Gastric bypass surgery cost without insurance
The median hospital cash price for laparoscopic Roux-en-Y gastric bypass, standard limb length is $13,694.46 across 159 US hospitals; most list between $2,455.21 and $43,798.04. The lowest outpatient cash price in any of 95 markets is $951.00. Prices come from each hospital's own price file; pick your area below to compare hospitals side by side.
Collected Nov 10, 2026 Each price links to its source file All Weight loss surgery costs
Cash or insurance?
If you have insurance but have not met your deductible, you pay the rate your plan negotiated with the hospital, not the cash price. Hospital price files list those rates too: for gastric bypass surgery, the highest negotiated rate in a hospital's file has a median of $10,890.72 and the lowest a median of $1,775.62. At 89 of 147 hospitals that publish both, the cash price is below the highest negotiated rate.
With a high deductible, cash can cost less. But a cash payment may not count toward your deductible or out-of-pocket maximum: ask your plan for its rate at that hospital (most have a cost estimator) and whether it will credit a cash payment.
Plan's rate starts at the median highest negotiated rate and cash at the national median; put in your own numbers. Nothing you type leaves your device. To price a whole year with premiums, use the insurance or cash calculator.
What is CPT 43644?
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.
Why prices differ
Prices differ between hospitals and surgery programs and with length of stay; some programs sell bundled self-pay packages priced differently from the hospital's listed code price.
What to ask
Ask whether the self-pay price for CPT 43644 includes the surgeon, anesthesia, the hospital stay and pre-surgery testing, or is the facility piece only.
Prices by state
Among 12 states with at least 5 hospitals listing a cash price, the median is lowest in Michigan ($2,098.86), New Jersey ($5,110.00) and Texas ($5,172.57), and highest in Illinois ($66,571.39), Virginia ($47,690.63) and Florida ($30,771.11).
Median outpatient cash price, one line per hospital. Pick a state to see every hospital, cheapest first.
- Alabama$31,183.33, 1 hospital
- Arizona$38,269.58, 1 hospital
- Arkansas$14,234.10, 4 hospitals
- California$14,743.40, 2 hospitals
- Colorado$17,169.05, 1 hospital
- Connecticut$9,955.00, 2 hospitals
- Delaware$10,425.53, 1 hospital
- Florida$30,771.11
- Idaho$9,450.47, 3 hospitals
- Illinois$66,571.39
- Indiana$40,104.98, 4 hospitals
- Kansas$3,289.15, 1 hospital
- Kentucky$10,783.08, 1 hospital
- Louisiana$14,342.68, 4 hospitals
- Maryland$21,284.97, 1 hospital
- Michigan$2,098.86
- Minnesota$11,997.11, 2 hospitals
- Mississippi$23,271.73, 2 hospitals
- Missouri$25,495.50
- Montana$4,357.32, 1 hospital
- Nebraska$4,652.28, 1 hospital
- New Jersey$5,110.00
- New Mexico$5,291.00, 3 hospitals
- New York$24,876.89
- North Carolina$13,011.29, 2 hospitals
- Ohio$23,769.18
- Oklahoma$10,860.32, 2 hospitals
- Pennsylvania$18,515.33
- Puerto Rico$1,702.74, 1 hospital
- South Carolina$48,653.77, 3 hospitals
- South Dakota$16,906.73, 2 hospitals
- Tennessee$10,278.29
- Texas$5,172.57
- Virginia$47,690.63
- Washington$23,339.37, 2 hospitals
- West Virginia$33,206.25, 2 hospitals
- Wisconsin$7,401.46
Prices by market
Outpatient cash prices. “×” is how many times the highest price in that market exceeds the lowest.
| Market | Hospitals | Lowest | Median | Highest | × |
|---|---|---|---|---|---|
| Albuquerque, NM | 1 | $5,291.00 | $5,291.00 | $5,291.00 | 1.0× |
| Allentown-Bethlehem-Easton, PA-NJ | 1 | $2,138.82 | $2,138.82 | $2,138.82 | 1.0× |
| Appleton, WI | 2 | $7,401.46 | $7,401.46 | $7,401.46 | 1.0× |
| Berlin, WI single city | 1 | $7,401.46 | $7,401.46 | $7,401.46 | 1.0× |
| Blackfoot, ID | 1 | $2,284.80 | $2,284.80 | $2,284.80 | 1.0× |
| Boise City, ID | 2 | $9,450.47 | $18,905.39 | $28,360.31 | 3.0× |
| Buffalo-Cheektowaga, NY | 1 | $9,882.00 | $9,882.00 | $9,882.00 | 1.0× |
| Cape Coral-Fort Myers, FL | 4 | $30,771.11 | $30,771.11 | $30,771.11 | 1.0× |
| Charleston-North Charleston, SC | 1 | $61,101.15 | $61,101.15 | $61,101.15 | 1.0× |
| Chicago-Naperville-Elgin, IL-IN | 4 | $48,023.54 | $94,092.87 | $103,066.49 | 2.1× |
| Clarksville, TN-KY | 1 | $21,168.71 | $21,168.71 | $21,168.71 | 1.0× |
| Clay Center, KS single city | 1 | $3,289.15 | $3,289.15 | $3,289.15 | 1.0× |
| Columbus, IN | 1 | $38,863.08 | $38,863.08 | $38,863.08 | 1.0× |
| Crestview-Fort Walton Beach-Destin, FL | 1 | $26,221.14 | $26,221.14 | $26,221.14 | 1.0× |
| Dallas-Fort Worth-Arlington, TX | 4 | $2,646.00 | $4,221.00 | $6,119.33 | 2.3× |
| Dayton-Kettering-Beavercreek, OH | 1 | $14,000.00 | $14,000.00 | $14,000.00 | 1.0× |
| Detroit-Warren-Dearborn, MI | 2 | $2,455.21 | $2,455.21 | $2,455.21 | 1.0× |
| Eau Claire, WI | 1 | $17,566.88 | $17,566.88 | $17,566.88 | 1.0× |
| Elkhart-Goshen, IN | 1 | $43,835.76 | $43,835.76 | $43,835.76 | 1.0× |
| Farmington, NM | 1 | $3,306.00 | $3,306.00 | $3,306.00 | 1.0× |
| Fayetteville, NC | 1 | $11,349.00 | $11,349.00 | $11,349.00 | 1.0× |
| Fayetteville-Springdale-Rogers, AR | 2 | $16,273.68 | $20,710.50 | $25,147.32 | 1.5× |
| Flint, MI | 1 | $22,867.90 | $22,867.90 | $22,867.90 | 1.0× |
| Fond du Lac, WI | 1 | $7,401.46 | $7,401.46 | $7,401.46 | 1.0× |
| Fort Wayne, IN | 1 | $39,213.31 | $39,213.31 | $39,213.31 | 1.0× |
| Freeport, IL | 1 | $6,397.60 | $6,397.60 | $6,397.60 | 1.0× |
| Granbury, TX | 1 | $35,250.25 | $35,250.25 | $35,250.25 | 1.0× |
| Grand Junction, CO | 1 | $17,169.05 | $17,169.05 | $17,169.05 | 1.0× |
| Grand Rapids-Wyoming-Kentwood, MI | 1 | $1,742.50 | $1,742.50 | $1,742.50 | 1.0× |
| Greenville-Anderson-Greer, SC | 1 | $48,653.77 | $48,653.77 | $48,653.77 | 1.0× |
| Hagerstown-Martinsburg, MD-WV | 1 | $20,520.00 | $20,520.00 | $20,520.00 | 1.0× |
| Harrisburg-Carlisle, PA | 3 | $13,694.46 | $18,039.55 | $18,991.11 | 1.4× |
| Hattiesburg, MS | 1 | $36,265.16 | $36,265.16 | $36,265.16 | 1.0× |
| Hickory-Lenoir-Morganton, NC | 1 | $14,673.58 | $14,673.58 | $14,673.58 | 1.0× |
| Houma-Bayou Cane-Thibodaux, LA | 1 | $12,666.84 | $12,666.84 | $12,666.84 | 1.0× |
| Huntsville, AL | 1 | $31,183.33 | $31,183.33 | $31,183.33 | 1.0× |
| Johnstown, PA | 1 | $27,877.77 | $27,877.77 | $27,877.77 | 1.0× |
| Joplin, MO-KS | 2 | $8,328.45 | $16,071.40 | $23,814.34 | 2.9× |
| Kennewick-Richland, WA | 1 | $10,208.97 | $10,208.97 | $10,208.97 | 1.0× |
| Lafayette, LA | 1 | $16,018.52 | $16,018.52 | $16,018.52 | 1.0× |
| Lancaster, PA | 1 | $16,617.94 | $16,617.94 | $16,617.94 | 1.0× |
| Lansing-East Lansing, MI | 2 | $1,742.50 | $1,742.50 | $1,742.50 | 1.0× |
| Laredo, TX | 1 | $23,894.69 | $23,894.69 | $23,894.69 | 1.0× |
| Las Cruces, NM | 1 | $51,166.66 | $51,166.66 | $51,166.66 | 1.0× |
| Lexington-Fayette, KY | 1 | $10,783.08 | $10,783.08 | $10,783.08 | 1.0× |
| Lima, OH | 2 | $2,698.20 | $50,126.86 | $97,555.52 | 36.2× |
| Little Rock-North Little Rock-Conway, AR | 1 | $12,194.52 | $12,194.52 | $12,194.52 | 1.0× |
| Los Angeles-Long Beach-Anaheim, CA | 1 | $3,964.84 | $3,964.84 | $3,964.84 | 1.0× |
| Mayagüez, PR | 1 | $1,702.74 | $1,702.74 | $1,702.74 | 1.0× |
| Memphis, TN-MS-AR | 5 | $10,278.29 | $10,278.29 | $10,278.29 | 1.0× |
| Meriden, CT single city | 1 | $9,955.00 | $9,955.00 | $9,955.00 | 1.0× |
| Michigan City-La Porte, IN | 1 | $40,996.64 | $40,996.64 | $40,996.64 | 1.0× |
| Minneapolis-St. Paul-Bloomington, MN-WI | 2 | $8,355.90 | $11,997.11 | $15,638.32 | 1.9× |
| Morgan City, LA | 1 | $5,581.80 | $5,581.80 | $5,581.80 | 1.0× |
| Morgantown, WV | 1 | $45,892.50 | $45,892.50 | $45,892.50 | 1.0× |
| Mount Vernon, OH | 1 | $2,832.08 | $2,832.08 | $2,832.08 | 1.0× |
| Myrtle Beach-Conway-North Myrtle Beach, SC | 1 | $2,477.64 | $2,477.64 | $2,477.64 | 1.0× |
| Nacogdoches, TX | 1 | $951.00 | $951.00 | $951.00 | 1.0× |
| Naples-Marco Island, FL | 1 | $43,788.61 | $43,788.61 | $43,788.61 | 1.0× |
| Nashville-Davidson--Murfreesboro--Franklin, TN | 2 | $4,465.20 | $20,169.81 | $35,874.41 | 8.0× |
| New London, WI single city | 1 | $7,401.46 | $7,401.46 | $7,401.46 | 1.0× |
| New Orleans-Metairie, LA | 1 | $25,316.23 | $25,316.23 | $25,316.23 | 1.0× |
| New York-Newark-Jersey City, NY-NJ | 27 | $1,522.21 | $6,311.00 | $37,287.00 | 24.5× |
| Norwich, CT single city | 1 | $9,955.00 | $9,955.00 | $9,955.00 | 1.0× |
| Ocean Pines, MD | 1 | $21,284.97 | $21,284.97 | $21,284.97 | 1.0× |
| Oklahoma City, OK | 2 | $1,153.08 | $10,860.32 | $20,567.56 | 17.8× |
| Omaha, NE-IA | 1 | $4,652.28 | $4,652.28 | $4,652.28 | 1.0× |
| Oshkosh-Neenah, WI | 2 | $7,401.46 | $7,401.46 | $7,401.46 | 1.0× |
| Peoria, IL | 1 | $9,295.00 | $9,295.00 | $9,295.00 | 1.0× |
| Pine Bluff, AR | 1 | $3,833.00 | $3,833.00 | $3,833.00 | 1.0× |
| Poplar Bluff, MO | 1 | $50,187.98 | $50,187.98 | $50,187.98 | 1.0× |
| Portland-Vancouver-Hillsboro, OR-WA | 1 | $36,469.77 | $36,469.77 | $36,469.77 | 1.0× |
| Rapid City, SD | 2 | $15,230.65 | $16,906.73 | $18,582.81 | 1.2× |
| Reading, PA | 1 | $14,909.71 | $14,909.71 | $14,909.71 | 1.0× |
| Richmond, VA | 2 | $39,177.12 | $43,433.88 | $47,690.63 | 1.2× |
| Rolla, MO | 1 | $8,082.86 | $8,082.86 | $8,082.86 | 1.0× |
| San Diego-Chula Vista-Carlsbad, CA | 1 | $25,521.96 | $25,521.96 | $25,521.96 | 1.0× |
| Scranton--Wilkes-Barre, PA | 1 | $24,324.72 | $24,324.72 | $24,324.72 | 1.0× |
| Seaford, DE | 1 | $10,425.53 | $10,425.53 | $10,425.53 | 1.0× |
| Shawano, WI | 1 | $7,401.46 | $7,401.46 | $7,401.46 | 1.0× |
| Sherman-Denison, TX | 1 | $2,650.20 | $2,650.20 | $2,650.20 | 1.0× |
| Sidney, MT single city | 1 | $4,357.32 | $4,357.32 | $4,357.32 | 1.0× |
| Springfield, MO | 2 | $29,191.76 | $29,191.76 | $29,191.76 | 1.0× |
| St. Louis, MO-IL | 4 | $24,982.72 | $26,017.96 | $33,595.60 | 1.3× |
| Ste. Genevieve, MO single city | 1 | $1,656.50 | $1,656.50 | $1,656.50 | 1.0× |
| Toledo, OH | 1 | $132,249.19 | $132,249.19 | $132,249.19 | 1.0× |
| Trenton-Princeton, NJ | 1 | $5,110.00 | $5,110.00 | $5,110.00 | 1.0× |
| Tucson, AZ | 1 | $38,269.58 | $38,269.58 | $38,269.58 | 1.0× |
| Utica-Rome, NY | 2 | $1,389.60 | $8,578.74 | $15,767.88 | 11.3× |
| Victoria, TX | 2 | $21,983.50 | $21,983.50 | $21,983.50 | 1.0× |
| Virginia Beach-Chesapeake-Norfolk, VA-NC | 3 | $42,043.12 | $48,705.68 | $50,833.70 | 1.2× |
| Waupaca, WI single city | 1 | $7,401.46 | $7,401.46 | $7,401.46 | 1.0× |
| Wild Rose, WI single city | 1 | $7,401.46 | $7,401.46 | $7,401.46 | 1.0× |
| York-Hanover, PA | 1 | $69,504.22 | $69,504.22 | $69,504.22 | 1.0× |
| Youngstown-Warren, OH | 1 | $33,538.35 | $33,538.35 | $33,538.35 | 1.0× |
Common questions
What is CPT code 43644?
CPT 43644 is the billing code for laparoscopic Roux-en-Y gastric bypass, standard limb length. 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.
How long will I stay in the hospital?
Often one or two nights. The surgical team will decide based on how recovery goes.
Are there requirements before surgery?
Programs usually require medical evaluations, nutrition counseling and sometimes a psychological evaluation, and these are usually billed separately.
Is it cheaper to pay cash or use insurance for gastric bypass surgery?
It depends on your deductible. Until you meet it, you pay your plan's negotiated rate, not the cash price. In hospital price files the highest negotiated rate for gastric bypass surgery has a median of $10,890.72 and the lowest a median of $1,775.62; at 89 of 147 hospitals the cash price is below the highest negotiated rate. A cash payment may not count toward your deductible, so ask your plan for its rate at that hospital first.
Which states have the cheapest gastric bypass surgery?
Among 12 states with at least 5 hospitals listing a cash price, the median is lowest in Michigan ($2,098.86), New Jersey ($5,110.00) and Texas ($5,172.57), and highest in Illinois ($66,571.39), Virginia ($47,690.63) and Florida ($30,771.11). Prices vary as much between hospitals in the same state, so compare hospitals near you.
Other weight loss surgery prices
Median hospital cash price, one per hospital.