@johnfm It's frustrating that this surgery has been approved by Medicare and they will even tell you it's approved if you call them. However, the surgeon's office told me I might have an out-of-pocket cost of $11,500. They also told me if you have Medicare, it's required to have the surgery in a hospital, not a surgery center. I am having a hard time understanding why it's approved, yet patients are still charged this enormous fee.