Gastric bypass surgery cost without insurance
Across 106 US markets, hospitals list an outpatient cash price for laparoscopic Roux-en-Y gastric bypass, standard limb length from $528.00 to $132,249.19. The median market price is $6,530.54. Prices come from each hospital's own price file; pick your area below to compare hospitals side by side.
Collected Sep 25, 2026 Each price links to its source file
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.
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
Median outpatient cash price, one line per hospital. Pick a state to see every hospital, cheapest first.
- Alabama$31,183.33
- Arizona$1,725.10
- Arkansas$25,147.32
- California$4,686.25
- Colorado$17,169.05
- Connecticut$17,855.33
- Delaware$23,933.37
- Florida$30,771.11
- Idaho$28,360.31
- Illinois$4,255.20
- Indiana$1,100.00
- Iowa$4,255.20
- Maine$1,264.41
- Maryland$12,365.99
- Massachusetts$3,769.00
- Michigan$2,455.21
- Minnesota$4,120.08
- Mississippi$10,278.29
- Missouri$25,239.11
- Nebraska$3,009.50
- New Hampshire$5,784.32
- New Jersey$2,138.82
- New York$5,035.20
- Ohio$8,155.20
- Oklahoma$10,860.32
- Oregon$3,181.75
- Pennsylvania$1,269.32
- South Carolina$54,877.46
- South Dakota$15,230.65
- Tennessee$10,278.29
- Texas$3,894.00
- Vermont$4,708.78
- Virginia$47,690.63
- Washington$19,825.76
- West Virginia$33,206.25
- Wisconsin$7,401.46
- Wyoming$10,486.43
Prices by market
Outpatient cash prices. “×” is how many times the highest price in that market exceeds the lowest.
| Market | Hospitals | Lowest | Median | Highest | × |
|---|---|---|---|---|---|
| Anna, IL single city | 1 | $1,381.10 | $1,381.10 | $1,381.10 | 1.0× |
| Akron, OH | 2 | $3,438.00 | $5,923.20 | $8,408.40 | 2.4× |
| Albany-Schenectady-Troy, NY | 1 | $18,845.00 | $18,845.00 | $18,845.00 | 1.0× |
| Allentown-Bethlehem-Easton, PA-NJ | 1 | $2,138.82 | $2,138.82 | $2,138.82 | 1.0× |
| Ann Arbor, MI | 1 | $3,474.40 | $3,474.40 | $3,474.40 | 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× |
| Baltimore-Columbia-Towson, MD | 1 | $3,447.00 | $3,447.00 | $3,447.00 | 1.0× |
| Bangor, ME | 1 | $1,264.41 | $1,264.41 | $1,264.41 | 1.0× |
| Bennington, VT | 1 | $2,566.55 | $2,566.55 | $2,566.55 | 1.0× |
| Boise City, ID | 1 | $28,360.31 | $28,360.31 | $28,360.31 | 1.0× |
| Buffalo-Cheektowaga, NY | 4 | $4,172.32 | $4,172.32 | $9,882.00 | 2.4× |
| Burlington-South Burlington, VT | 1 | $6,851.00 | $6,851.00 | $6,851.00 | 1.0× |
| Cedar Rapids, IA single city | 1 | $4,255.20 | $4,255.20 | $4,255.20 | 1.0× |
| Canton-Massillon, OH | 1 | $8,408.40 | $8,408.40 | $8,408.40 | 1.0× |
| Cape Coral-Fort Myers, FL | 5 | $30,771.11 | $30,771.11 | $30,771.11 | 1.0× |
| Cape Girardeau, MO-IL | 1 | $3,978.75 | $3,978.75 | $3,978.75 | 1.0× |
| Cedar Rapids, IA | 1 | $4,255.20 | $4,255.20 | $4,255.20 | 1.0× |
| Charleston-North Charleston, SC | 1 | $61,101.15 | $61,101.15 | $61,101.15 | 1.0× |
| Chattanooga, TN-GA | 1 | $1,524.86 | $1,524.86 | $1,524.86 | 1.0× |
| Cheyenne, WY | 1 | $8,120.85 | $8,120.85 | $8,120.85 | 1.0× |
| Chicago-Naperville-Elgin, IL-IN | 3 | $48,023.54 | $85,119.24 | $103,066.49 | 2.1× |
| Cincinnati, OH-KY-IN | 1 | $6,704.46 | $6,704.46 | $6,704.46 | 1.0× |
| Clarksville, TN-KY | 1 | $21,168.71 | $21,168.71 | $21,168.71 | 1.0× |
| Cleveland, OH | 2 | $2,328.29 | $5,368.35 | $8,408.40 | 3.6× |
| Columbia, MO | 1 | $2,507.40 | $2,507.40 | $2,507.40 | 1.0× |
| Columbus, IN | 1 | $38,863.08 | $38,863.08 | $38,863.08 | 1.0× |
| Columbus, OH | 3 | $4,672.94 | $7,902.00 | $61,297.69 | 13.1× |
| Coos Bay-North Bend, OR | 1 | $4,939.32 | $4,939.32 | $4,939.32 | 1.0× |
| Dallas-Fort Worth-Arlington, TX | 2 | $2,646.00 | $3,894.00 | $5,142.00 | 1.9× |
| Davenport-Moline-Rock Island, IA-IL | 2 | $4,255.20 | $4,255.20 | $4,255.20 | 1.0× |
| Des Moines-West Des Moines, IA | 2 | $3,769.00 | $4,012.10 | $4,255.20 | 1.1× |
| Detroit-Warren-Dearborn, MI | 4 | $2,455.21 | $2,455.21 | $2,455.21 | 1.0× |
| Dubuque, IA | 1 | $4,255.20 | $4,255.20 | $4,255.20 | 1.0× |
| Elkhart-Goshen, IN | 1 | $43,835.76 | $43,835.76 | $43,835.76 | 1.0× |
| Erie, PA | 1 | $878.76 | $878.76 | $878.76 | 1.0× |
| Fayetteville-Springdale-Rogers, AR | 1 | $25,147.32 | $25,147.32 | $25,147.32 | 1.0× |
| 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 Dodge, IA | 1 | $4,255.20 | $4,255.20 | $4,255.20 | 1.0× |
| Fort Wayne, IN | 4 | $528.00 | $594.00 | $660.00 | 1.2× |
| Grinnell, IA single city | 1 | $4,255.20 | $4,255.20 | $4,255.20 | 1.0× |
| Grand Junction, CO | 1 | $17,169.05 | $17,169.05 | $17,169.05 | 1.0× |
| Greenville-Anderson-Greer, SC | 1 | $48,653.77 | $48,653.77 | $48,653.77 | 1.0× |
| Hartford, CT single city | 2 | $9,955.00 | $22,198.20 | $34,441.39 | 3.5× |
| 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× |
| Hermitage, PA | 1 | $1,122.86 | $1,122.86 | $1,122.86 | 1.0× |
| Holland, MI | 1 | $1,663.20 | $1,663.20 | $1,663.20 | 1.0× |
| Huntsville, AL | 1 | $31,183.33 | $31,183.33 | $31,183.33 | 1.0× |
| Indianapolis-Carmel-Greenwood, IN | 1 | $4,128.80 | $4,128.80 | $4,128.80 | 1.0× |
| Jackson, MI | 1 | $2,229.96 | $2,229.96 | $2,229.96 | 1.0× |
| Jamestown-Dunkirk, NY | 1 | $1,074.04 | $1,074.04 | $1,074.04 | 1.0× |
| Joplin, MO-KS | 2 | $3,747.90 | $13,781.12 | $23,814.34 | 6.4× |
| Lancaster, PA | 1 | $16,617.94 | $16,617.94 | $16,617.94 | 1.0× |
| Lebanon-Claremont, NH-VT | 1 | $5,784.32 | $5,784.32 | $5,784.32 | 1.0× |
| Lima, OH | 2 | $2,698.20 | $50,126.86 | $97,555.52 | 36.2× |
| Los Angeles-Long Beach-Anaheim, CA | 2 | $3,964.84 | $11,206.18 | $18,447.52 | 4.7× |
| Marion-Herrin, IL | 1 | $1,381.10 | $1,381.10 | $1,381.10 | 1.0× |
| Marshalltown, IA | 1 | $4,255.20 | $4,255.20 | $4,255.20 | 1.0× |
| Memphis, TN-MS-AR | 6 | $10,278.29 | $10,278.29 | $10,278.29 | 1.0× |
| Miami-Fort Lauderdale-West Palm Beach, FL | 1 | $8,408.40 | $8,408.40 | $8,408.40 | 1.0× |
| Michigan City-La Porte, IN | 1 | $1,487.31 | $1,487.31 | $1,487.31 | 1.0× |
| Minneapolis-St. Paul-Bloomington, MN-WI | 2 | $4,103.83 | $4,120.08 | $4,136.32 | 1.0× |
| Morgantown, WV | 1 | $45,892.50 | $45,892.50 | $45,892.50 | 1.0× |
| Mount Vernon, IL | 1 | $1,381.10 | $1,381.10 | $1,381.10 | 1.0× |
| Muscatine, IA | 1 | $4,255.20 | $4,255.20 | $4,255.20 | 1.0× |
| New London, WI single city | 1 | $7,401.46 | $7,401.46 | $7,401.46 | 1.0× |
| Norwich, CT single city | 1 | $9,955.00 | $9,955.00 | $9,955.00 | 1.0× |
| New Philadelphia-Dover, OH | 1 | $8,408.40 | $8,408.40 | $8,408.40 | 1.0× |
| New York-Newark-Jersey City, NY-NJ | 12 | $2,092.59 | $6,356.63 | $37,287.00 | 17.8× |
| 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 | 3 | $3,009.50 | $3,009.50 | $4,652.28 | 1.5× |
| Oshkosh-Neenah, WI | 2 | $7,401.46 | $7,401.46 | $7,401.46 | 1.0× |
| Pikeville, TN single city | 1 | $834.63 | $834.63 | $834.63 | 1.0× |
| Presque Isle, ME single city | 1 | $1,264.41 | $1,264.41 | $1,264.41 | 1.0× |
| Peru, IN | 1 | $1,100.00 | $1,100.00 | $1,100.00 | 1.0× |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 3 | $3,769.00 | $3,769.00 | $37,441.20 | 9.9× |
| Pittsburgh, PA | 6 | $927.58 | $1,098.45 | $1,269.32 | 1.4× |
| Port St. Lucie, FL | 1 | $8,408.40 | $8,408.40 | $8,408.40 | 1.0× |
| Portland-South Portland, ME | 1 | $5,686.85 | $5,686.85 | $5,686.85 | 1.0× |
| Portland-Vancouver-Hillsboro, OR-WA | 6 | $3,181.75 | $3,181.75 | $36,469.77 | 11.5× |
| Rapid City, SD | 1 | $15,230.65 | $15,230.65 | $15,230.65 | 1.0× |
| 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× |
| Salem, OR | 1 | $3,181.75 | $3,181.75 | $3,181.75 | 1.0× |
| Salinas, CA | 1 | $5,005.00 | $5,005.00 | $5,005.00 | 1.0× |
| San Diego-Chula Vista-Carlsbad, CA | 1 | $25,521.96 | $25,521.96 | $25,521.96 | 1.0× |
| San Jose-Sunnyvale-Santa Clara, CA | 1 | $3,867.50 | $3,867.50 | $3,867.50 | 1.0× |
| Seaford, DE | 1 | $10,425.53 | $10,425.53 | $10,425.53 | 1.0× |
| Sebastian-Vero Beach-West Vero Corridor, FL | 1 | $8,408.40 | $8,408.40 | $8,408.40 | 1.0× |
| Shawano, WI | 1 | $7,401.46 | $7,401.46 | $7,401.46 | 1.0× |
| Sheridan, WY | 1 | $12,852.00 | $12,852.00 | $12,852.00 | 1.0× |
| Sioux City, IA-NE-SD | 1 | $4,255.20 | $4,255.20 | $4,255.20 | 1.0× |
| Springfield, MA | 1 | $3,769.00 | $3,769.00 | $3,769.00 | 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× |
| Toledo, OH | 2 | $4,269.00 | $68,259.10 | $132,249.19 | 31.0× |
| Vallejo, CA | 1 | $4,367.49 | $4,367.49 | $4,367.49 | 1.0× |
| Virginia Beach-Chesapeake-Norfolk, VA-NC | 3 | $42,043.12 | $48,705.68 | $50,833.70 | 1.2× |
| Waterbury, CT single city | 1 | $25,755.66 | $25,755.66 | $25,755.66 | 1.0× |
| 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× |
| Waterloo-Cedar Falls, IA | 1 | $4,255.20 | $4,255.20 | $4,255.20 | 1.0× |
| Yuma, AZ | 1 | $1,725.10 | $1,725.10 | $1,725.10 | 1.0× |
Common questions
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.