The cost can vary. It is definitely more expensive if you fit into the category of having to stay overnight in the hospital. I was same day surgery and it was $13,500.00. I thought the figure for staying overnight was around $18,000.00 but I am not 100% sure on that. Their prices include all of your follow up visits and fills for one year. It also includes an insurance policy for a company Richmond Surgical has contracted with to cover the cost of major complications. I had no problems with not being kept in the hospital overnight. In fact, I was glad I did not have to stay overnight. At the time of my surgery I weighed 227 1lb (5'5 1/2") and have high blood pressure. I highly recommend Richmond Surgical Group and Dr. Brengman. The only thing you might want to consider when choosing a surgeon not in your local area is having to travel for all of your follow up appointments and fills. I work about 1 hr 15 minutes from Richmond so I always have to schedule to take time off to go to my appointments. I've had three fills and three follow up appointments since my surgery on 10/22/07 so it does start to eat away at your sick/vacation time.