Hi, I'm new to this but I wanted to respond. I'm also self-pay, we have insurance but it excludes WLS and we can't get it added to insurance policy. So, I went to St. Vincent in Carmel and waiting on them to get back with me on price for R/Y. I was told approx. $34,000. but that person wasn't sure and didn't know if it include the hospital and etc!!! OUCH