Lap Surgery BrisbaneLap Surgery Brisbane

Weight Loss Surgery Cost & Payment Policy

The cost of weight loss surgery is one of the biggest concerns of our patients. People want to undergo this life changing surgery, but are understandably concerned about whether they can afford it.

This page has been provided to give you the information you need about the weight loss surgery cost, including gastric sleeve surgery cost and gastric bypass surgery cost information.

All medical services are provided and billed by our clinic. Please note that our costs exclude third party fees and you will be billed separately for any hospital, anaesthetist, assisted surgeon, pathology, prescribed medication and hospital excess fees.

We have a non-refundable deposit due on the day of booking your surgery date. Paying this non-refundable deposit is important because it allows us to lock in your surgery date.

Booking your surgery date is important, as it allows us to notify the hospital and once notified, the hospital will be happy to provide you with a quote.

We operate at North West Private Hospital and Redcliffe Public Hospital.

We bill you direct. Please be aware that with any health plans, there may be deductibles and co-payments for which you could be responsible.

We recommend you contact your private health insurance to find out what your entitlements are.

Weight Loss Surgery Cost – Hospital Expenses

If you are undergoing your weight loss operation as a private patient in a private hospital, you won’t have to pay any of your hospital expenses as you are covered by your health fund. You might have an excess to pay, and depending on how long you have had your health care fund for, you may need to endure a waiting period. Please check with your health care fund if you have questions.

To find out what numbers to quote for the various surgeries, please look at the table below.

Cost of Weight Loss Surgery – Surgery Expenses

You need to secure your surgery date with a non-refundable payment of $1,000. After this point, you are charged a once-off fee with no hidden charges and no other fees. The cost of weight loss surgery is explained below for the various procedures.

UNINSURED PATIENTS

Item Number Procedure Surgeon with Program Anaesthetist (incl. Gastroscopy if necessary) Hospital (incl. Prosthetics) Potential Third Party Fees Total Estimate Only
No Item Number Orbera Intragastric Balloon $5,240(incl Prosthetic) $1,000 $1500 Neg $7,740
304733157851303 Endoscopic Sleeve Gastroplasty $8,900 $1,100 $8,400 $300 $18,700
3156951303 Gastric Band $7,890 $1,800 $10,200 $300 $20,190
Minimizer Ring $7,890 $1,800 $6,500 $300 $16,490
3157551303 Sleeve Gastrectomy $8,900 $1,800 $14,500 $300 $25,500
3157251303 Roux-En Y Gastric Bypass $8,900 $1,800 $14,500 $300 $25,500
3157251303 Mini Gastric Bypass $8,900 $1,800 $14,500 $300 $25,500
Prosthetic
Orbera Intragastric Balloon $1,980 Included in Program Fee
Minimizer Ring $2,200 Excluded in Program Fee
Adjustable Band $3,630 Included in Hospital Fee

REVISIONAL PATIENTS

Item Number Procedure Surgeon with Program Anaesthetist (incl. Gastroscopy if necessary) Hospital (incl. Prosthetics) Potential Third Party Fees Total Estimate Only
3158451303 Band Removal with PHI $500 GAP Gap Covered Excess N/A $500
3158451303 Band Removal Uninsured(Pre Sleeve) $2,700 $770 $5,850 N/A $9,320
303933157551303 Band to Sleeve $8,900 $1,800 $14,500 $300 $25,500
303933158431572

51303

Band to Bypass $15,240 $2,050 $14,500 $300 $32,090
303933157251303 Sleeve to Bypass $15,240 $2,050 $14,500 $300 $32,090

ADDITIONAL ITEM NUMBERS (UNINSURED)

Item Number Procedure Surgeon (Weight Loss Patients Only) Anaesthetist(subject to change) Hospital(subject to change) Potential Third Party Fees Total Estimate Only
30473 Gastroscopy BB or Direct Bill to Fund $280 $580 Neg $860
30473 + 32090 Gastroscopy + Colonoscopy BB or Direct Bill to Fund $360 $967 or$610 Neg $1,327
3146851303 Hiatus Hernia $1,000 additional $770 $5,350 Neg $7,120
3062151303 Umbilical Hernia $800 additional $770 $5,350 Neg $6,920
304453043951303 Cholecystectomy + Cholangiogram $1,100 additional $1,140 $4,800 Neg $7,220

UNINSURED PATIENTS

Procedure
Mini Gastric Bypass


Item Number
3157251303


Surgeon with Program
$8,900


Anaesthetist
$1,800


Hospital (incl. Prosthetics)
$14,500


Potential Third Party Fees
$300


Total Estimate Only
$25,500

Procedure
Orbera Intragastric Balloon


Item Number
No Item Number


Surgeon with Program
$5,240(incl Prosthetic)


Anaesthetist
$1,000


Hospital (incl. Prosthetics)
$1500


Potential Third Party Fees
Neg


Total Estimate Only
$7,740

Procedure
Endoscopic Sleeve Gastroplasty


Item Number
304733157851303


Surgeon with Program
$8,900


Anaesthetist
$1,100


Hospital (incl. Prosthetics)
$8,400


Potential Third Party Fees
$300


Total Estimate Only
$18,700

Procedure
Minimizer Ring


Surgeon with Program
$7,890


Anaesthetist
$1,800


Hospital (incl. Prosthetics)
$6,500


Potential Third Party Fees
$300


Total Estimate Only
$16,490

Procedure
Gastric Band


Item Number
3156951303


Surgeon with Program
$7,890


Anaesthetist
$1,800


Hospital (incl. Prosthetics)
$10,200


Potential Third Party Fees
$300


Total Estimate Only
$20,190

Procedure
Sleeve Gastrectomy


Item Number
3157551303


Surgeon with Program
$8,900


Anaesthetist
$1,800


Hospital (incl. Prosthetics)
$14,500


Potential Third Party Fees
$300


Total Estimate Only
$25,500

Procedure
Roux-En Y Gastric Bypass


Item Number
3157251303


Surgeon with Program
$8,900


Anaesthetist
$1,800


Hospital (incl. Prosthetics)
$14,500


Potential Third Party Fees
$300


Total Estimate Only
$25,500

Procedure
Mini Gastric Bypass


Item Number
3157251303


Surgeon with Program
$8,900


Anaesthetist
$1,800


Hospital (incl. Prosthetics)
$14,500


Potential Third Party Fees
$300


Total Estimate Only
$25,500

Prosthetic

Procedure
Roux-En Y Gastric Bypass


Item Number
3157251303


Surgeon with Program
$8,900


Anaesthetist
$1,800


Hospital (incl. Prosthetics)
$14,500


Potential Third Party Fees
$300


Total Estimate Only
$25,500

Minimizer Ring


$2,200


Excluded in Program Fee

Adjustable Band


$3,630


Included in Hospital Fee

Orbera Intragastric Balloon


$1,980


Included in Program Fee

REVISIONAL PATIENTS

Procedure
Band Removal with PHI


Item Number
3158451303


Surgeon with Program
$500 GAP


Anaesthetist
Gap Covered


Hospital (incl. Prosthetics)
Excess


Potential Third Party Fees
N/A


Total Estimate Only
$500

Procedure
Band Removal Uninsured(Pre Sleeve)


Item Number
3158451303


Surgeon with Program
$2,700


Anaesthetist
$770


Hospital (incl. Prosthetics)
$5,850


Potential Third Party Fees
N/A


Total Estimate Only
$9,320

Procedure
Band to Sleeve


Item Number
303933157551303


Surgeon with Program
$8,900


Anaesthetist
$1,800


Hospital (incl. Prosthetics)
$14,500


Potential Third Party Fees
$300


Total Estimate Only
$25,500

Procedure
Band to Bypass


Item Number
30393315843157251303


Surgeon with Program
$15,240


Anaesthetist
$2,050


Hospital (incl. Prosthetics)
$14,500


Potential Third Party Fees
$300


Total Estimate Only
$32,090

Procedure
Sleeve to Bypass


Item Number
303933157251303


Surgeon with Program
$15,240


Anaesthetist
$2,050


Hospital (incl. Prosthetics)
$14,500


Potential Third Party Fees
$300


Total Estimate Only
$32,090

ADDITIONAL ITEM NUMBERS (UNINSURED)

Procedure
Gastroscopy


Item Number
30473


Surgeon with Program
BB or Direct Bill to Fund


Anaesthetist
$280


Hospital (incl. Prosthetics)
$580


Potential Third Party Fees
Neg


Total Estimate Only
$860

Procedure
Gastroscopy + Colonoscopy


Item Number
30473 + 32090


Surgeon with Program
BB or Direct Bill to Fund


Anaesthetist
$360


Hospital (incl. Prosthetics)
$967 or$610


Potential Third Party Fees
Neg


Total Estimate Only
$1,327

Procedure
Hiatus Hernia


Item Number
3146851303


Surgeon with Program
$1,000 additional


Anaesthetist
$770


Hospital (incl. Prosthetics)
$5,350


Potential Third Party Fees
Neg


Total Estimate Only
$7,120

Procedure
Umbilical Hernia


Item Number
3062151303


Surgeon with Program
$800 additional


Anaesthetist
$770


Hospital (incl. Prosthetics)
$5,350


Potential Third Party Fees
Neg


Total Estimate Only
$6,920

Procedure
Cholecystectomy + Cholangiogram


Item Number
304453043951303


Surgeon with Program
$1,100 additional


Anaesthetist
$1,140


Hospital (incl. Prosthetics)
$4,800


Potential Third Party Fees
Neg


Total Estimate Only
$7,220

INSURED PATIENTS:

All Procedures have a program fee of $5,000.00 PLUS “KNOWN GAP” of $500.00 or $400.00 depending on your Private Health Insurance. The Surgical Item Numbers are then Direct Billed to your Private Health Insurance.

Other Weight Loss Surgery Cost Information

Prior to your weight loss surgery, you are going to be starting on a low-calorie meal replacement diet.  We prescribe Optifast unless otherwise approved by Dr Braun or our dietitian. You can buy this from your pharmacy, and these meal replacements cost around $150 for a two-week course.

If you also need to see any other kinds of specialists prior to your surgery, like a cardiologist or respiratory physician, they may charge you for these visits. Depending on the kind of health fund you have, you may need to do other blood tests or x-rays. Depending on your comorbidities, you may be required to complete blood tests and X-rays before surgery.

Don’t Have Private Health Insurance?

If you don’t have private health insurance, the cost of weight loss surgery is going to be expensive for you. The expenses are going to depend on the procedure, the equipment used, the costs of prostheses, theatre fees, surgical payments, assistant surgeon’s fees, anaesthetist’s fees, and the days spent in the hospital.

Plus, if you need any further stay in hospital due to complications, these are not covered by insurance providers and the expected costs might escalate dramatically.

Superannuation Access

Please visit: www.humanservices.gov.au to obtain information and instructions on how to seek early release of your superannuation.

All patients of Weight and Metabolic Solutions Australia are recommended to contact www.mysupercare.com.au to seek assistance. There is a fee of between $680-$880. This is the preferred payment method for patients who are uninsured.

Next Step For Early Superannuation Release:

  1. To secure your surgery date, you must pay your non-refundable deposit of $1000.00
  2. Within 24 hours, Dr Braun’s rooms will issue specialist letter and quote directly to mysupercare.com.au
  3. mysupercare.com.au will be in contact with you to clarify the next step.

The Balance of Accounts must be paid two weeks prior to your surgery date.

Suitable timeframes must be allowed for this, as a delay will cause your surgery date to be postponed.

Refunds from the Australian Taxation Office

You may be able to claim a rebate from the ATO when you submit your end of year tax return because all weight loss procedures qualify for the medical expenses safety net.

If your total medical expenses for the year exceed $2,120, you will be able to claim a tax offset of 20% of your net medical expenses over $2,120.

This is not means tested, and there is no limit on the amount you can claim.

Please do note that there is tax applied on top of the nominated amount of early release and you must enquire direct with either humanservices.gov.au or mysupercare.com.au to obtain guidance.

Questions About Your Bill

Q. What billing or insurance information will I receive?

A. You will receive your bill addressed to you for payment. It is up to you to ask your health insurance whether or not you are entitled to a co-payment by them.

If so, you could make arrangements for them to send a cheque direct to our clinic, or you could pay your total bill and seek a rebate.

Q. How long will it take to get things settled with the insurance company?

A. It varies, but it is important to have your bill completely paid 7-14 days prior to your surgery.

Q. Who else will I get a bill from?

A. Each physician who provides professional services will send you a separate bill from his or her office. These physicians will include:

  • your own GP
  • your Anaesthetist
  • the Hospital
  • External service providers

These may include specialists in anesthesiology, cardiology, emergency medicine, nuclear medicine, pathology, radiology, or urodynamics. You will be responsible for paying these bills as well.

Q. I received a notice that my insurance company has paid on my bill, but I can’t understand how they calculated their payment amount. Do you know?

A. If we have received any such information from your insurance company, we’ll be glad to share it with you. However, for answers to any questions about insurance payments, deductibles, or co-payments, you generally need to check with your insurance company.

What Weight & Metabolic Solutions Australia will Charge You

  • Our Program Fee – Our program fee guarantees zero out-of-pocket-costs for a period of twelve months.
  • Each appointment with your surgeon will be bulk billed an item 105.
  • Each appointment with the rest of our team will either be bulk billed or not charged at all.
  • Whatever the case may be, there will be no ongoing out of pocket fees for you – that’s why we designed our program – to benefit you, our other patients and varying circumstances.
  • For further information, you can download our WMSA Fee Brochure.

What Happens After Twelve Months?

  • We offer a six-month program extension for an additional $500. Just let us know two weeks before your twelve months expire that you would like to take advantage of this offer!
  • Alternatively, we will bill you on a private basis for the cost of weight loss surgery.
 
The Society for Surgery of the Alimentary Tract
Society of Gastrointestinal Endoscopic Surgeons
Royal Australian College of Surgeons
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Obesity Surgery Society of Australia & New Zealand
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Fitness Australia
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