I paid less than $9,000 for everything - flight, Dr.'s visit before the surgery, chest x-ray, (my sister had to have a stress test and that was included, also) 2 nights in hospital, one night in nice hotel, transportation to and from the airport (through border and all). That would have included all fills if I had chosen to go back there for them. We found someone in Moultrie to do those. Problem with that is I had to have a floroscope both times so far which totals $355 for each fill. None of this would have been covered by my insurance so this was definitely the best way to go for me. My sister and friend live in the Gwinnett County area and would be glad to talk pros and cons with you. I'll ask my friend to contact you through this forum. She has done a lot of research and talking about the surgery in the September Bandsters area, if you would like to look her up.