If you’re considering bariatric surgery for severe weight-related health issues, one of your first questions likely relates to cost. As with any medical procedure, understanding the costs associated with bariatric surgery is essential, and there’s a lot to consider. Here’s what to understand about bariatric surgery costs, plus a look at the factors influencing these expenses.
What Much is Bariatric Surgery?
In the United States, the vast majority of health insurance plans, including Medicare, Tricare, most commercial plans and most Medicaid plans, consider bariatric surgery medically necessary and will pay for it. Bariatric surgery costs can place a significant financial burden on patients if insurance coverage is limited. Out-of-pocket expenses may include deductibles, copayments, and other ancillary costs, leading some individuals to weigh the financial impact against the potential health benefits.
Here are some numbers for U.S. procedures:
- Gastric bypass: $20,000 to $35,000
- Sleeve gastrectomy: $14,000 to $24,000
- Adjustable gastric banding (Lap-Band): $14,000 to $20,000
- Hospital and facility fees: Costs can range from $5,000 to $15,000 or more, depending on the hospital’s location and reputation.
- Surgeon’s fees: Surgeon fees typically range from $3,000 to $8,000 or more, depending on the surgeon’s experience and expertise.
- Pre- and post-operative care: Comprehensive packages, including pre- and post-operative care, nutritional counseling, and follow-up appointments, may add an additional $2,000 to $5,000 to the overall cost.
- Insurance coverage: While insurance coverage varies, most plans may cover all or a portion of bariatric surgery costs. Out-of-pocket expenses for insured patients can range from a few hundred dollars to $10,000 or more.
- Geographic location: Costs tend to be higher in metropolitan areas. For instance, bariatric surgery in New York City or Los Angeles may be 20% to 30% more expensive than in smaller cities or rural areas.
- Cash pay all-included pricing for sleeve gastrectomy: $14,000-19,000 is common. Beware of ads for teaser prices like $9000, which have extensive hidden fees.
Quick note here on bariatric surgery in Mexico. You’ll likely spend well below $10,000, but there are enormous potential hidden costs, and complications or followup will not be covered by U.S. health insurance.
While the upfront costs of bariatric surgery may be substantial, there is evidence that the procedure can lead to long-term cost savings thanks to reduced healthcare expenses. Studies have suggested that over a five-year period post-surgery, individuals may experience significant reductions in healthcare costs related to obesity-related comorbidities, potentially resulting in overall cost savings of $5,000 to $10,000 or more every year. These potential savings should be considered when you consider the cost of bariatric surgery. Bariatric surgery has also been associated with improvements in patients’ quality of life and increased productivity. The economic gains resulting from these improvements, such as enhanced work capacity and reduced absenteeism, should be factored into the overall assessment of the surgery’s cost-effectiveness.
Factors Influencing Bariatric Surgery Costs
Wondering where those numbers come from? Here’s what influences bariatric surgery costs.
- Type of procedure: Bariatric surgery encompasses various procedures, such as gastric bypass, sleeve gastrectomy, and adjustable gastric banding. Each method involves distinct surgical techniques and equipment, contributing to differences in overall costs. Gastric bypass, for example, may incur higher expenses due to its complexity and longer operating times.
- Hospital and facility fees: The choice of healthcare facility significantly influences the overall cost of bariatric surgery. High-end, specialized hospitals often charge more for their services, including pre-operative assessments, operating room use, and post-operative care. Conversely, outpatient centers may offer a more cost-effective alternative.
- Geographic location: Regional disparities in healthcare costs are evident, impacting bariatric surgery expenses as well. Urban centers, where the cost of living is generally higher, tend to have more expensive healthcare services. Rural areas, on the other hand, may provide more affordable options. And out-of-country hospitals, mainly Mexico, charge less as mentioned below.
- Surgeon’s fees: The surgeon’s expertise and reputation play a pivotal role in determining costs. Highly experienced and sought-after bariatric surgeons might charge higher fees for their skills and the perceived success rates of their procedures, but the health insurance system strangely pays everyone the same amount.
- Pre- and post-operative care: Comprehensive bariatric surgery packages often include pre- and post-operative care, nutritional counseling, and follow-up appointments. The extent and quality of these services can influence the overall cost, as they contribute to the patient’s overall success and well-being.
The Bottom Line
Bariatric surgery costs are influenced by all kinds of different factors, which makes it difficult for patients to consider various elements when evaluating the economic implications of such procedures. While the initial expenses may seem daunting, the potential long-term benefits make bariatric surgery a viable and cost-effective intervention for severe obesity.
If you’re considering bariatric surgery, consult with healthcare providers and insurance companies to get personalized estimates based on your specific circumstances. You might also consider exploring financing options or discussing payment plans with healthcare providers to help make bariatric surgery more financially manageable.
In northern Nevada, contact the team at Nevada Surgical today to learn more about the costs of bariatric surgery.