Jump to content
×
Are you looking for the BariatricPal Store? Go now!

$25000 Surgery Cost, what did you pay?



Recommended Posts

Iam so confused of what I will end up paying? My out of pocket has been satisfied of $1,000. But then the insurance will cover 90%. So, will I have to pay 10% of the total of the surgery? What was the $1,000 decutible for? Can anyone help me understand this? thanks in advance!

Share this post


Link to post
Share on other sites

I live in east Tennessee the hospital part is 18 thousand covered at 90%

So you had to pay 10% of the 18k? Help me understand. thanks

Share this post


Link to post
Share on other sites

Iam so confused of what I will end up paying? My out of pocket has been satisfied of 1' date='000. But then the insurance will cover 90%. So, will I have to pay 10% of the total of the surgery? What was the 1,000 decutible for? Can anyone help me understand this? thanks in advance![/quote']

If your policy has a max out of pocket of $1K the. You will pay $1K plus any co-pays.

Share this post


Link to post
Share on other sites

If your policy has a max out of pocket of 1K the. You will pay 1K plus any co-pays.

I have already paid that for the sleep study I was required to get. No co-pays and I already met my out of pocket max and deductible and everything is covered at 100% after that.

Share this post


Link to post
Share on other sites

Less than $5000.

In Mexico.

Share this post


Link to post
Share on other sites

I went to Mexico and paid $4749. That included everything but airfare. Including hotel, meals, meds, transportation while in TJ and from and back to San Diego. And this surgeon did 13 the day I had mine and 14 the next day. I would do it again in a heart beat. 9 weeks out and 40lbs down.

Sent from my iPhone using VST

Share this post


Link to post
Share on other sites

My Insurance is really weird. The surgery was 44K. The negotiated price to my insurance company was 22K. That is not including all of the other pre-op appointments I had. I have money that was set aside to meet my 3K deductable, that was paid. But even after the deductable I still have to pay 4K for co-insurance. Ughhhhhh

I tired over and over again for the insurance company and the Dr. Office to tell me how much I would expect to pay out of pocket. They would not give me any information I was thinking maybe an additional 1,500 for co insurance I had NO IDEA it would be over 4K plus the 3K I paid for my deductable.

And yes I work for a MAJOR corporation with stinky health coverage, but at least they paid most of it!!

Share this post


Link to post
Share on other sites

My total bill was $31,900. I ended up only paying $900. I was so happy thought I was going to pay a lot more.

Share this post


Link to post
Share on other sites

My surgery is scheduled for next week and they billing department informed the hospital stay alone is $13,000. I have not received any word on the doctor's bill yet. I had a $500 deductible (already met) and my co-insurance is $2,300. I believe my doctors bill will be covered at 100% because my out of pocket maximum is $2,500. It is insane the hospital charges for 1 day is $13,000. That is several 7 day vacations for.

Share this post


Link to post
Share on other sites

of course they are going to jack the price up if you have insurance .. thats how they make money.

Im glad I paid cash for mine and it was done in the states for $12,000

$7900 to hospital

$3100 to Dr

$1000 to anesthesiologist

2 weeks out, 21 lbs down and 21 1/2" gone!

Share this post


Link to post
Share on other sites

$47,000 for the surgery and 2 nights in the hospital. I paid $150 copay (should be another 150 if the hospital gets their butt in gear) and then $100 for the doctor.

Share this post


Link to post
Share on other sites

EOB said $33,000+ including anesthesia and one day hospital stay. All but $14,000+ was written off for plan contract. My out of pocket is $1500.

Share this post


Link to post
Share on other sites

I added up all of the claims on my insurance website that were related to my surgery (hospital' date=' surgeon, anesthesiologist, pathologist) and not counting any of my pre-op visits, I was right around the 40k mark. I am also in Fairfield County, CT where everything is expensive... Thankfully my insurance covered 100% after my 3000 deductible.[/quote']

So true about Fairfield County. I grew up in Stamford. Had to leave the area. It was just too expensive.

Share this post


Link to post
Share on other sites

I paid 16,500. I believe it should have been more (somewhere around 22,000) but since I paid in full, they charged me the reduced price.

5500 went to the surgeon

16 went to the hospital

Plus I got dibs on what time I wanted to go in to surgery :)

Share this post


Link to post
Share on other sites

I was self pay in MX and it was 14,000 CDN. I'm happy with my surgeon and I know the surgery is worth every penny!!!

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 1 reply
      1. Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×