Surgery and procedures CPT 43644 Inpatient — admitted to hospital

Gastric bypass surgery cost in Nashville, TN — inpatient

In Nashville-Davidson--Murfreesboro--Franklin, TN, 3 hospitals list a cash price for laparoscopic Roux-en-Y gastric bypass, standard limb length as an inpatient: from $1,611.82 to $4,465.20, with a median of $3,001.32. The lowest listed price is at Vanderbilt Wilson County Hospital — $1,389.50 less than the median here. Across Tennessee, the median is $10,278.29 at 8 hospitals.

Cash prices at 3 facilities across 2 cities for code 43644, as an inpatient (admitted to hospital) . Collected Sep 27, 2026; the hospital files themselves were last updated between Oct 1, 2025 and Sep 1, 2026.

Lowest$1,611.82Vanderbilt Wilson County Hospital
Median$3,001.32half pay less
Highest$4,465.20in this market
Difference2.8×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Nashville-Davidson--Murfreesboro--Franklin, TN.

median
Lowest $1,611.82Highest $4,465.20

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Vanderbilt Wilson County Hospital lowest Lebanon, TN · (615) 444-2250 LAP GASTRIC BYPASS/ROUX-EN-Y $1,611.82 $5,558.00 $1,072.70–$5,558.00 71% Oct 1, 2025
source file
Vanderbilt University Medical Center Nashville, TN · (615) 322-3454 LAP GASTRIC BYPASS/ROUX-EN-Y $3,001.32 $5,558.00 $1,072.70–$5,558.00 46% Oct 1, 2025
source file
Metro Nashville General Hospital Nashville, TN · (615) 341-4000 43644 Laparoscopy, surgical, gastric restrictive procedure with gastric bypass and Roux-en-Y gastro $4,465.20 $7,442.00 — 40% Sep 1, 2026
source file

Inpatient: lowest $1,611.82, median $3,001.32, highest $4,465.20 — a 2.8× difference within the same market.

As an outpatient, the same code is billed by 2 facilities here, median $20,169.81 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 2 of 2 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What it is

A Roux-en-Y gastric bypass creates a small stomach pouch and connects it directly to the small intestine, so food bypasses most of the stomach. It is a weight-loss (bariatric) operation that also often improves type 2 diabetes and reflux.

What the price covers

The facility price usually covers the operating room and recovery and may not include the hospital stay. The surgeon, anesthesia, pre-surgery tests and follow-up visits are usually billed separately.