Appendectomy Cost in California (2026): Average Prices & What You'll Pay
What does a appendectomy cost in California?
For a commercially insured patient, an appendectomy in California typically runs $4,761–$10,757 once facility and physician fees are combined. The median reported facility price across 104 hospitals is $6,239. The figures draw on CMS fee schedules and hospital price transparency data published under federal law.
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Where appendectomy costs vary in California
Pins show hospitals with price-transparency data (colored by vs. state average) and nearby ambulatory surgery centers, imaging centers, and other facilities (colored by type). Click any pin for facility name and estimated cost range.
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Appendix surgery is usually an emergency - and the ER visit, scans, surgeon, and anesthesia each bill separately.
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Cheapest Appendectomy Providers in California
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs Median |
|---|---|---|---|---|
| 1 | Tarzana Medical Center LLC | Tarzana, CA | $1,142 | -$5,097 |
| 2 | Providence Health System - Southern California | San Pedro, CA | $1,142 | -$5,097 |
| 3 | Providence Health System - Southern California | Torrance, CA | $1,142 | -$5,097 |
| 4 | Mercy Medical Center Redding | Redding, CA | $1,153 | -$5,086 |
| 5 | San Gorgonio Memorial Hospital | Banning, CA | $1,406 | -$4,833 |
| 6 | Bear Valley Healthcare District | Po Box 1649, CA | $1,427 | -$4,812 |
| 7 | Stanford Health Care | Stanford, CA | $1,432 | -$4,807 |
| 8 | Kern Medical Center | Bakersfield, CA | $1,514 | -$4,725 |
Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.
Quick take
- Tarzana Medical Center LLC is the lowest-cost option at $1,142 - $5,097 below the state median, just by choosing where you go.
- Ask for the cash price if your deductible isn't met - the median cash price here is $6,571, and it's often lower than what insurance pays before your deductible is satisfied.
- Ask whether this procedure can be done at a freestanding ambulatory surgical center - they're typically 30-60% cheaper than a hospital for identical care, and most aren't in this hospital-only dataset.
How where you go changes what you pay for appendectomy
The same appendectomy bundles different services depending on the setting - facility fee, surgeon fee, and anesthesia each arrive as separate bills. Estimated ranges below reflect the typical full bundled cost, including all expected charges.
- Facility fee $361–$26,256
- Professional fee $894–$3,448
Estimated from CMS fee schedules + commercial rate multipliers
- Facility fee $1,056–$20,603
- Professional fee $894–$3,448
Estimated from CMS fee schedules + commercial rate multipliers
California has the most competitive commercial hospital market in the country, with aggressive multi-system competition in every major metro driving meaningful price variation. Kaiser Permanente's integrated payer-provider model covers roughly 40% of the insured population in the state - if you're Kaiser-enrolled, the prices here largely don't apply. California's robust price transparency enforcement under SB 1204 means the data here is more complete than in most states. Appendectomy is largely an emergency procedure, which eliminates most price shopping. The main cost driver is surgical approach and admission status: uncomplicated laparoscopic appendectomies are increasingly performed as same-day outpatient cases at substantially lower total cost than open or complicated inpatient stays. Your primary out-of-pocket exposure is driven by your deductible and whether the facility and surgeon are both in-network.
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Why prices vary - and what it means for your coverage
A small number of hospitals (5) report prices above $15,998, including Henry Mayo Newhall Hospital at $22,877, which drives most of the overall spread - excluding them, most facilities cluster in a much tighter band. Setting matters too: the median outpatient price is $6,239 versus $3,779 inpatient, so where a procedure happens often matters more than which hospital you pick. Setting drives most of the spread here: an ambulatory surgical center (ASC) is usually meaningfully cheaper than a hospital operating room for the same procedure, when your case qualifies.
None of the prices above are what you'll necessarily owe: your deductible, out-of-pocket maximum, and each provider's network status all still apply.
| Your situation | Estimated out-of-pocket |
|---|---|
| Deductible not yet met | ~$8,329 |
| Deductible met - 20% coinsurance | ~$1,666 |
| Out-of-network provider | $18,324+ |
Frequently asked questions: appendectomy costs in California
How much does an appendectomy cost in California?
The typical insurer-negotiated rate is $391, with most facilities between $313 and $1,982 (based on 106 hospitals reporting negotiated rates). Full market pricing - including cash rates, gross charges, and outlier facilities - ranges more widely, from $222 to $47,214 across all 104 California hospitals that publish prices. What you pay depends on the facility, your insurance, and whether you have met your deductible.
Where is the cheapest place to get an appendectomy in California?
Based on declared prices, the lowest-cost facility in our California data is University of California Davis Medical Center in Sacramento at about $361. By metro, Long Beach has the lowest median ($1,963). Freestanding ambulatory surgery and imaging centers are often cheaper still and may not appear in hospital price data - ask your doctor whether one is an option.
Why is an appendectomy so much cheaper at some California hospitals?
Prices vary up to 212.7× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In California, the median cash (self-pay) price is $6,571 versus a median negotiated rate of $391 - about 16.8× higher. Asking for the cash price or your insurer's negotiated rate is often the single biggest lever on what you pay.
How much will I actually pay out of pocket for an appendectomy in California?
Your out-of-pocket cost depends on your deductible, coinsurance, out-of-pocket maximum, and whether the facility is in-network - not just the sticker price. If you have not met your deductible, you will typically pay the negotiated rate in full until you do. Use the CostKits cost forecaster to estimate your specific out-of-pocket amount before you go.
Before you book
- Allowed amount vs negotiated rate: what your EOB is really saying
- How to read your medical bill
- Deductible vs out-of-pocket max
- Already have a bill? Check it for errors
- Understanding your UnitedHealthcare EOB
Other procedures in California
Appendectomy, elsewhere
What matters before you schedule
ASC vs. hospital
Hospital outpatient departments typically charge 2-4x more than ASCs or independent centers for the same appendectomy - same outcome, very different bill. Call ahead and ask for a self-pay or cash quote at each setting you're considering.
What's on your bill
A appendectomy involves multiple providers who bill separately - typically Facility Fee, Surgeon Professional Fee, Anesthesia. Check each line item against your Explanation of Benefits to catch billing errors.
Cost by type
Which type your doctor orders for this appendectomy changes the billing code, and what you pay. For example: A recognized variation that can change the billing code and what you owe.
What to ask before you book
Get the CPT code from your doctor, confirm every provider involved (not just the facility) is in-network, ask for the cash-pay rate if you're uninsured or haven't met your deductible, and request a written estimate for appendectomy before you schedule.
CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).
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About the Author
John Caruso, FSA, MAAA
Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.
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