Costs ​and Insurance

We understand that insurance coverage is a major concern for patients beginning the weight loss surgery process. It is recommended that each patient call the customer service department of their insurance company to determine if weight loss surgery is a covered benefit. Patients may obtain benefit information for weight loss surgery by asking some key questions:

  • Is surgical treatment for morbid obesity a covered benefit?
    Gastric Banding-CPT Code: 43770
    Gastric Bypass-CPT Code: 43644
    Gastric Sleeve-CPT Code: 43775
    Morbid Obesity-ICD9 Code: 278.1
  • Is PeaceHealth Southwest an ‘in-network’ facility?
  • Do I have a deductible? If so, what is the amount?
  • Do I have a co-payment for Weight Loss Surgery? If so, what is the amount?
  • Do I have a maximum dollar amount for Weight Loss Surgery? If so, what is the amount?
  • What are the requirements (criteria) for Weight Loss Surgery?

If there is a written exclusion for the surgical treatment of morbid obesity in the policy, the insurance company will not pay for any services related to weight loss surgery regardless of medical conditions related to morbid obesity. PeaceHealth Southwest offers a discounted cash price for weight loss surgery. This may be an option for patients in whom weight loss surgery has been determined an excluded benefit under their insurance plan.

Insurance Verification

Our insurance verification team will call your insurance carrier to verify your weight loss surgery benefits; this process may be quite extensive and may take up to two weeks to obtain the information.

Once the insurance verification is completed and the insurance criteria is obtained, you will be contacted with your benefit information and criteria information. Our team will guide each patient through the insurance process to assist in meeting insurance criteria.

Verification of benefits is not a guarantee of payment. Payments will be based upon the member’s eligibility at the time of service and is subject to the terms and conditions of the insurance contract.

We will verify your insurance and provide an estimate of out-of-pocket expenses prior to surgery. If you don’t have insurance, we offer discounted cash prices for cash paying patients that includes the complete process for the surgery.

  • Gastric Sleeve: $18,956 
  • Gastric Bypass: $26,546

PeaceHealth Southwest offers HealthFirst medical financing for bariatric services up to $10,000.00. Ask your patient coordinator for more details.

Please contact the weight loss surgery coordinator via email or call 360-514-4265