I paid 24,000 out of pocket but he is worth every penny. He did not take my insurance but he may take yours. His office is called Maryland Bariatrics. The number one surgeon in my area for Bariatrics. He sits on several Bariatrics boards and is in charge of the hospital program. Very well respected. I had ZERO pain or nausea..they start the pain and nausea regimen 36 hours before. So, you are very well prepped for what others complain about. I can not say enough great things! Sent from my SM-G770U1 using BariatricPal mobile app