Difference in price based on facility...

Yes there's a significant difference in the cost based on the facility which you are provided the service. This is the reason why plastic surgeons in general pick outpatient surgery facilities which are very efficient and provide lower cost. In my practice, it is my opinion that patients that are of ASA three or beyond can only be treated in a hospital facility. Unfortunately this means that if a patient has diabetes or coronary artery disease or other significant medical conditions which affect your daily lives often times I can only be treated in hospital facilities this significantly increases the cost. Also patients that have these include comorbidities should have the risks looked at to see if cosmetic surgery is an appropriate risk to be taken.  Hospital cost can often times be multiple fold times more exprensive than the surgery center cost.   This is often an issue in facelift patients who are healthy but can have co morbidities that preclude surgicenters 

Yes, in general it costs more to have surgery performed in a hospital versus an outpatient surgery center.  As with any surgery you have planned, do some research on the facility to make sure it is accredited.  Discuss any concerns you have with your surgeon.

Because of bureaucracy and the need to dilute the cost of charity care most hospitals charge more for elective cosmetic surgery than a private outpatient surgery center.