Appendectomy Cost in Worcester, MA (2026): Average Prices & What You'll Pay
What does a appendectomy cost in Worcester, MA?
The same appendectomy in Worcester, MA might cost you $1,512 at one facility and $26,306 at another - the building you walk into drives the difference. The median cash price across 6 reporting hospitals is $13,408. These figures come straight from hospital price transparency files published under federal law. Pick your coverage in the tabs below to see your number.
Insurance
With commercial insurance, appendectomy in Worcester, MA typically runs $1,512–$26,306, facility and physician fees combined. What you pay out of pocket depends on your deductible and coinsurance.
Medicare
Medicare pays the same national rate to every provider that accepts it, adjusted slightly for local wages, so choosing a different hospital doesn't change what Medicare pays. After the Part B deductible you generally pay 20% of the approved amount.
Read the full Medicare coverage guide →
Your personalized cost report includes:
- ✓ Why an appendectomy becomes up to five separate bills, and which to check first
- ✓ How the ER visit and CT scan are billed apart from the surgery
- ✓ The surgeon or anesthesia bill that can be out-of-network even at an in-network hospital
- ✓ What "observation" vs. "admitted" means for your hospital bill
- ✓ A real patient billing breakdown, line by line
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Medicaid
Medicaid is run by each state, and it pays fixed rates to the providers that accept it, so the price doesn't change from one hospital to the next. Most people on Medicaid owe nothing or a small copay for covered care, but what's covered and what you owe depends on your state and plan. CostKits doesn't show a Medicaid price here because those rates are set by the state, not negotiated by each hospital. The question that matters is whether the provider accepts your Medicaid plan, so ask before you schedule.
Your personalized cost report includes:
- ✓ Why an appendectomy becomes up to five separate bills, and which to check first
- ✓ How the ER visit and CT scan are billed apart from the surgery
- ✓ The surgeon or anesthesia bill that can be out-of-network even at an in-network hospital
- ✓ What "observation" vs. "admitted" means for your hospital bill
- ✓ A real patient billing breakdown, line by line
Free for patients - takes 30 seconds to get.
We'll send a sign-in link to your email — click it to get your guide. No account required, no spam.
No insurance
The lowest posted price we found is HealthAlliance - Clinton Hospital at $24,817. Ask for the cash or self-pay price and for the hospital’s financial-assistance policy before you book.
Once you have a bill or an appointment on the calendar, CostKits can help you keep it all organized.
Where appendectomy costs vary in Worcester, MA
Pins show hospitals with price-transparency data (colored by vs. state average). Click any pin for facility name and estimated cost range.
26+ people checked prices near them this month.
Appendix surgery is usually an emergency - and the ER visit, scans, surgeon, and anesthesia each bill separately.
Your personalized cost report includes:
- ✓ Why an appendectomy becomes up to five separate bills, and which to check first
- ✓ How the ER visit and CT scan are billed apart from the surgery
- ✓ The surgeon or anesthesia bill that can be out-of-network even at an in-network hospital
- ✓ What "observation" vs. "admitted" means for your hospital bill
- ✓ A real patient billing breakdown, line by line
Free for patients - takes 30 seconds to get.
We'll send a sign-in link to your email - click it to get your guide. No account required, no spam.
Cheapest Appendectomy Providers in Worcester, MA
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs Median |
|---|---|---|---|---|
| 1 | ATHOL MEMORIAL HOSPITAL INCORPORATED | Athol, MA | $1,023 | -$12,385 |
| 2 | HENRY HEYWOOD MEMORIAL HOSPITAL | Gardner, MA | $2,000 | -$11,408 |
| 3 | Hospital name hidden | Your City, MA | $677 | -$000 |
| 4 | Hospital name hidden | Your City, MA | $676 | -$000 |
| 5 | UMass Memorial Medical Center | MA | $27,979 | +$14,571 |
Your ranked price list is on its way to your email. Open the PDF now.
Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.
Email me this price comparison plus what to ask before booking
Sends a PDF with all 6 facilities ranked cheapest first, plus a short checklist of questions that change what you pay. We don't sell your information (privacy policy).
Before you book: three questions that change the price
- Is this the self-pay price, and does it include the doctor, anesthesia and any lab or pathology? Those are often billed separately.
- Can you give me the price in writing, with the billing codes it covers?
- What happens to the price if something extra is needed during the procedure?
Estimate your out-of-pocket cost → · When the bills arrive, we check them for errors →
Quick take
- ATHOL MEMORIAL HOSPITAL INCORPORATED is the lowest-cost option at $1,023 - $12,385 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 $13,408, and it's often lower than what insurance pays before your deductible is satisfied.
- Ask the hospital whether your procedure will be billed as outpatient or inpatient - the two are priced differently, so confirm with your insurer first if it is planned.
Massachusetts has the highest commercial hospital reimbursement rates in the country, driven by extreme labor costs, the dominance of Mass General Brigham (Partners HealthCare), and a regulatory environment that has struggled to contain negotiated rate growth. The state has enacted multiple price transparency and rate growth laws aimed at curbing this pattern. Self-pay cash discounts in Massachusetts tend to be proportionally larger than in other high-cost 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.
Received a bill? Check it for errors → Estimate YOUR cost before you go → Managing more than one bill? See the family tracker →
Why prices vary - and what it means for your coverage
Setting drives much of the spread here: whether the hospital bills the stay as outpatient or inpatient changes the facility fee, which is why two similar hospitals can bill very differently for the same procedure.
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 | ~$13,408 |
| Deductible met - 20% coinsurance | ~$2,682 |
| Out-of-network provider | $29,498+ |
Frequently asked questions: appendectomy costs in Worcester, MA
How much does an appendectomy cost in Worcester, MA?
The typical insurer-negotiated rate is $552, with most facilities between $42 and $1,018 (based on 6 hospitals reporting negotiated rates). Full market pricing - including cash rates, gross charges, and outlier facilities - ranges more widely, from $1,012 to $27,979 across all 6 Worcester, MA 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 Worcester, MA?
Based on declared prices, the lowest-cost facility in our Worcester, MA data is UMass Memorial Health - Milford Regional Medical Center, Inc. in Milford at about $1,012.
Why is an appendectomy so much cheaper at some Worcester, MA hospitals?
Prices vary up to 27.6× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Worcester, MA, the median cash (self-pay) price is $13,408 versus a median negotiated rate of $552 - about 24.3× higher. Asking for the cash price as well as 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 Worcester, MA?
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
- How to read your medical bill
- How to stop medical bill problems before they start
- How to negotiate your medical bills
- Allowed amount vs negotiated rate: what your EOB is really saying
- Understanding your UnitedHealthcare EOB
Other procedures in Worcester, MA
Appendectomy, elsewhere
What matters before you schedule
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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