Gastric Sleeve Price

TEXAS BARIATRICS

                                                                                                               

We offer a no hidden fees cash pay pricing.

The prices shown are what you pay.

 

MARIO DEL PINO MD FACS

Bariatric Program Director. Rio Grande Regional Hospital McAllen, Texas

Mission Regional Medical Center

110 E Savannah Ave A-202

McAllen, TX 78503

(956) 631-8155

FACEBOOK:  Mario Del Pino MD

www.delpinoweightloss.com

 

 

Cash pay program

 

Laparoscopic Sleeve Gastrectomy                                  $8950

Laparoscopic Gastric Bypass                                           $11450

Laparoscopic revisional Sleeve                                         $9950

Laparoscopic revisional Bypass                                        $12450

Office evaluation                                                                   $200

Preoperative OPTIFAST® meal replacement plan    $280

Combination price Sleeve*                                                $5500

Combination price Bypass*                                               $6500

 

Prices includes Hospital stay, anesthesia and surgeon fees

PRICES AT RIO GRANDE REGIONAL DIFFER

Prices do not include Psychology, Dietary evaluations (cost $150, $85)

Price does not include pre-op meal replacement diet (cost $280)

*Please ask for more details

 

 

MISSION REGIONAL MEDICAL CENTER, SLEEVE $8950

Attend a free seminar at the hospital or watch video seminar at our office:

  • Rio Grande Regional Hospital: second Wednesday of every month, 6 pm
  • Mission Regional Medical Center: fourth Wednesday of every month, 6 pm
  • Watch video seminar at the time of your first visit
  • Also Available on YouTube

 

Office Visits and Follow-ups are in McAllen

  • First time in our office: $250 (cash or credit card)
    • Watch educational video
    • Get blood work (you need to be fasting). Tuesday-Friday 8am-12pm
    • EKG, CXR (if needed)
    • Fill bariatric surgery questionnaire
  • Second time in the office $200 (cash or credit card)
    • medical evaluation, labs and EKG reviewed
    • dietary counsel evaluation
    • will get vitamin and pre-op diet shake free samples
    • meet Dr. del Pino
  • Need psychology evaluation $ 150(not included)
  • Need dietary evaluation $85 (not included)

Scheduling Surgery and Registration

  • To proceed with surgery, you must pay balance $8500 ONE WEEK before.
  • Payment covers Hospital stay for two nights, surgeon and anesthesia fees.
  • It also covers one postoperative visit with Dr. del Pino and dietary counselor
  • Once you pay you can schedule your surgery date
  • Surgery days
    • Mission: Wednesdays and Fridays
    • Regional: Mondays and Thursdays
  • Patients are given a prescription for pain medicine that they will use after the operation. They should fill it before the surgery.

 

Registration

  • You must register one day before surgery in the am
  • The anesthesia team will evaluate you at the time of registration (included)
  • Females will have a pregnancy test that day (included)
  • Surgery is cancelled if you are pregnant ($300 retention fee)
  • Labs, CXR or EKG may need to be repeated (included)

 

Diet before surgery

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  • You must follow a medically prescribed liquid diet before surgery
  • The diet shrinks the size of your liver and decreases the chance of complications
  • The diet is very simple. You drink five shakes a day but no food.
  • Sugar free liquids are ok.
  • No soups, no salad. Just water and shakes
  • You may drink sugar free jelly or sugar free beverages like tea, coffee.
  • Splenda, and other artificial sweeteners are ok
  • Diet costs $140 per week (not included in price)
  • Your will diet for 1-4 weeks, depending on your weight and BMI

 

Day of surgery

  • We recommend the patient to be accompanied by one family member.
  • Rooms are single occupancy, with private restroom, accommodate one visitor.
  • You will meet Dr. del Pino before surgery should you have any questions
  • The nursing staff will get IV access
  • You will take pain medications before surgery to decrease postoperative pain
  • You will be assigned a private room on the surgical floor
  • We recommend one relative to stay with the patient during the hospital stay

 

In the Hospital

  • After 3 hours, you sit up, you get up, then you start walking
  • Walking avoids pneumonia and leg blood clots
  • Pain is like soreness after doing many sit ups.
  • You will feel pressure in your belly, like gas bloating, sometimes in your chest
  • After surgery, you will stay on a liquid diet for two weeks.
  • You will have a BM every 3-4 days.
  • You can use liquid laxatives if you have a hard time going to the restroom
  • You may drink sips of water and ice chips after surgery.
  • Don’t drink fluids if you feel nausea. Ask for anti-nausea meds
  • You will start a clear liquid diet the next day after surgery
  • Expect to be discharged home one day after surgery after seen by Dr. del Pino
  • Dr. del Pino makes rounds at around 6-7 pm.
  • It is very unusual for patients to require a second night stay in the hospital (no additional payment is necessary for a second night stay)
  • The criteria for being discharged home are: ability to take liquids by mouth, good pain control, and being able to get up and walk.
  • If the nurses on the floor can’t resolve your problem, ask them to page Dr. del Pino or whoever is on call for him. There is always a surgeon on call 24/7.
  • The doctor may take a while to answer because he is usually operating. If no answer in one hour, ask nurse to page doctor again

 

Recovering

  • Most people drive after 4 days
  • Most people go back to work in 1-2 weeks if your job is not physical
  • The main complaint after surgery is weakness (you only drink liquids for two weeks)
  • It you get nauseous and can’t stay hydrated (unusual) we will give you IV fluids in our office (cost $100).
  • Don’t wait until you are severely dehydrated to call us. IV fluids will avoid a hospital/Emergency Room admission
  • Most people can run, bike after 2 weeks
  • Ok to go to the gym or do heavy lifting 4-6 weeks after surgery

 

Follow up

  • Follow up visits are in our McAllen office on Tuesdays and Wednesdays.
  • First follow up visit is included in the package
    • Doctor will see you
    • Dietary counselor will explain vitamins and diet
  • Additional visits are $100
  • We recommend follow up at 3, 6, 12 months after surgery,
  • Then once a year
  • You will need lab work on those follow up visits (not included)
  • You can get blood work with us (4-5 days before visit please)
  • You will have to take vitamins daily after weight loss surgery

 

Candidates for Surgery

  • Doctor has final word and decides if patient is a candidate for this offer
  • BMI must be 50 or less, weight 300 or less
  • $500 additional fee applies if patient weighs more than 300 lbs. or BMI higher than 50
  • $500 additional fee applies if you had previous major abdominal surgery
  • $1000 additional fee for patients with previous weight loss surgery operations (revisional surgery)
  • $1000 additional fee if hiatal hernia is repaired (10% chance, found at time of surgery)
  • $1500 additional fee for same time gallbladder removal
  • Additional fees apply if abdominal hernia repair is needed. Cost varies
  • Patients with lap band must have Endoscopy prior to any possible surgery consideration. This offer does not apply to them
  • Patients with previous major abdominal surgery may not qualify for this offer
  • Patients with abdominal wall hernia may not qualify for this offer
  • Additional evaluations (cardiac, pulmonary or psych) may be needed. Cost not included
    • If patient is high risk
    • If tests results are abnormal
    • If Dr. del Pino deems it necessary
  • If you suffer heartburn or regurgitation, upper endoscopy may be needed (not included)
    • in office endoscopy cost $500: awake, trans-nasal, with local anesthesia
    • in hospital cost varies: patient is sedated
  • Ultrasound of the abdomen may be needed to rule out gallstones, cost not included

 

Payment

  • $8950 is cash price for this offer at Mission Regional Medical Center
  • Credit cards accepted, 3% fee applies
  • Care-credit accepted, 13.5% fee applies
  • Patients must pay in full at least one week before surgery date.
  • If patient cancels surgery after paying, a $300 retention fee is applied.
  • We don’t take personal checks.
  • Preop diet cost is not included ($140/week), 1-2 weeks needed
  • Psychology ($150) and dietician ($85) evaluations are needed, cost not included

 

Other Important tips

  • If no heartburn, endoscopy to check for hiatal hernias is optional.
  • If no abdominal pain, ultrasound of the abdomen to rule out gallstones is optional
  • This price does not include
    • Psychology and dietary evaluations.
    • Preop meal replacement diet.