Appendectomy, ruptured appendix cost without insurance
The median hospital cash price for appendectomy for a ruptured appendix with abscess or peritonitis is $2,977.10 across 154 US hospitals; most list between $1,108.38 and $9,150.30. The lowest outpatient cash price in any of 121 markets is $366.35. Prices come from each hospital's own price file; pick your area below to compare hospitals side by side.
Collected Nov 11, 2026 Each price links to its source file All Appendectomy costs
Cash or insurance?
If you have insurance but have not met your deductible, you pay the rate your plan negotiated with the hospital, not the cash price. Hospital price files list those rates too: for appendectomy, ruptured appendix, the highest negotiated rate in a hospital's file has a median of $4,174.00 and the lowest a median of $926.00. At 108 of 139 hospitals that publish both, the cash price is below the highest negotiated rate.
With a high deductible, cash can cost less. But a cash payment may not count toward your deductible or out-of-pocket maximum: ask your plan for its rate at that hospital (most have a cost estimator) and whether it will credit a cash payment.
Plan's rate starts at the median highest negotiated rate and cash at the national median; put in your own numbers. Nothing you type leaves your device. To price a whole year with premiums, use the insurance or cash calculator.
What is CPT 44960?
This code covers removing a ruptured appendix when infection has spread inside the belly, which is a longer and more complex operation.
What the price covers
The hospital price usually covers the operating room, recovery and supplies. The surgeon and anesthesia usually bill separately.
Why prices differ
Ambulatory surgery centers often charge much less than hospitals, and hospital prices for the same operation vary widely.
What to ask
Ask whether the self-pay price for CPT 44960 covers the hospital stay, which is usually several days.
Prices by state
Among 12 states with at least 5 hospitals listing a cash price, the median is lowest in Michigan ($1,243.77), Minnesota ($2,088.88) and Pennsylvania ($2,416.61), and highest in Colorado ($13,654.83), Louisiana ($5,955.28) and New Jersey ($5,339.00).
Median outpatient cash price, one line per hospital. Pick a state to see every hospital, cheapest first.
- Alabama$1,074.00, 1 hospital
- Arkansas$1,967.50, 4 hospitals
- California$3,763.46, 3 hospitals
- Colorado$13,654.83
- Connecticut$5,040.00, 1 hospital
- Delaware$6,442.00, 1 hospital
- Florida$23,944.12, 1 hospital
- Georgia$3,100.00, 3 hospitals
- Idaho$4,000.00
- Illinois$4,049.10
- Indiana$1,574.52, 2 hospitals
- Iowa$5,148.64, 2 hospitals
- Kansas$4,858.20
- Louisiana$5,955.28
- Maine$2,284.38, 1 hospital
- Maryland$2,264.00, 1 hospital
- Massachusetts$13,376.48, 1 hospital
- Michigan$1,243.77
- Minnesota$2,088.88
- Mississippi$2,172.50, 4 hospitals
- Missouri$1,474.80, 3 hospitals
- Montana$2,050.63, 4 hospitals
- Nebraska$6,787.20, 1 hospital
- New Hampshire$1,047.20, 1 hospital
- New Jersey$5,339.00
- New Mexico$18,118.16, 2 hospitals
- New York$4,321.00
- North Dakota$9,703.27, 3 hospitals
- Ohio$1,779.24, 3 hospitals
- Oregon$2,221.90, 3 hospitals
- Pennsylvania$2,416.61
- Puerto Rico$1,359.03, 1 hospital
- South Carolina$955.00, 1 hospital
- South Dakota$3,659.23, 1 hospital
- Tennessee$949.65, 1 hospital
- Texas$3,132.97
- Utah$1,496.33, 1 hospital
- Vermont$1,175.44, 2 hospitals
- Washington$1,768.00, 3 hospitals
- West Virginia$1,442.81, 4 hospitals
- Wisconsin$4,862.31
Prices by market
Outpatient cash prices. “×” is how many times the highest price in that market exceeds the lowest.
| Market | Hospitals | Lowest | Median | Highest | × |
|---|---|---|---|---|---|
| Aberdeen, MS single city | 1 | $2,953.20 | $2,953.20 | $2,953.20 | 1.0× |
| Alliance, NE single city | 1 | $6,787.20 | $6,787.20 | $6,787.20 | 1.0× |
| Alturas, CA single city | 1 | $3,763.46 | $3,763.46 | $3,763.46 | 1.0× |
| Andrews, TX | 1 | $3,317.00 | $3,317.00 | $3,317.00 | 1.0× |
| Appleton, WI | 2 | $4,862.31 | $4,862.31 | $4,862.31 | 1.0× |
| Arcadia, FL | 1 | $23,944.12 | $23,944.12 | $23,944.12 | 1.0× |
| Astoria, OR | 1 | $1,903.20 | $1,903.20 | $1,903.20 | 1.0× |
| Austin-Round Rock-San Marcos, TX | 1 | $967.25 | $967.25 | $967.25 | 1.0× |
| Bakersfield-Delano, CA | 1 | $2,307.58 | $2,307.58 | $2,307.58 | 1.0× |
| Bangor, ME | 1 | $2,284.38 | $2,284.38 | $2,284.38 | 1.0× |
| Baraboo, WI | 1 | $2,849.33 | $2,849.33 | $2,849.33 | 1.0× |
| Beckley, WV | 1 | $1,931.25 | $1,931.25 | $1,931.25 | 1.0× |
| Berlin, WI single city | 1 | $4,862.31 | $4,862.31 | $4,862.31 | 1.0× |
| Birmingham, AL | 1 | $1,074.00 | $1,074.00 | $1,074.00 | 1.0× |
| Blackfoot, ID | 1 | $1,155.00 | $1,155.00 | $1,155.00 | 1.0× |
| Boise City, ID | 1 | $4,759.39 | $4,759.39 | $4,759.39 | 1.0× |
| Boston-Cambridge-Newton, MA-NH | 1 | $13,376.48 | $13,376.48 | $13,376.48 | 1.0× |
| Bozeman, MT | 2 | $2,280.80 | $2,280.80 | $2,280.80 | 1.0× |
| Buffalo-Cheektowaga, NY | 1 | $7,053.00 | $7,053.00 | $7,053.00 | 1.0× |
| Burlington-South Burlington, VT | 1 | $1,094.62 | $1,094.62 | $1,094.62 | 1.0× |
| Carroll, IA | 1 | $8,160.27 | $8,160.27 | $8,160.27 | 1.0× |
| Centreville, MS single city | 1 | $1,980.00 | $1,980.00 | $1,980.00 | 1.0× |
| Charleston, WV | 1 | $8,658.00 | $8,658.00 | $8,658.00 | 1.0× |
| Chicago-Naperville-Elgin, IL-IN | 2 | $900.23 | $6,800.03 | $12,699.82 | 14.1× |
| Clinton, MO single city | 1 | $1,474.80 | $1,474.80 | $1,474.80 | 1.0× |
| Comanche, TX single city | 1 | $7,745.40 | $7,745.40 | $7,745.40 | 1.0× |
| Council Grove, KS single city | 1 | $4,858.20 | $4,858.20 | $4,858.20 | 1.0× |
| Dallas-Fort Worth-Arlington, TX | 2 | $2,017.80 | $2,679.90 | $3,342.00 | 1.7× |
| Davenport-Moline-Rock Island, IA-IL | 1 | $4,049.10 | $4,049.10 | $4,049.10 | 1.0× |
| Des Moines-West Des Moines, IA | 1 | $2,137.00 | $2,137.00 | $2,137.00 | 1.0× |
| Detroit-Warren-Dearborn, MI | 2 | $1,243.77 | $1,243.77 | $1,243.77 | 1.0× |
| Devils Lake, ND single city | 1 | $9,703.27 | $9,703.27 | $9,703.27 | 1.0× |
| Duluth, MN-WI | 1 | $1,303.68 | $1,303.68 | $1,303.68 | 1.0× |
| Dumas, TX | 1 | $3,421.60 | $3,421.60 | $3,421.60 | 1.0× |
| Edwards, CO | 1 | $2,170.50 | $2,170.50 | $2,170.50 | 1.0× |
| Ellensburg, WA | 1 | $1,768.00 | $1,768.00 | $1,768.00 | 1.0× |
| Fairfield, IL single city | 1 | $10,638.40 | $10,638.40 | $10,638.40 | 1.0× |
| Fairmont, WV | 1 | $954.37 | $954.37 | $954.37 | 1.0× |
| Farmington, NM | 1 | $1,745.50 | $1,745.50 | $1,745.50 | 1.0× |
| Fergus Falls, MN | 1 | $1,861.60 | $1,861.60 | $1,861.60 | 1.0× |
| Fond du Lac, WI | 1 | $4,862.31 | $4,862.31 | $4,862.31 | 1.0× |
| Fraser, CO single city | 1 | $13,654.83 | $13,654.83 | $13,654.83 | 1.0× |
| Freeport, IL | 1 | $2,817.60 | $2,817.60 | $2,817.60 | 1.0× |
| Glen Rose, TX single city | 1 | $8,892.00 | $8,892.00 | $8,892.00 | 1.0× |
| Glenwood, MN single city | 1 | $4,077.53 | $4,077.53 | $4,077.53 | 1.0× |
| Granby, CO single city | 1 | $13,654.83 | $13,654.83 | $13,654.83 | 1.0× |
| Grand Forks, ND-MN | 1 | $9,703.27 | $9,703.27 | $9,703.27 | 1.0× |
| Grand Junction, CO | 1 | $7,540.97 | $7,540.97 | $7,540.97 | 1.0× |
| Grand Rapids, MN | 1 | $5,172.28 | $5,172.28 | $5,172.28 | 1.0× |
| Grand Rapids-Wyoming-Kentwood, MI | 1 | $882.00 | $882.00 | $882.00 | 1.0× |
| Grantsburg, WI single city | 1 | $5,494.40 | $5,494.40 | $5,494.40 | 1.0× |
| Harrisburg-Carlisle, PA | 3 | $1,991.47 | $2,623.34 | $2,761.72 | 1.4× |
| Hermann, MO single city | 1 | $1,837.50 | $1,837.50 | $1,837.50 | 1.0× |
| Hood River, OR | 1 | $2,544.00 | $2,544.00 | $2,544.00 | 1.0× |
| Houma-Bayou Cane-Thibodaux, LA | 1 | $5,955.28 | $5,955.28 | $5,955.28 | 1.0× |
| Idaho Falls, ID | 2 | $4,000.00 | $4,000.00 | $4,000.00 | 1.0× |
| Indianapolis-Carmel-Greenwood, IN | 1 | $1,968.33 | $1,968.33 | $1,968.33 | 1.0× |
| International Falls, MN single city | 1 | $3,001.00 | $3,001.00 | $3,001.00 | 1.0× |
| Jackson, MS | 1 | $2,365.00 | $2,365.00 | $2,365.00 | 1.0× |
| Kremmling, CO single city | 1 | $13,654.83 | $13,654.83 | $13,654.83 | 1.0× |
| Lake Village, AR single city | 1 | $1,997.00 | $1,997.00 | $1,997.00 | 1.0× |
| Lakeview, OR single city | 1 | $2,221.90 | $2,221.90 | $2,221.90 | 1.0× |
| Lancaster, PA | 1 | $2,416.61 | $2,416.61 | $2,416.61 | 1.0× |
| Lanse, MI single city | 1 | $2,537.00 | $2,537.00 | $2,537.00 | 1.0× |
| Lansing-East Lansing, MI | 2 | $882.00 | $882.00 | $882.00 | 1.0× |
| Las Cruces, NM | 1 | $34,490.81 | $34,490.81 | $34,490.81 | 1.0× |
| Lebanon-Claremont, NH-VT | 1 | $1,047.20 | $1,047.20 | $1,047.20 | 1.0× |
| Lima, OH | 1 | $1,363.50 | $1,363.50 | $1,363.50 | 1.0× |
| Linton, IN single city | 1 | $1,180.71 | $1,180.71 | $1,180.71 | 1.0× |
| Los Angeles-Long Beach-Anaheim, CA | 1 | $5,642.80 | $5,642.80 | $5,642.80 | 1.0× |
| Louisville, GA single city | 1 | $1,315.00 | $1,315.00 | $1,315.00 | 1.0× |
| Lyons, KS single city | 1 | $9,298.52 | $9,298.52 | $9,298.52 | 1.0× |
| Madison, MN single city | 1 | $366.35 | $366.35 | $366.35 | 1.0× |
| Mayagüez, PR | 1 | $1,359.03 | $1,359.03 | $1,359.03 | 1.0× |
| McPherson, KS | 1 | $1,560.66 | $1,560.66 | $1,560.66 | 1.0× |
| Moab, UT single city | 1 | $1,496.33 | $1,496.33 | $1,496.33 | 1.0× |
| Monroe, LA | 1 | $2,207.25 | $2,207.25 | $2,207.25 | 1.0× |
| Morgan City, LA | 1 | $2,159.50 | $2,159.50 | $2,159.50 | 1.0× |
| Morgantown, WV | 1 | $954.37 | $954.37 | $954.37 | 1.0× |
| Morris, MN single city | 1 | $1,505.25 | $1,505.25 | $1,505.25 | 1.0× |
| Moscow, ID | 1 | $1,729.00 | $1,729.00 | $1,729.00 | 1.0× |
| Moultrie, GA | 1 | $3,100.00 | $3,100.00 | $3,100.00 | 1.0× |
| Mount Vernon, OH | 1 | $1,779.24 | $1,779.24 | $1,779.24 | 1.0× |
| Mountain Home, AR | 1 | $9,261.00 | $9,261.00 | $9,261.00 | 1.0× |
| Myrtle Beach-Conway-North Myrtle Beach, SC | 1 | $955.00 | $955.00 | $955.00 | 1.0× |
| Nacogdoches, TX | 1 | $482.00 | $482.00 | $482.00 | 1.0× |
| New London, WI single city | 1 | $4,862.31 | $4,862.31 | $4,862.31 | 1.0× |
| New Orleans-Metairie, LA | 2 | $13,211.80 | $17,781.59 | $22,351.37 | 1.7× |
| New York-Newark-Jersey City, NY-NJ | 19 | $777.01 | $4,881.00 | $10,777.75 | 13.9× |
| Norwich, CT single city | 1 | $5,040.00 | $5,040.00 | $5,040.00 | 1.0× |
| Ocean Pines, MD | 1 | $2,264.00 | $2,264.00 | $2,264.00 | 1.0× |
| Oshkosh-Neenah, WI | 2 | $4,862.31 | $4,862.31 | $4,862.31 | 1.0× |
| Owosso, MI | 1 | $1,342.40 | $1,342.40 | $1,342.40 | 1.0× |
| Philadelphia, MS single city | 1 | $1,154.01 | $1,154.01 | $1,154.01 | 1.0× |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 1 | $6,442.00 | $6,442.00 | $6,442.00 | 1.0× |
| Phillipsburg, KS single city | 1 | $6,751.55 | $6,751.55 | $6,751.55 | 1.0× |
| Pine Bluff, AR | 1 | $1,938.00 | $1,938.00 | $1,938.00 | 1.0× |
| Platteville, WI | 1 | $1,492.50 | $1,492.50 | $1,492.50 | 1.0× |
| Polson, MT single city | 1 | $1,301.60 | $1,301.60 | $1,301.60 | 1.0× |
| Port Townsend, WA | 1 | $3,388.00 | $3,388.00 | $3,388.00 | 1.0× |
| Rapid City, SD | 1 | $3,659.23 | $3,659.23 | $3,659.23 | 1.0× |
| Reading, PA | 1 | $2,168.19 | $2,168.19 | $2,168.19 | 1.0× |
| Rexburg, ID | 1 | $4,086.00 | $4,086.00 | $4,086.00 | 1.0× |
| Roseau, MN single city | 1 | $2,316.16 | $2,316.16 | $2,316.16 | 1.0× |
| Russellville, AR | 1 | $1,458.54 | $1,458.54 | $1,458.54 | 1.0× |
| San Antonio-New Braunfels, TX | 1 | $2,948.94 | $2,948.94 | $2,948.94 | 1.0× |
| Satanta, KS single city | 1 | $558.00 | $558.00 | $558.00 | 1.0× |
| Savannah, TN single city | 1 | $949.65 | $949.65 | $949.65 | 1.0× |
| Seminole, TX single city | 1 | $2,604.60 | $2,604.60 | $2,604.60 | 1.0× |
| Shawano, WI | 1 | $4,862.31 | $4,862.31 | $4,862.31 | 1.0× |
| Sidney, MT single city | 1 | $1,820.45 | $1,820.45 | $1,820.45 | 1.0× |
| St. Johnsbury, VT single city | 1 | $1,256.25 | $1,256.25 | $1,256.25 | 1.0× |
| Ste. Genevieve, MO single city | 1 | $1,140.50 | $1,140.50 | $1,140.50 | 1.0× |
| Toccoa, GA | 1 | $4,200.00 | $4,200.00 | $4,200.00 | 1.0× |
| Trenton-Princeton, NJ | 1 | $5,110.00 | $5,110.00 | $5,110.00 | 1.0× |
| Upper Sandusky, OH single city | 1 | $2,318.34 | $2,318.34 | $2,318.34 | 1.0× |
| Watertown-Fort Atkinson, WI | 1 | $4,999.68 | $4,999.68 | $4,999.68 | 1.0× |
| Watford City, ND single city | 1 | $12,970.75 | $12,970.75 | $12,970.75 | 1.0× |
| Waupaca, WI single city | 1 | $4,862.31 | $4,862.31 | $4,862.31 | 1.0× |
| Wild Rose, WI single city | 1 | $4,862.31 | $4,862.31 | $4,862.31 | 1.0× |
| Yakima, WA | 1 | $1,691.30 | $1,691.30 | $1,691.30 | 1.0× |
Common questions
What is CPT code 44960?
CPT 44960 is the billing code for appendectomy for a ruptured appendix with abscess or peritonitis. This code covers removing a ruptured appendix when infection has spread inside the belly, which is a longer and more complex operation.
How is it different from a routine appendectomy?
Cleaning out the infection takes longer and usually means a longer hospital stay and antibiotics.
How long is recovery?
Usually several weeks, longer than after an uncomplicated appendectomy.
Is it cheaper to pay cash or use insurance for appendectomy, ruptured appendix?
It depends on your deductible. Until you meet it, you pay your plan's negotiated rate, not the cash price. In hospital price files the highest negotiated rate for appendectomy, ruptured appendix has a median of $4,174.00 and the lowest a median of $926.00; at 108 of 139 hospitals the cash price is below the highest negotiated rate. A cash payment may not count toward your deductible, so ask your plan for its rate at that hospital first.
Which states have the cheapest appendectomy, ruptured appendix?
Among 12 states with at least 5 hospitals listing a cash price, the median is lowest in Michigan ($1,243.77), Minnesota ($2,088.88) and Pennsylvania ($2,416.61), and highest in Colorado ($13,654.83), Louisiana ($5,955.28) and New Jersey ($5,339.00). Prices vary as much between hospitals in the same state, so compare hospitals near you.
Other appendectomy prices
Median hospital cash price, one per hospital.