My dr does outpatient regardless if you are self pay or not. I was self pay and it was $1900 per night extra. I would have stayed if needed but I really didnt need to. They loaded me up with IV drugs and fluids before I left. I didnt vomit once (and havent once since surgery) or really feel nauseous. My husband had nursed me through major back surgery the year before and he is very keen on my pain levels etc. and was lucky to have him help me through this procedure. He was methodical in measuring my liquids and tracking them for the first three days. I was happy to be in my own bed and have my puggle by my side to help me heal!!!