Appendix Procedures with Complications — what U.S. hospitals charge
MS-DRG 398 · Inpatient stay · 15 U.S. hospitals publish a price
Cheapest quarter
under $52,926
Typical charge
$87,040
Dearest quarter
over $102,872
Actually paid
$14,063
The middle U.S. hospital bills $87,040 for Appendix Procedures with Complications. The dearest hospitals charge about 2.7x what the cheapest do for the same coded work. Medicare actually paid about $14,063 per case.
These are charges, not quotes. What you pay depends on your insurance and your own case. The figures matter because the charge is where an uninsured or out-of-network bill starts.
Appendix Procedures with Complications cost by state
The middle charge in each state where at least three hospitals publish a price, cheapest first.
Where Appendix Procedures with Complications is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Silver Cross Hospital And Medical Centers
New Lenox, IL |
$43,851 | $16,095 |
|
Baptist Memorial Hospital
Memphis, TN |
$46,791 | $10,785 |
|
Moses H. Cone Memorial Hospital, The
Greensboro, NC |
$47,213 | $16,282 |
|
Yavapai Regional Medical Center
Prescott, AZ |
$47,718 | $13,052 |
|
Villages Regional Hospital, The
The Villages, FL |
$58,134 | $10,593 |
|
Memorial Hermann Hospital System
Houston, TX |
$71,873 | $15,941 |
|
Lee Memorial Hospital
Fort Myers, FL |
$78,632 | $12,246 |
|
Sarasota Memorial Hospital
Sarasota, FL |
$87,040 | $11,554 |
|
Methodist Hospital
San Antonio, TX |
$89,136 | $12,091 |
|
Willis Knighton Medical Center
Shreveport, LA |
$93,148 | $11,171 |
|
Adventhealth Orlando
Orlando, FL |
$97,221 | $11,983 |
|
Eisenhower Medical Center
Rancho Mirage, CA |
$108,522 | $17,744 |
Where it is charged most
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Baptist Medical Center
San Antonio, TX |
$133,155 | $11,939 |
|
Nyu Langone Hospitals
New York, NY |
$130,727 | $20,338 |
|
Long Island Jewish Medical Center
New Hyde Park, NY |
$116,593 | $19,128 |
|
Eisenhower Medical Center
Rancho Mirage, CA |
$108,522 | $17,744 |
|
Adventhealth Orlando
Orlando, FL |
$97,221 | $11,983 |
|
Willis Knighton Medical Center
Shreveport, LA |
$93,148 | $11,171 |
|
Methodist Hospital
San Antonio, TX |
$89,136 | $12,091 |
|
Sarasota Memorial Hospital
Sarasota, FL |
$87,040 | $11,554 |
|
Lee Memorial Hospital
Fort Myers, FL |
$78,632 | $12,246 |
|
Memorial Hermann Hospital System
Houston, TX |
$71,873 | $15,941 |
|
Villages Regional Hospital, The
The Villages, FL |
$58,134 | $10,593 |
|
Yavapai Regional Medical Center
Prescott, AZ |
$47,718 | $13,052 |
Questions people ask
What do U.S. hospitals charge for Appendix Procedures with Complications?
Across 15 U.S. hospitals, the middle charge for Appendix Procedures with Complications is $87,040. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $52,926 and the dearest quarter over $102,872.
Why do hospitals charge such different amounts for the same procedure?
Because a hospital charge is a list price it sets itself, not a regulated rate. For Appendix Procedures with Complications, the hospitals in the dearest tenth charge about 2.7x what the cheapest tenth charge for the same coded work. Insurers negotiate their own rates from those lists, which is why the charge and what is actually paid can be very far apart.
Is that what I would actually pay?
No. $14,063 is roughly what Medicare actually paid per case, against an average charge of $86,431. If you have insurance, your plan pays a negotiated rate and you pay your deductible and coinsurance. If you are uninsured or out of network, the hospital's charge is where your bill starts — which is why the gap matters. Ask for a written good-faith estimate before treatment.
What this code covers
CMS records this work as MS-DRG 398: “APPENDIX PROCEDURES WITH CC”. A DRG covers a whole inpatient stay rather than a single item, so the charge includes the room, the procedure and the care around it. Codes that mention complications carry a different, usually higher price.