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Inpatient stay · MS-DRG 399 · Surgery or procedure

Appendix procedures without CC/MCC

In 2024, Medicare and patients paid an average of $10,066 per stay at 3 hospitals. Half of hospitals averaged between $8,687 and $10,587.

Also known as: Appendectomy, appendicitis surgery

Limited data: use with caution

Only 3 hospitals reported this in 2024 (40 stays). Medicare covers few patients for some procedures (births, for example), and CMS leaves out hospitals with fewer than 11 cases, so these figures may not represent typical costs.

National figures, 2024

Average payment per case
$10,066
Typical range (middle half of hospitals)
$8,687–$10,587
Medicare’s share
$6,54065% of the payment
Average billed charge
$71,097
Hospitals reporting
340 stays

Hospitals in Texas

Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.

Location
Texas
Specific hospitals up to 10
Average payment (1 hospital)
$9,000National $10,066 · Texas $9,000
Too few hospitals to compare
An average across fewer than 3 hospitals says little about the area. Widen the distance or pick more hospitals.
Medicare stays
11

1 hospital reported at least 11 Medicare stays for this in 2024. Download as CSV

Medicare payments per case for Appendix procedures without CC/MCC by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Methodist HospitalSan Antonio, TX · CCN 45038811$9,00011% below the national average$6,492$65,715

By state, 2024

Case-weighted average payment across each state’s reporting hospitals, lowest first.

Show all 2 states
Average payment by state for Appendix procedures without CC/MCC, 2024
StateHospitalsCasesAverage paymentTypical range
Texas111$9,000$9,000–$9,000
Florida229$10,471$9,324–$11,224

About these numbers

Average payment is what Medicare paid plus the patient’s deductible and coinsurance (and any other insurer), averaged over the hospital’s Medicare cases. It covers the hospital’s part of the care; doctors bill separately. Billed charges are the hospital’s list prices, which few patients pay.

Medicare sets its payments by formula, adjusting for local wages, teaching programs, the share of low-income patients and unusually costly cases. Those adjustments drive most differences between hospitals, so a lower payment doesn’t mean better or worse care, and Medicare patients’ own costs usually vary much less than the totals. Private insurance pays different, usually higher, prices.

Source: CMS Medicare Inpatient Hospitals by Provider and Service (Medicare fee-for-service claims). CMS omits hospitals with fewer than 11 stays. More in the glossary.