I had the sleeve with Dr. Hanna on Wednesday, September 4th. I am doing great! I will go back to see him next week. Out of pocket expenses will change for everyone based upon your insurance coverage. I have Blue Cross/Blue Shield, and I have paid $1200.00 for Dr. Hanna, $131.25 for the hospital, I haven't gotten the bill for anesthesia. I was at North Vista Hospital on Lake Mead. The staff there were fantastic!!