Like others, I didn't have insurance for VSG and have a lowish BMI. I looked at several US docs for self-pay. I found prices all over the place. I had a few offer to come down on their rates, but they couldn't do anything about the hospital fees. Those hospital fees kept rates high. I would have preferred to stay local to have local follow-up and support groups. But, I'm hoping that with Dr. Aceves, I won't have complications that need follow-up. Good luck in your search.