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Appendectomy Cost in Hawaii (2026): Average Prices & What You'll Pay

What does a appendectomy cost in Hawaii?

Expect roughly $3,756 to $9,345 for an appendectomy in Hawaii if you're commercially insured - that range already folds in both the facility charge and the physician fee. The median reported facility price across 9 hospitals is $6,001. It's built from CMS fee schedules and federally mandated hospital price transparency data.

Hawaii's island geography creates isolated health economies - each island is effectively its own market, and most specialized care on neighbor islands requires inter-island travel. Kaiser Permanente Hawaii and Hawaii Pacific Health cover most of the Oahu market. Transport and logistics costs embedded in hospital operating expenses push prices well above the mainland average for comparable services. 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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Appendectomy facility ladder for Hawaii Ranked list of reporting facility prices for Appendectomy in Hawaii, cheapest to most expensive. FACILITY LADDER Appendectomy in Hawaii - ranked low to high 8 of 9 reporting facilities shown, cheapest first Hale Ho'ola Hamakua $1,103 Kau Hospital - Pahala, HI $1,103 Hawaii Pacific Health $1,564 Kahuku Medical Center - Kahuku, HI $3,909 The Queens Medical Center - Wahiawa - W… $6,001 Queens Medical Center - Honolulu, HI $6,001 Queens Medical Center - West Oahu - Ewa… $6,001 Hilo Medical Center - Hilo, HI $13,636

Example: two commercially insured patients in the same area could pay ~$2,502 and ~$6,001 for the identical procedure - a $3,499 difference driven entirely by facility choice.

Where appendectomy costs vary in Hawaii

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.

Hospital (below avg) Hospital (above avg) Click a pin for details.

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Cheapest Appendectomy Providers in Hawaii

Based on declared cash/self-pay prices from CMS hospital price transparency files.

# Facility City Price vs Median
1 Hale Ho'ola Hamakua Honokaa, HI $1,103 -$4,898
2 Kau Hospital Pahala, HI $1,103 -$4,898
3 Hawaii Pacific Health HI $1,564 -$4,437
4 Kahuku Medical Center Kahuku, HI $3,909 -$2,092
5 The Queens Medical Center - Wahiawa Wahiawa, HI $6,001 +$0
6 Queens Medical Center Honolulu, HI $6,001 +$0
7 Queens Medical Center - West Oahu Ewa Beach, HI $6,001 +$0
8 Hilo Medical Center Hilo, HI $13,636 +$7,635

Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.

Quick take

  • Hale Ho'ola Hamakua is the lowest-cost option at $1,103 - $4,898 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 $6,001, and it's often lower than what insurance pays before your deductible is satisfied.
  • This dataset covers hospitals only - freestanding ASCs, which routinely run 30-60% cheaper for the same procedure, aren't included, so it's worth asking your doctor whether one is an option.

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.

Hospital Outpatient
$1,997–$17,619
  • Facility fee $1,103–$14,171
  • Professional fee $894–$3,448

Estimated from CMS fee schedules + commercial rate multipliers

Hospital Inpatient
$1,997–$17,084
  • Facility fee $1,103–$13,636
  • Professional fee $894–$3,448

Estimated from CMS fee schedules + commercial rate multipliers

Hawaii Appendectomy prices by facility

All prices below come from hospital chargemasters - the official price lists each hospital must publish under federal law. Gross charge is the undiscounted list price; cash price is the self-pay rate; negotiated range covers the spread across insurance contracts.

How we calculate "Your Price"

We prioritize cash price (the self-pay rate) over the negotiated rate, and only fall back to the gross charge, the inflated list price few people actually pay, when nothing else is reported.

# Facility City Your Price vs Median Gross Charge
#1 Hale Ho'ola Hamakua Honokaa, HI $1,103 -$4,898 $1,103–$1,170
#2 Kau Hospital Pahala, HI $1,103 -$4,898 $1,103–$1,170
#3 Hawaii Pacific Health HI $1,564 -$4,437 $620–$8,875
#4 Kahuku Medical Center Kahuku, HI $3,909 -$2,092 $399–$8,080
#5 The Queens Medical Center - Wahiawa Wahiawa, HI $6,001 +$0 $8,574–$12,594
#6 Queens Medical Center Honolulu, HI $6,001 +$0 $8,574–$12,594
#7 Queens Medical Center - West Oahu Ewa Beach, HI $6,001 +$0 $8,574–$12,594
#8 Hilo Medical Center Hilo, HI $13,636 +$7,635 $1,037–$22,728
#9 Queens North Hawaii Community Hospital Waimea, HI $14,171 +$8,170 $20,245

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Source: CMS hospital price transparency machine-readable files. vs Median = savings or premium relative to the state median price. Gross Charge = undiscounted list price for reference.

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Why prices vary - and what it means for your coverage

A small number of hospitals (2) report prices above $12,656, including Queens North Hawaii Community Hospital at $14,171, 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 $6,001 versus $1,103 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.

On top of the facility price, your actual bill depends on your deductible, your out-of-pocket maximum, and whether every provider involved - not just the facility - is in-network.

Your situation Estimated out-of-pocket
Deductible not yet met ~$8,091
Deductible met - 20% coinsurance ~$1,618
Out-of-network provider $17,800+

Frequently asked questions: appendectomy costs in Hawaii

How much does an appendectomy cost in Hawaii?

Across 9 Hawaii hospitals that publish prices, an appendectomy ranges from $399 to $22,728, with a median of $6,001. Most facilities fall between $1,564 and $6,001. 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 Hawaii?

Based on declared prices, the lowest-cost facility in our Hawaii data is Hale Ho'ola Hamakua in Honokaa at about $1,103. 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 Hawaii hospitals?

Prices vary up to 57× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Hawaii, the median cash (self-pay) price is $6,001 versus a median negotiated rate of $462 - about 13× 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 Hawaii?

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

Other procedures in Hawaii

Appendectomy, elsewhere

Other Hawaii Hospitals for Appendectomy

These hospitals are registered in the CMS National Provider Identifier (NPI) registry as active hospitals in Hawaii. Cost estimates use the bundled service model for each place of service. Contact them directly for a formal quote.

Provider City Type Est. Cost
ACPAYUMO MD LLC
8089839648
HONOLULU, HI General Acute Care Hospital $1,997–$17,619 bundled est.
ANDREW MAEDA MD LLC
8085311116
HONOLULU, HI General Acute Care Hospital $1,997–$17,619 bundled est.
BLUDOC PEDIATRICS, INC.
8087228792
MILILANI, HI Children's Hospital $1,997–$17,619 bundled est.
CASTLE MEDICAL CENTER
8083635176
KAILUA, HI General Acute Care Hospital $1,997–$17,619 bundled est.
COMMUNITY CLINIC OF MAUI, INC.
8082449056
WAILUKU, HI General Acute Care Hospital $1,997–$17,619 bundled est.
GRACE LIU, MD, LLC
8085474682
HONOLULU, HI General Acute Care Hospital $1,997–$17,619 bundled est.
HAWAII HEALTHCARE SYSTEM CORPORATION
8082449056
WAILUKU, HI General Acute Care Hospital $1,997–$17,619 bundled est.
HAWAII MEDICAL CENTER EAST
8085476000
HONOLULU, HI General Acute Care Hospital $1,997–$17,619 bundled est.
HAWAII MEDICAL CENTER EAST
8085476011
HONOLULU, HI General Acute Care Hospital $1,997–$17,619 bundled est.
HAWAII MEDICAL CENTER WEST
8086787100
EWA BEACH, HI General Acute Care Hospital $1,997–$17,619 bundled est.
HAWAII MEDICAL CENTER, LLC
8085476762
HONOLULU, HI General Acute Care Hospital $1,997–$17,619 bundled est.
HILO BENIOFF MEDICAL CENTER
8089746709
HILO, HI General Acute Care Hospital $1,997–$17,619 bundled est.
▼ Show 56 more Hawaii hospitals
HILO BENIOFF MEDICAL CENTER
8089323000
HILO, HI General Acute Care Hospital $1,997–$17,619 bundled est.
HONOKAA HOSPITAL & SKILLED NURSING
8087757211
HONOKAA, HI Critical Access Hospital $1,997–$17,619 bundled est.
HONOLULU VAMC
7023413020
HONOLULU, HI General Acute Care Hospital $1,997–$17,619 bundled est.
KAHUKU MEDICAL CENTER
8082939221
KAHUKU, HI Critical Access Hospital $1,997–$17,619 bundled est.
KAISER FOUNDATION HOSPITALS
8084320000
HONOLULU, HI General Acute Care Hospital $1,997–$17,619 bundled est.
KAISER PERMANANTE
8084320000
HONOLULU, HI General Acute Care Hospital $1,997–$17,619 bundled est.
KAISER PERMANENTE
8084327785
HONOLULU, HI General Acute Care Hospital $1,997–$17,619 bundled est.
KAPIOLANI MEDICAL CENTER
8082226188
PEARL CITY, HI Children's Hospital $1,997–$17,619 bundled est.
KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN
8089836000
HONOLULU, HI Women's Hospital $1,997–$17,619 bundled est.
KAPIOLANI MEDICAL CENTER FOR WOMEN AND CHILDREN
8089838219
HONOLULU, HI Children's Hospital $1,997–$17,619 bundled est.
KAU HOSPITAL
8089282050
PAHALA, HI Critical Access Hospital $1,997–$17,619 bundled est.
KAUAI VETERANS MEMORIAL HOSPITAL
8083389431
WAIMEA, HI Critical Access Hospital $1,997–$17,619 bundled est.
KOHALA HOSPITAL
8088896211
KAPAAU, HI Critical Access Hospital $1,997–$17,619 bundled est.
KONA HOSPITAL
8083229311
KEALAKEKUA, HI General Acute Care Hospital $1,997–$17,619 bundled est.
KUAKINI MEDICAL CENTER
8085362236
HONOLULU, HI General Acute Care Hospital $1,997–$17,619 bundled est.
KULA HOSPITAL
8088764301
KULA, HI Long Term Care Hospital $1,997–$17,619 bundled est.
KULA HOSPITAL
8088781221
KULA, HI Rural Acute Care Hospital $1,997–$17,619 bundled est.
KULA HOSPITAL
8088781221
KULA, HI Critical Access Hospital $1,997–$17,619 bundled est.
LANAI COMMUNITY HOSPITAL
8085656411
LANAI, HI Critical Access Hospital $1,997–$17,619 bundled est.
LEAHI HOSPITAL
8087337932
HONOLULU, HI General Acute Care Hospital $1,997–$17,619 bundled est.
MAGLINAO MEDICAL MANAGEMENT LLC
8085362236
HONOLULU, HI General Acute Care Hospital $1,997–$17,619 bundled est.
MALAMA FIRST HEALTHCARE, INC.
8083750465
WAIMANALO, HI Rural Acute Care Hospital $1,997–$17,619 bundled est.
MAUI HEALTH SYSTEM A KAISER FOUNDATION HOSPITALS LLC
8085456411
LANA'I CITY, HI Critical Access Hospital $1,997–$17,619 bundled est.
MAUI HEALTH SYSTEM A KAISER FOUNDATION HOSPITALS LLC
8082449056
WAILUKU, HI General Acute Care Hospital $1,997–$17,619 bundled est.
MAUI MEMORIAL MEDICAL CENTER
8082433030
WAILUKU, HI General Acute Care Hospital $1,997–$17,619 bundled est.
MAUI MEMORIAL MEDICAL CENTER
8082422457
WAILUKU, HI General Acute Care Hospital $1,997–$17,619 bundled est.
MAUI MEMORIAL MEDICAL CENTER
8084425700
WAILUKU, HI General Acute Care Hospital $1,997–$17,619 bundled est.
MAUI MEMORIAL MEDICAL CENTER
8082704236
WAILUKU, HI General Acute Care Hospital $1,997–$17,619 bundled est.
MOLOKAI GENERAL HOSPITAL
8085535331
KAUNAKAKAI, HI Critical Access Hospital $1,997–$17,619 bundled est.
NORTH HAWAII COMMUNITY HOSPITAL
8088814406
KAMUELA, HI General Acute Care Hospital $1,997–$17,619 bundled est.
NORTH HAWAII COMMUNITY HOSPITAL, INC
8088814406
KAMUELA, HI General Acute Care Hospital $1,997–$17,619 bundled est.
NORTH HAWAII COMMUNITY HOSPITAL, INC.
8088854400
KAMUELA, HI General Acute Care Hospital $1,997–$17,619 bundled est.
PALI MOMI MEDICAL CENTER
8084866000
AIEA, HI General Acute Care Hospital $1,997–$17,619 bundled est.
QUEENS MEDICAL CENTER
8082240629
PEARL CITY, HI General Acute Care Hospital $1,997–$17,619 bundled est.
ROBERT WONG, MD, L.L.C.
8084860449
AIEA, HI General Acute Care Hospital $1,997–$17,619 bundled est.
RYAN RAO, LLC
8085242575
HONOLULU, HI General Acute Care Hospital $1,997–$17,619 bundled est.
SAMUEL MAHELONA MEMORIAL HOSPITAL
8083389431
KAPAA, HI Critical Access Hospital $1,997–$17,619 bundled est.
SATOMI FUJII MD LLC
5592866043
HONOLULU, HI General Acute Care Hospital $1,997–$17,619 bundled est.
SHRINERS HOSPITALS FOR CHILDREN
8089414466
HONOLULU, HI Children's Hospital $1,997–$17,619 bundled est.
ST. FRANCIS HOSPITAL - EWA
8085478001
EWA BEACH, HI General Acute Care Hospital $1,997–$17,619 bundled est.
ST. FRANCIS HOSPITAL - LILIHA
8085478001
HONOLULU, HI General Acute Care Hospital $1,997–$17,619 bundled est.
ST. FRANCIS LILIHA LIVER CENTER
8085478001
HONOLULU, HI General Acute Care Hospital $1,997–$17,619 bundled est.
ST. FRANCIS MEDICAL CENTER
8085476000
HONOLULU, HI General Acute Care Hospital $1,997–$17,619 bundled est.
ST. FRANCIS MEDICAL CENTER - WEST
8086787000
EWA BEACH, HI General Acute Care Hospital $1,997–$17,619 bundled est.
STATE OF HAWAII DEPARTMENT OF HEALTH
8089842154
WAILUKU, HI General Acute Care Hospital $1,997–$17,619 bundled est.
STATE OF HAWAII DEPARTMENT OF HEALTH
8082413130
KAPAA, HI General Acute Care Hospital $1,997–$17,619 bundled est.
STATE OF HAWAII DEPARTMENT OF HEALTH
8083224818
KEALAKEKUA, HI General Acute Care Hospital $1,997–$17,619 bundled est.
STATE OF HAWAII DEPARTMENT OF HEALTH
8089330409
HILO, HI General Acute Care Hospital $1,997–$17,619 bundled est.
STRAUB CLINIC & HOSPITAL
8085224000
HONOLULU, HI General Acute Care Hospital $1,997–$17,619 bundled est.
THE QUEEN'S MEDICAL CENTER
8086913000
EWA BEACH, HI General Acute Care Hospital $1,997–$17,619 bundled est.
THE QUEEN'S MEDICAL CENTER
8085389011
HONOLULU, HI General Acute Care Hospital $1,997–$17,619 bundled est.
THE QUEEN'S MEDICAL CENTER
8085389011
HONOLULU, HI General Acute Care Hospital $1,997–$17,619 bundled est.
THE QUEEN'S MEDICAL CENTER
8085474311
HONOLULU, HI General Acute Care Hospital $1,997–$17,619 bundled est.
WAHIAWA GENERAL HOSPITAL
8086218411
WAHIAWA, HI General Acute Care Hospital $1,997–$17,619 bundled est.
YD SAITO MD LLC
8087563710
HONOLULU, HI General Acute Care Hospital $1,997–$17,619 bundled est.
YOSHIMURA MEDICAL LLC
8085224000
HONOLULU, HI General Acute Care Hospital $1,997–$17,619 bundled est.

Est. cost = bundled estimate (facility fee + professional fee + anesthesia where applicable) based on CMS fee schedules and commercial rate multipliers. Contact each provider for an actual quote.

Source: CMS NPPES NPI Registry. NPI numbers can be verified at npiregistry.cms.hhs.gov.

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).

Other Procedure Costs in Hawaii

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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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Published July 17, 2026

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