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 $1,487 at one facility and $1,818 at another - the building you walk into drives the difference. The median cash price across 3 reporting hospitals is $1,771. These figures come straight from hospital price transparency files published under federal law.
Where appendectomy costs vary in Worcester, MA
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.
26+ people checked prices near them this month.
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 | Milford Regional Medical Center | Milford, MA | $1,771 | +$0 |
| 2 | Heywood Hospital | Gardner, MA | $1,888 | +$117 |
Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.
Quick take
- Ask for the cash price if your deductible isn't met - the median cash price here is $1,771, and it's often lower than what insurance pays before your deductible is satisfied.
- Freestanding ambulatory surgical centers (ASCs) are often 30-60% cheaper than hospital outpatient departments for the same procedure and may not appear in this hospital-only dataset - ask your doctor if one is an option.
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.
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Why prices vary - and what it means for your coverage
Facility classification matters as much as the hospital itself - a hospital-owned outpatient center adds a facility fee that a freestanding clinic does not. 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 | ~$1,771 |
| Deductible met - 20% coinsurance | ~$354 |
| Out-of-network provider | $3,896+ |
Frequently asked questions: appendectomy costs in Worcester, MA
How much does an appendectomy cost in Worcester, MA?
Across 3 Worcester, MA hospitals that publish prices, an appendectomy ranges from $1,061 to $1,888, with a median of $1,771. Most facilities fall between $1,416 and $1,818. 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 Athol Memorial Hospital in Athol at about $1,061. 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 Worcester, MA hospitals?
Prices vary up to 1.8× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Worcester, MA, the median cash (self-pay) price is $1,771 versus a median negotiated rate of $1,061 - about 1.7× 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 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
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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