor performing gastric bypass surgery should be board certified in general surgery by The American Board of Surgery[6] , and should have extensive additional training in bariatric -- weight loss -- surgery.
  • Tip: Ask the doctor what kind of training he or she has in gastric bypass surgery, and how many years of experience performing it. Also ask if the doctor is a member of a professional organization such as the American Society for Bariatric & Metabolic Surgery[7] , which offers ongoing training and support in weight loss surgery.
  • Most surgeons only will perform weight loss surgery on obese patients with a body mass index (BMI) of 40 or higher -- which is about 80 pounds overweight for women and 100 for men. However, some will accept patients with a BMI of 35 to 39 if they have additional complications such as sleep apnea. The U.S. Centers for Disease Control and Prevention[8] offers a BMI calculator.
  • It is important to be aware of and discuss with your doctor the very serious risks associated with gastric bypass surgery. These include about one death for every 200 to 300 surgeries as well as serious health conditions such as blood clots in the legs, leaking at the staple lines in the stomach, incision hernia and dumping syndrome.
Material on this page is for informational purposes only and should not be construed as medical advice. Always consult your physician or pharmacist regarding medications or medical procedures.
 
post Post    
CostHelper News


10 Quick and Inexpensive Home Makeover Projects To Do While At Home
You may not be able to host the large family gathering for the holidays, but there are still many ways to pick up items curbside to spruce up your indoor space for your everyday enjoyment and to bring a more festive spirit. || Posted December 30 2020


10 Key Ways to Prepare for Extreme Snow
Forecasters are predicting a true nor'easter will hit the eastern and central states with rain, thunderstorms, ice, snow and high winds over the Thanksgiving weekend. It's crucial to plan ahead, before bad weather hits. || Posted November 26 2013

‣ All CostHelper Blog Posts


What People Are Paying - Recent Comments


 

Comment On Your Experience With Gastric Bypass Surgery
 
Subject:  *
Amount Spent:  *
Clinic or Doctor: Insurance Carrier: 
Type of Policy:   
Comments: 
Purchased:  Year: 
City:  * State:  *
 
Information about you:
Email:  * Email addresses are not displayed.
Name:  This is the name we'll display with your post.
me on this computer
*=required field.
 



External Resources:
  1.  asmbs.org/
  2.  www.weightlosssurgerycenters.com/
  3.  www.thinnertimesforum.com/topic/2314-does-most-ins-co-pay-for-gb-surgery/
  4.  www.mayoclinic.com/health/gastric-bypass/MY00825
  5.  www.irs.gov/pub/irs-pdf/p502.pdf
  6.  www.absurgery.org/default.jsp?aboutinquiries
  7.  asmbs.org/
  8.  www.cdc.gov/nccdphp/dnpa/bmi/index.htm
More Health & Personal Care Topics
Check Out All Costs for Health & Personal Care How Much Does a Flu Shot Cost? How Much Does Teeth Cleaning Cost? How Much Does an Ambulance Cost?

Search Thousands of Topics on CostHelper.com

 
Today's Featured Cost Articles

About CostHelper
CostHelper is based in Silicon Valley and provides consumers with unbiased price information about thousands of goods and services. Our writers are experienced journalists who adhere to our strict editorial ethics policy.

CostHelper Community
Radiologist Fee
Paid: 350.00
Any radiologist reading your mammogram will be at least $350. They have 11-13 years of training after high school before they begin work. If they are not board certified, watch out. Most are and it beats getting cancer... [more]
-Lowes Fan
Mammogram Cost
DIY Ceiling
Paid: 50.00
We bought a house with a cheap paint job. The ceilings were sprayed the same color as the walls. During COVID I painted the ceilings and a bathroom. A 120 square foot room took me about 4 hours (2 coats)... [more]
-Lowes Fan
Painting an Interior Cost
DIY vs Installed Small Deck
Paid: 3000.00
We paid $1300 for materials and $1700 for labor on a 100 square foot composite deck plus a redwood gate. It took 30 hours, done last year. My husband built a 100 sf heart redwood deck for about $1000 in materials in 2019... [more]
-Lowe's Fan
Redwood Deck Cost
Colposcopy with biopsy
Paid: 756.00
This service was wayy to expensive in my opinion. For a 20-25 minute total visit I had to pay out of pocked 756 - 187 to OBGYN, 229 to pathologist, then 340$ for facility fee or the hospital. I don't even know what that charge was for... [more]
-D S
Colposcopy Cost
Bilateral Diagnostic Mammogram and Third Mammogram
Paid: 1389.66
My 2021 bill, still in shock! Weill Cornell, in-network provider, billed my insurance $908 for a bilateral diagnostic mammogram, and $712 for a third mammogram one breast... [more]
-GinaF
Mammogram Cost
shoulder mri
Paid: 8000.00
Seriously, 8K for an MRI before all the secret insurance kicks in. I was stuck with a 1200 bill and my insurance is pretty good. This is insane for a 20 minute procedure with no nurse assistance... [more]
-stevej45
MRI Cost