Appendix procedures with complications
What 15 hospitals in the U.S. charged and were paid for a Medicare hospital stay for appendix procedures with complications (DRG 398), from 2024 Medicare claims.
Average charge
$86,431
Hospital list price billed
Average payment
$13,993
Medicare + patient + other payers
Medicare paid
$10,873
Average per stay
Volume
210
Medicare hospital stays
Hospitals in the U.S. billed an average of $86,431 for appendix procedures with complications, about 6.2 times the average total payment of $13,993.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Appendix procedures with complications cost by state
Volume-weighted averages for each state's hospitals. Select a state to see every hospital.
| State | Hospitals | Avg charge | Avg payment | Range |
|---|---|---|---|---|
| Arizona | 1 | $47,718 | $13,052 | – |
| California | 1 | $108,522 | $17,744 | – |
| Florida | 4 | $84,254 | $11,702 | $10,593 – $12,246 |
| Illinois | 1 | $43,851 | $16,095 | – |
| Louisiana | 1 | $93,148 | $11,171 | – |
| New York | 2 | $125,174 | $19,863 | $19,128 – $20,338 |
| North Carolina | 1 | $47,213 | $16,282 | – |
| Tennessee | 1 | $46,791 | $10,785 | – |
| Texas | 3 | $95,268 | $12,939 | $11,939 – $15,941 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Methodist HospitalSan Antonio, TX | 26 | $89,136 | $12,091 |
| Adventhealth OrlandoOrlando, FL | 25 | $97,221 | $11,983 |
| NYU Hospitals CenterNew York, NY | 17 | $130,727 | $20,338 |
| Eisenhower Memorial HospitalRancho Mirage, CA | 16 | $108,522 | $17,744 |
| Lee Memorial HospitalFort Myers, FL | 13 | $78,632 | $12,246 |
| Sarasota Memorial HospitalSarasota, FL | 13 | $87,040 | $11,554 |
| Baptist Memorial HospitalMemphis, TN | 12 | $46,791 | $10,785 |
| Yavapai Regional Medical CenterPrescott, AZ | 11 | $47,718 | $13,052 |
| Villages Regional Hospital theLady Lake, FL | 11 | $58,134 | $10,593 |
| Silver Cross HospitalJoliet, IL | 11 | $43,851 | $16,095 |
| Willis Knighton Medical CenterShreveport, LA | 11 | $93,148 | $11,171 |
| Long Island Jewish Medical CenterNew Hyde Park, NY | 11 | $116,593 | $19,128 |
| Moses H Cone Memorial Hospital, theGreensboro, NC | 11 | $47,213 | $16,282 |
| Baptist Medical CenterSan Antonio, TX | 11 | $133,155 | $11,939 |
| Mem Hermann Southwest HospHouston, TX | 11 | $71,873 | $15,941 |
Questions
How much does appendix procedures with complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for appendix procedures with complications (DRG 398) at 15 hospitals in the U.S. was billed at $86,431 on average, while the average total payment was $13,993, of which Medicare paid $10,873. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for appendix procedures with complications?
Among states with at least three hospitals reporting, the average total payment was highest in Texas ($12,939), Florida ($11,702) and lowest in Florida ($11,702), Texas ($12,939).
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in the U.S., average charges were 6.2 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.