Appendectomy Cost in Rhode Island (2026): Average Prices & What You'll Pay
What does a appendectomy cost in Rhode Island?
For a commercially insured patient, an appendectomy in Rhode Island typically runs $2,762–$6,619 once facility and physician fees are combined. The median reported facility price across 7 hospitals is $2,073. The figures draw on CMS fee schedules and hospital price transparency data published under federal law.
Lifespan (Rhode Island Hospital, Miriam Hospital) and Care New England (Women & Infants, Kent Hospital) dominate a market that is effectively a single metro area - Providence and its immediate suburbs. Rhode Island approved a merger between the two systems, which when complete will create a near-monopoly in the state's hospital market. Prices here already trend above the Northeast average. 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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Example: two commercially insured patients in Providence could pay ~$1,508 and ~$3,275 for the identical procedure - a $1,767 difference driven entirely by facility choice.
Where appendectomy costs vary in Rhode Island
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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Cheapest Appendectomy Providers in Rhode Island
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs Median |
|---|---|---|---|---|
| 1 | Prospect CharterCare SJHSRI, LLC | North Providence, RI | $1,081 | -$992 |
| 2 | Prospect CharterCare RWMC, LLC | Providence, RI | $1,615 | -$458 |
| 3 | Rhode Island Hospital | Providence, RI | $2,073 | +$0 |
| 4 | Newport Hospital | Newport, RI | $2,403 | +$330 |
| 5 | Landmark Medical Center | RI | $6,763 | +$4,690 |
| 6 | SOUTH COUNTY HEALTH | RI | $12,148 | +$10,075 |
Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.
Quick take
- Prospect CharterCare SJHSRI, LLC is the lowest-cost option at $1,081 - $992 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 $2,073, 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.
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 $1,071–$12,148
- Professional fee $894–$3,448
Estimated from CMS fee schedules + commercial rate multipliers
Rhode Island 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 | The Miriam Hospital | Providence, RI | $1,071 | -$1,002 | $480–$40,878 |
| #2 | Prospect CharterCare SJHSRI, LLC | North Providence, RI | $1,081 | -$992 | $764–$12,069 |
| #3 | Prospect CharterCare RWMC, LLC | Providence, RI | $1,615 | -$458 | $799–$6,807 |
| #4 | Rhode Island Hospital | Providence, RI | $2,073 | +$0 | $2,073–$30,596 |
| #5 | Newport Hospital | Newport, RI | $2,403 | +$330 | $2,403–$31,690 |
| #6 | Landmark Medical Center | RI | $6,763 | +$4,690 | $7,951–$11,982 |
| #7 | SOUTH COUNTY HEALTH | RI | $12,148 | +$10,075 | $20,246 |
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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 (1) report prices above $9,436, including SOUTH COUNTY HEALTH at $12,148, which drives most of the overall spread - excluding them, most facilities cluster in a much tighter band. 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.
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 | ~$4,163 |
| Deductible met - 20% coinsurance | ~$833 |
| Out-of-network provider | $9,159+ |
Frequently asked questions: appendectomy costs in Rhode Island
How much does an appendectomy cost in Rhode Island?
Across 7 Rhode Island hospitals that publish prices, an appendectomy ranges from $480 to $40,878, with a median of $2,073. Most facilities fall between $1,348 and $3,275. 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 Rhode Island?
Based on declared prices, the lowest-cost facility in our Rhode Island data is The Miriam Hospital in Providence at about $1,071. By metro, Providence has the lowest median ($1,615). 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 Rhode Island hospitals?
Prices vary up to 85.2× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Rhode Island, the median cash (self-pay) price is $2,073 versus a median negotiated rate of $1,045 - about 2× 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 Rhode Island?
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
- Deductible vs out-of-pocket max
- How to negotiate your medical bills
- EOB vs medical bill: complete guide
- Already have a bill? Check it for errors
Other procedures in Rhode Island
Appendectomy, elsewhere
Other Rhode Island Hospitals for Appendectomy
These hospitals are registered in the CMS National Provider Identifier (NPI) registry as active hospitals in Rhode Island. Cost estimates use the bundled service model for each place of service. Contact them directly for a formal quote.
| Provider | City | Type | Est. Cost | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
|
ALBERTO V. ERFE, MD, INC.
4017650030 |
WOONSOCKET, RI | General Acute Care Hospital | $1,965–$15,596 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
ANESTHETICS OF MASS
4014902130 |
RIVERSIDE, RI | General Acute Care Hospital | $1,965–$15,596 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
APHMFP
4017694100 |
WOONSOCKET, RI | General Acute Care Hospital | $1,965–$15,596 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
BLACKSTONE MEDICAL CENTER, INC.
4017694100 |
WOONSOCKET, RI | General Acute Care Hospital | $1,965–$15,596 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
CHARTERCARE OUR LADY OF FATIMA HOSPITAL
4014563000 |
NORTH PROVIDENCE, RI | General Acute Care Hospital | $1,965–$15,596 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
CHARTERCARE ROGER WILLIAMS MEDICAL CENTER
4014562000 |
PROVIDENCE, RI | General Acute Care Hospital | $1,965–$15,596 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
FERGUSON ANIMAL HOSPITAL
4013494280 |
NORTH PROVIDENCE, RI | General Acute Care Hospital | $1,965–$15,596 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
FIRST PHYSICIANS CORP
4013334411 |
LINCOLN, RI | General Acute Care Hospital | $1,965–$15,596 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
KENT COUNTY MEMORIAL HOSPITAL - NAVY RESOURCE SHARING
4017377000 |
WARWICK, RI | General Acute Care Hospital | $1,965–$15,596 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
KENT HOSPITAL
4017377010 |
WARWICK, RI | General Acute Care Hospital | $1,965–$15,596 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
MEMORIAL HOSPITAL OF RI
4018085991 |
PAWTUCKET, RI | Rural Acute Care Hospital | $1,965–$15,596 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
MHRI/BROWN UNIVERSITY
4017292221 |
PAWTUCKET, RI | General Acute Care Hospital | $1,965–$15,596 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
▼ Show 31 more Rhode Island hospitals
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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).
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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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