With Health Insurance: Copay + 10%-50% of Procedure Cost
Without Health Insurance: $10,000-$35,000+
An appendectomy is an operation to remove the appendix, a small organ connected to the intestine, usually when it becomes infected, swollen and painful. Risks of appendectomy can include reaction to anesthesia, bleeding and infection.
Typical costs:
An appendectomy would be covered by health insurance. For patients covered by health insurance, out-of-pocket costs typically consist of a doctor copay, possibly an emergency room copay, prescription drug copays, a hospital copay of $100 or more, and coinsurance of 10% to 50% for the procedure, which could reach the yearly out-of-pocket maximum.
For patients not covered by health insurance, an appendectomy typically costs about $10,000-$35,000 or more, depending on the provider, whether the operation is open or laparoscopic, and whether there are complications. For example, at Wright Medical Center[1] in Iowa, an uncomplicated open appendectomy costs about $7,900, including a doctor fee of about $1,600, while a laparoscopic appendectomy costs just under $12,000, including a doctor fee of about $1,600. At Saint Elizabeth Regional Medical Center[2] in Nebraska, an open appendectomy or laparoscopic appendectomy, when there is no abscess, typically costs $9,200-$19,500, not including the doctor fees, which can add several thousand dollars to the final bill. When abscess is present, the costs can range from $15,500 to $30,700 or more. An American College of Surgeons study[3] showed that laparoscopic appendectomy costs about 9%more than conventional surgery for patients with complicated appendicitis with abscess and 22%more for patients with uncomplicated appendicitis without abscess.
On eHealthForum.com[4] , patients discuss their appendectomy costs.
Because there is no definitive test for appendicitis[5] , the doctor will evaluate symptoms and possibly test white blood cell count to look for infection and/or order an ultrasound or CT scan to make a diagnosis. Appendicitis usually requires emergency surgery because an infected appendix can burst and cause a life-threatening infection of the abdomen.
In open surgery, the patient will be placed under general anesthesia, and the surgeon will make a small incision on the right side of the abdomen, remove the appendix and close the incision. In laparoscopic surgery, the surgeon will make a much smaller incision and use surgical tools and a camera, inserted through the incision, to remove the appendix. In some cases, the surgeon will discover during surgery that there is no infection in the appendix; the surgeon might remove the appendix anyway as a preventive measure.
If the appendix has burst, the surgeon might need to insert a drainage tube in the abdomen to remove the pus; after a few weeks of drainage, the surgeon can then perform the appendectomy.
A hospital stay of one to three days typically is required, and full recovery can take up to six weeks.
The National Institutes of Health offers an overview[6] of the appendectomy procedure.
Additional costs:
For diagnosis, an ultrasound or CT scan of the abdomen can add up to $1,000 or more to the final bill.
The doctor may prescribe oral antibiotics, which can cost up to $150 or more, depending on the regimen.
Discounts:
Many doctors and hospitals give discounts of up to 40% or more to uninsured/cash-paying patients. For example, Washington Hospital Healthcare System[7] in California offers a 35% discount.
In some cases, where the appendix has not ruptured, it might be possible to manage appendicitis solely with antibiotics. MedicineNet.com has information on non-surgical appendicitis treatment[8] .
Shopping for an appendectomy:
Anyone who has symptoms that could indicate appendicitis -- such as pain, especially in the right lower abdomen, abdominal swelling, fever, nausea, vomiting or constipation -- should get to a doctor or emergency room as quickly as possible.
A family physician or emergency room doctor can make a referral to a surgeon. Or, the American Board of Colon and Rectal Surgery offers a locator[9] for board-certified colon and rectal surgeons by city and state.
Material on this page is for informational purposes only and should not be construed as medical advice. Always consult your physician or pharmacist regarding medications or medical procedures.
7 Lesser-Known Discounts for the 50+ Crowd As they age, members of the Baby Boomer generation don't like to admit that they're senior citizens, but they love getting discounts. It's kind of a quandary, because some of the best deals available are reduced prices for older folks. || Posted October 21 2013
7 Ways to Stretch Your Reduced Food Budget End of the year budgets are tight for everyone, especially in this economy.It's especially hard for the millions of Americans who depend on government programs like food stamps to help make ends meet. || Posted November 11 2013
Veteran enrolled in VA Healthcare system. Went to local non-VA ER with RLQ and back pain, nausea and low grade fever. Got blood work and scan. Admitted. Surgery the next morning. Stayed overnight again to get lots of IV antibiotics snd an anticlotting shot in the abdomen and left in the evening after dinner.
This was a planned appendectomy not due to inflammation but due to mucocele in the appendix (basically a slime build up). Met the doctor and had a surgery time a week later (and this is in the middle of Corona times). Was in the hospital from 7am to 4pm. Was sent home with painkillers. The $40 breaks down to $10 for the visit to the dr the week before surgery and $30 for surgery (this includes all medicine, anaesthesia, doctors, nurses, food, etc). I love living in Sweden and paying taxes. Can’t imagine having medical bills in the thousands of dollars even with insurance.
Went in for abdominal pain. Ended up staying for 3 days. They said I was suffering from a catastrophic illness and needed surgery! I was shocked because I didn't feel that ill.
Well went in for what I presumed was appendicitis after I spent 3 days with symptoms and went to work for the day. Waited for about 5 hours before they could get me a CT scan (10pm-3am). Then waited 45 minutes for them to tell me it was appendicitis and I'd have to wait until the morning and they were preparing a room for me. 30 minutes later they told me a room opened up and off I went for surgery around 5am. WELLL woke up on the operating table screaming in pain and then was restrained by the surgeons. I remember one telling me I needed to relax. Another one said the catheter was accidentally ripped out. After the procedure when they were lifting me up to put me on the gurney, they dropped me onto the gurney with enough force to wake me up from the anesthesia. Went through the recovery at the hospital, normal procedure (except no doctor or surgeon came to check up on me until I was ready to leave). The next day I realized I had no feeling in my left thigh. Now I have nerve damage.
Had my first ever surgery a couple of months ago, laparoscopy with no health insurance. After a couple of hours in the waiting room and a check-up (and then an hour more of waiting), the doctors weren't 100% positive about my condition so they had me stay the night as a safety measure (my condition was unusally healthy for an appendicitis). The next day they ran a few more tests and sure enough my appendix was infected. Spent most of the day just chillin' in my bed watching TV, at around 2pm they rolled me into the operating room and worked their magic. Woke up two hours later all patched up and was sent home later that evening. All of this cost me, as someone without health insurance a total sum of 0,- Reading these horror stories from US patients getting bankrupted is leaving me with my mouth agape. Sounds more like a health business than a health-care system :(
Billed a total of $29,000 from the hospital, $3150 for the surgeon, and about $2600 for the anesthesia. About $23,000 from the hospital bill was "adjusted" so they took off $23,000. If they are fine with taking off $23,000 then why overcharge me for a simple procedure in the first place? In total, we expect to pay out $5,000 but are currently disputing the costs.
Posted by: Grateful but Anxious in Fort Worth, TX.
Posted: December 11th, 2018 11:12AM
Ruptured appendix, ER, emergency surgery, laparoscopic. Hospital called out of network surgeon. Surgery took longer than expected, 2 hours. Hospital stay about 5 nights. Insurance is supposed to (from my reading) cover out of network emergency surgery, minus our $3,000 deductible. Great, that's what our family pays $1,000/mo for. But, insurance covered $70K of $100K. They paid everyone except... the surgeon! Surgeon's group wants about $30,000. Is that reasonable for a two hour complicated surgery and followups? I don't know, but the insurance is not reasonable either because they will only pay for 10% of that. Huge gap. It's very confusing. The surgeon was great and the hospital good. The problem is with how things are billed and paid for by insurance - and possibly the hospital choosing an out of network surgeon. Mysteries. It's sad to feel like you're being taken advantage of and to be fearful about your very costly insurance being inadequate. Will contact the state.
This is outrageous, to be honest. Yesterday I paid $32 to the consulting doctor who sent me to the ER at our local hospital. Within nine hours I had finished my laparoscopic appendectomy. Was offered to stay until tomorrow, but opted to leave this morning after a health meal in the canteen and paid zero, zilch, nada. I have no health insurance and I am happy to live in Norway, pay my taxes and receive help when I need it.
Long story short, went from PCP walk in clinic -> ER clinic -> hospital for surgery Was told ER clinic would be a regular visit because doctor was calling it in. WRONG. Was charged TWO ER visits. Admitted as "under observation" & was charged hourly. Didn't know this until after the fact. Got there at 3:30pm Sunday & was told I could go home first thing Monday morning. Instead had to wait for surgeon to show up at 2pm. Had I known I was paying hourly I would have checked myself out at daybreak. Was charged $1219 for some clip applicator. I can find it on google for $215 Was charged over $60 for that stupid gown I left there. Surgeon admitted he messed up the incision for the camera. Made it larger when he tried to fix it. Told me I wouldn't care. I DO. It's big AND lumpy. My appendix had NOT burst. Out of pocket over $7100. Such a shame as I had better insurance in January & went to my PCP then after 3 days of stomach pain & was told indigestion! IDIOTS!!
4 nights in hospital, one basic CT scan-no comtrast-charge was $6800, had an abdominal drainage tube. Bill outrageous, seeking help through Health Advocates. My insurance only covered a few thousand of this bill.
Posted by: It is not the doctors' fault in Webster, TX.
Posted: October 30th, 2016 11:10AM
Medical Center: Clear Lake Regional
Physician:
The bill started just north of $37K, but after BC/BS discount of ~ $26,000, insurance paid $6892.30 leaving me $4201.04. I am a physician and this was for my 16 yo son who was admitted for less than 12 hrs. I made the diagnosis early in its course and bypassed the ER. Ironically, my efforts to minimize cost benefited the hospital much more than it did me, because hospital bills are determined by diagnosis and procedure (rather than actual cost or difficulty of services provided). There are no extra breaks given to physicians either, so when it comes to the bill, we are in the same boat as everyone else.
Went into the ER w pain, had CT scan, lab work, oral antibiotics lapparoscopic appendectomy. Total time from checking into ER to discharge, 14 hours. Lab Bill of $284, surgeon Bill of $1500, radiology Bill of $312, and finally hospital bill of $19176.01. Wish I knew that antibiotics were an option!
This was just the hospital stay! We went to an immediate care for diagnosis, labs, and CT scan (separate bill not included) and drove to hospital and arrived around 3pm. We were bumped 2x for other cases making surgery at 10pm, discharged at 1am. So approx 10 hr, but should have been closer to 5hr. 1 do not agree with price and im a RN!!! I was thinking MAX $7000 - 10000 just for surgery NOT 30K
I'm a college student with no health insurance. While helping a church in Fullerton,Ca on fall break I had to have emergency surgery.I work two part time jobs ...I'm crazy scared about what I'm going to do about this bill.If I were a CA resident..100% paid. But since I am not..I'm on my own.Anyone know of anything I can do? Thanks for prayers and suggestions in advance.
Emergency laparoscopic appendectomy that had not ruptured. $23000 alone was for miscellaneous "supplies". Does not include surgeon fee ($3000) or radiologist, or anesthesiologist ($4000)
I came to e.r.only with stomache, I had it for the last 3 days. but a became concerning when I started to get fiver.well, I thught it was only stomage flu. they the scan etc. when the e.r.Dr. came and told me that I had Appendicitis I was stunt. I was so skeptical.that I wanted to go home. And the Dr. said No! you 're not going home you need surgery.however,the Drs..re the best. and I thank them for been so professional...
Simple surgery without any complication. I was discharged 14 hours after surgery. Aside from my monthly premium, the out of pocket was 3,800. To make matters worse, the hospital lost my coat, sweater and gloves, for which they said are not reimbursable. On top of that, 2 months later there was an article about the hospital's CEO getting almost 2 million dollars in annual bonus. Danbury Hospital is where you go to get robbed.
Great services! Quick diagnoses, quick surgery. 45 minutes of surgery and I stayed for about 12-16 hours. Even with those great services, that doesn't seem like a reasonable price for that amount of stay. It costs more than my 4-year college debt!
to ER 6/14/14 ~10:00 AM, had CT W/C, blood work, urinalysis, dx appendicitis, surgery at 4:30 PM. Discharged 6/15/14, drove self home as had no pain meds, at 2:30 PM - no complications. discharged with antibiotic prescription and post-op FU appointment in 2 weeks - bill contained 70 charges, quite pricey
admitted first at county hospital (ER) with blood test and CT-scan with dye diagnosed with acute-appendicitis. transferred over to Lutheran hospital and had my surgery with no complications, no allergies and vitals are ok. was discharged 12 hours after the surgery with bill of $24000 and county charges was $3500. Insane charges, If I knew my insurance will not handle it I would had paid my plane ticket back home to my country probably had to pay whole surgery for less than $5000 that includes the back and forth plane ticket.
~$2500 paid for two pathology reports/surgeon/labs, etc. The hospital bill was for the OR and 1 night in the hospital...pure, unadulterated greed. The country cannot last long when theft like this is done openly.
CostHelper is based in Silicon Valley and provides consumers with unbiased price information about thousands of goods and services. Our writers are experienced journalists who adhere to our strict editorial ethics policy.
CostHelper Community
UTI urgent care visit Paid: 147.00 Visit was $135. Antibiotics was $12. Waiting for four hours in the waiting room and the visit was quick... [more]
Spanish Medical Interpreter Paid: 150.00 I worked with SynShyne Services out of Monroe, NC. They were so worth the price! Professional, friendly, accurate, great attitude and always on time. I recieved an itemized report after every contact and a user friendly invoice weekly... [more]
Skin prick allergy test Paid: 573.00 Took my 9 yr. old in after an allergic reaction to eggs. Several panels for nuts, fish & top 8 allergens. Sure enough, egg came up. Got a script for epinephrine and left... [more]