WHEREAS, the Provider agrees to provide healthcare services to the Patient on a self-pay basis, and the Patient agrees to pay the Provider for such services, as outlined in this Contract.
NOW, THEREFORE, in consideration of the mutual covenants and promises herein contained, the parties agree as follows:
The Patient agrees to pay the Provider the following fees for the "Bariatric Surgery Success Package" ($500), which includes:
*This price includes all pre-op appointments and post-op appointments for up to 90 days after surgery with BodyByBariatrics. Please see Add-On Services for appointment pricing past 90 days
Anesthesia The anesthesia services provided by the Provider will be charged at a flat rate of $500.
Surgery The fees associated with the specific bariatric surgery procedures, as outlined in the fee schedule, are variable depending on the type of surgery chosen by the Patient.
Surgical Procedures:
Transparent Pricing
The total cost for bariatric surgery includes both the facility and professional fees. Any necessary hiatal hernia repair or ventral hernia repair (including incisional or umbilical hernia repair) performed during the bariatric surgery will be included in the total surgical cost at no additional charge. Depending on the patient’s medical history, more complex or high-risk cases may require additional time & equipment that could result in an additional charge. Any potential additional costs will be fully disclosed and discussed at the final consultation.
Add-On Services:
Please note, all prices are valid through 12/31/2026 and are subject to change after that date.
The Patient agrees to make full payment for all services provided under this Contract, including any add-on services, by no later than seven (7) days prior to the scheduled surgery date. The Patient acknowledges that failure to make payment within this timeframe will result in cancellation of the scheduled procedure.
The Patient further agrees that any payments made are non-refundable, except as specified in the Cancellation and Rescheduling section of this Contract.
The Patient acknowledges and agrees that this Contract applies exclusively to self-pay services. The Provider will not submit any claims to the Patient's insurance or any third-party payer for the services rendered under this Contract, except for services that are outside of the self-pay scope. The Patient understands and accepts full financial responsibility for the services provided under this agreement.
The Patient agrees to provide at least two (2) weeks' advance notice if they wish to cancel or reschedule their procedure. Failure to do so may result in the termination of care.
