Insurance and Cost

Our insurance coordinators work with your insurance company to determine your eligibility requirements. Because we want you to focus on the surgery, we obtain any approvals necessary for your surgery and keep you informed along the way.

We encourage you to educate yourself about your insurance coverage. We accept these insurance providers with the exception of Medicaid/Medicaid HMO plans as a Primary, as long as they have a Bariatric benefit. The resources below can help you explore your insurance coverage and eligibility requirements.

• FAQs and general insurance information
• Patient Insurance Coverage Verification Form – Includes questions to ask your insurance representative

Total Weight Loss Center does not participate in Medicaid plans. If your insurance provider does not cover weight loss surgery, our team can discuss other options with you.

Bariatric Procedure Costs

Self-pay surgery costs for patients not covered by insurance are:

• Modified duodenal switch - $22,050
• Bypass - $18,050
• Sleeve - $13,050
• Band removal - $7,050

What is the Self-Pay Program?

The self-pay program is designed for private pay patients, or those whose insurance does not cover bariatric services. Surgery options include gastric sleeve, gastric bypass and modified duodenal switch. The cost of your first consult with the Surgeon and dietician will be $263.00 paid at the time of the visit. Please refer to the Program Outline provided by the Bariatric Clinic staff for more information on qualifications, steps to complete before surgery, and additional required post-op visits.

When are the fees due?

The fees for the program you select must be paid on the 2nd visit. Failure to pay in full will result in re-scheduling or cancellation of your surgery.

What if I experience complications during my stay?

In the event you experience a complication related to your bariatric surgery, additional charges will apply and are not included in this agreement. Future complications related to your surgery may not be covered by your personal insurance plan.

The program begins at the 2nd consult through one hundred-twenty (120) days post-operative surgery date and includes:

• Surgeon charge for clinic visit (excluding surgeon initial consult).
• Dietician charge for clinic visit
• Psychologist/psychiatrist charge for clinic visit
• Hospital pre-surgery clinic (lab, chest x-ray and/or EKG as ordered)
• Pathologist charge for pre-surgery clinic lab, if applicable
• Radiologist charge for pre-surgery clinic chest x-ray, if applicable
• Cardiologist charge for pre-surgery clinic EKG, if applicable
• Hospital surgery, anesthesia, and recovery
• Surgeon charge for surgical procedure
• Anesthesiologist charge for surgical procedure
• Hospital stay up to three (3) days
• Post-op labs up to one hundred-twenty (120) days
• Follow up visit with dietician
• Hospitalist charge, if applicable

Post operative visits are required visits included in contract price:

• 1-week post-op clinic visit
• 6-week post-op clinic visit
• 3-month post-op clinic visit
• 3-month post-op labs

Any future services performed outside of the one hundred-twenty-day (120) day window is not included in this contract, and you will be financially responsible.

The self-pay pricing for each surgery is listed below. If you have any questions, please talk with our Surgery Patient Care Coordinators. The fees below include our $50.00 program fee, this will provide samples, patient education materials, phone app for tracking, food, fluid, exercise, and monthly support groups as well as exercise video instructions.