Appendectomy Cost in Virginia (2026): Average Prices & What You'll Pay
What does a appendectomy cost in Virginia?
For a commercially insured patient, an appendectomy in Virginia typically runs $3,715–$8,513 once facility and physician fees are combined. The median reported facility price across 37 hospitals is $3,508. 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 Virginia
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 Virginia
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs Median |
|---|---|---|---|---|
| 1 | Sentara Martha Jefferson Hospital | Charlottesville, VA | $1,547 | -$1,961 |
| 2 | Potomac Hospital Corporation of Prince William | Woodbridge, VA | $1,972 | -$1,536 |
| 3 | Lee County Community Hospital | Pennington Gap, VA | $2,357 | -$1,151 |
| 4 | Dickenson Community Hospital | Clintwood, VA | $2,357 | -$1,151 |
| 5 | Smyth County Community Hospital | Marion, VA | $2,401 | -$1,107 |
| 6 | Russell County Hospital | Lebanon, VA | $2,401 | -$1,107 |
| 7 | Lonesome Pine Hospital | Big Stone Gap, VA | $2,401 | -$1,107 |
| 8 | Johnston Memorial Hospital | Abingdon, VA | $2,401 | -$1,107 |
Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.
Quick take
- Sentara Martha Jefferson Hospital is the lowest-cost option at $1,547 - $1,961 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 $3,508, 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 $1,032–$13,974
- Professional fee $894–$3,448
Estimated from CMS fee schedules + commercial rate multipliers
- Facility fee $610–$12,209
- Professional fee $894–$3,448
Estimated from CMS fee schedules + commercial rate multipliers
Inova Health System dominates Northern Virginia with pricing that reflects DC-metro labor costs - among the highest in the Mid-Atlantic. Sentara Healthcare and Carilion Clinic cover the Tidewater and Southwest Virginia markets respectively. Northern Virginia facilities typically price 20–30% above the state average due to proximity to the DC labor market. 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 (2) report prices above $9,321, including Wythe County Community Hospital at $13,974, 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 $3,367 versus $2,841 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.
What you pay out of pocket on top of this depends on your deductible, your plan's out-of-pocket maximum, and whether every provider involved is in-network - not just the facility.
| Your situation | Estimated out-of-pocket |
|---|---|
| Deductible not yet met | ~$5,598 |
| Deductible met - 20% coinsurance | ~$1,120 |
| Out-of-network provider | $12,316+ |
Frequently asked questions: appendectomy costs in Virginia
How much does an appendectomy cost in Virginia?
The typical insurer-negotiated rate is $3,006, with most facilities between $1,523 and $3,846 (based on 39 hospitals reporting negotiated rates). Full market pricing - including cash rates, gross charges, and outlier facilities - ranges more widely, from $644 to $43,105 across all 37 Virginia 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 Virginia?
Based on declared prices, the lowest-cost facility in our Virginia data is Chesapeake General Hospital in North at about $1,032. By metro, Fredericksburg has the lowest median ($2,107). 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 Virginia hospitals?
Prices vary up to 66.9× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Virginia, the median cash (self-pay) price is $3,508 versus a median negotiated rate of $3,006 - about 1.2× 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 Virginia?
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
- How to read an EOB line by line
Other procedures in Virginia
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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