Last updated: March 2026
How Much Does Gastric Sleeve Surgery Cost?
Cost Breakdown by Type
| Type / Procedure | Without Insurance | With Insurance |
|---|---|---|
| Laparoscopic Sleeve Gastrectomy | $10,000 – $20,000 | $3,000 – $7,000 |
| Robotic Gastric Sleeve | $12,000 – $25,000 | $4,000 – $8,000 |
| Revision Sleeve Gastrectomy | $15,000 – $30,000 | $5,000 – $10,000 |
CPT/ADA Code: 43775
What Affects the Cost
- Brand-name vs. generic availability
- Insurance formulary tier placement
- Pharmacy choice (retail vs. mail-order vs. Costco)
- Manufacturer savings cards and coupons
- Dosage and quantity prescribed
- Geographic location
Insurance Coverage
Typical coverage: May be covered with documentation of BMI criteria and failed weight loss attempts
Most insurance plans use a tiered formulary: Tier 1 (generic) $0-$15 copay, Tier 2 (preferred brand) $25-$75, Tier 3 (non-preferred brand) $50-$150, Tier 4 (specialty) $100-$500+. Prior authorization may be required for certain medications. Step therapy may require trying cheaper alternatives first.
How to Save Money
- Always ask for generic when available — saves 50-90%
- Use GoodRx, RxSaver, or similar discount cards
- Costco pharmacy is open to non-members and often has lowest prices
- Mark Cuban's Cost Plus Drugs offers transparent low pricing
- Manufacturer patient assistance programs provide free medication to qualifying patients
- HSA/FSA funds can cover medication costs tax-free
Related Procedures & Costs
Frequently Asked Questions
Gastric sleeve surgery costs $10,000 to $25,000 without insurance. Self-pay programs at some centers offer bundled pricing around $10,000-$15,000.
Many insurance plans cover gastric sleeve with documentation of BMI 40+ (or 35+ with comorbidities), a supervised diet history, and other requirements.
Patients typically lose 60-70% of their excess body weight within the first 12-18 months after surgery.