The best first step is to talk with your doctor’s office—they can help you check with your insurance and see what might be available since coverage varies a lot depending on your plan.
Costs of ESG
ESG is a minimally invasive procedure performed under general anesthesia in a clinic or hospital setting.1 How much ESG costs varies, so the best first step is to talk to an ESG provider.
Coverage of ESG
ESG may be covered by your insurance, including Medicare or Medicaid, on a case-by-case basis. ESG is FSA and HSA eligible.
Because coverage varies greatly, prior authorization will be necessary to be sure your insurance covers ESG. A prior authorization is where the insurer reviews the doctor's recommendation and your medical records to see if you qualify.
Below are some questions you can ask an ESG provider at your initial consultation:
- What information can I provide to support my prior authorization request?
- If my insurance doesn’t cover ESG, what are my other options?
- Is the ESG provider in-network or out-of-network?
ESG at a glance
25K+
ESG procedures performed worldwide2
300+
gastroenterologists performing ESG2
100+
surgeons performing ESG2
Other things to consider
ESG is an exciting potential step in your weight loss journey, so it’s important to make an informed decision. Learn more about whether you’re an eligible candidate—or what to expect after the procedure by viewing our recovery guide.
Get more information
Once you find a provider, their office can give you more detailed pricing information. Use this search tool to find a clinic near you.
Frequently asked questions
ESG coverage varies from insurer to insurer, so check with your insurance company to see if your insurer covers ESG. Some clinics offer payment plans and the procedure is FSA and HSA eligible.
In most cases, if a prior authorization wasn’t done first, it’s unlikely you’d be paid back.
A prior authorization is when an insurer reviews a doctor’s recommendation before confirming whether a request will be covered. This is typically available through an ESG provider. If you're interested, ask your ESG provider in your consultation.
1. Watson S. Endura Patient Experience: Detailed Customer Journey. Boston Scientific Corporation; 2025. 1-18. Accessed July 1, 2025.
2. Calculations performed by Boston Scientific. Data on file. As of November 5, 2025.
Important OverStitch Endoscopic Suturing System Safety Information
ESG is performed using a suturing device called OverStitch. Learn about the risks of the OverStitch Endoscopic Suturing System & OverStitch NXT Endoscopic Suturing System (“OverStitch”) for bariatric surgery.
Talk with your doctor to fully understand all the risks and benefits associated with using this device. Ask your doctor whether this device is right for you.
Indications for Use:
OverStitch is for adult patients with obesity with BMI between 30-50 kg/m2. OverStitch can reduce the size of the stomach by stitching the inside. It can also fix the stomach outlet from previous bypass surgery.
When OverStitch is used to help with weight loss, you need to follow a healthy diet and exercise program. You may not lose weight if you do not adopt healthy habits.
Contraindications:
Your doctor will ask you about your medical history and perform a physical exam to decide if OverStitch is right for you. At the time of your procedure, the doctor may detect internal issues that prevent you from receiving OverStitch. For example, stomach ulcers or inflammation in the stomach may impact device placement.
You should not receive OverStitch if you: have a large hiatal hernia; have a history of bleeding in your stomach or food pipe; have a history of eating disorders; are pregnant; have bleeding disorders or are on blood thinners.
Warnings:
Talk to your doctor if you develop major, continued upper abdominal or back pain with difficulty breathing at any time after getting OverStitch.
OverStitch contains nickel. Nickel may cause an allergic reaction in people with nickel sensitivity.
Potential Risks:
Breathing any foreign object or substance such as food, saliva, or stomach contents into your lungs; Intestine blockage; Switching to a different type of surgery; Nausea, vomiting, dehydration; Bleeding; Infection; Swelling, redness, and pain in tissues caused by injury or damage; Damage to or a hole through the tissue around the stomach, food pipe or surrounding organs; Unintended transfer of fluid or gas from one area of the body to another; Pain; Feeling pins and needles; Buildup of fluid around the stomach; Air leaking from the lungs; Difficulty breathing; Narrowing or tightening in the stomach; Wound opening; Death
MRI Safety Information:
OverStitch can be MRI scanned under certain conditions. Scanning under other conditions may result in injury or device malfunction. Inform your doctor or MRI technician of the device before undergoing an MRI scan. This allows them to take any needed precautions.
If you have additional questions, talk with your doctor. For full safety information, visit IFU-BSCI.com.
CAUTION Rx only.