I am in south Florida and the sleeve surgery here for my wife is going to cost $17500 and we are self pay and that includes the Blis insurance for 30 days, that means if there are any complications from the surgery the insurance will cover it within the first 30 days after surgery, include three visits with the nutritionist and follow up visits with the doctor up to a year. I checked another place around here that also offers the sleeve surgery and they were $3600 cheapter but they do not offer the Blis insurance which means I will be liable for any complications from the surgery. My question is does any one know how much typically having the Blis insurance increases the cost of the surgery for the sleeve and has any one had any luck who are self paying who were able to negotiate the price down from what you were quoted and if so from what to where, I look forward to your responses.