Last updated: March 2026
How Much Does Appendectomy Cost?
Cost Breakdown by Type
| Type / Procedure | Without Insurance | With Insurance |
|---|---|---|
| Laparoscopic Appendectomy | $10,000 – $25,000 | $1,500 – $4,000 |
| Open Appendectomy | $15,000 – $35,000 | $2,000 – $5,000 |
| Appendectomy with Complications | $20,000 – $50,000 | $3,000 – $8,000 |
CPT/ADA Code: 44970
What Affects the Cost
- Brand-name vs. generic availability
- Insurance formulary tier placement
- Pharmacy choice (retail vs. mail-order vs. Costco)
- Manufacturer savings cards and coupons
- Dosage and quantity prescribed
- Geographic location
Insurance Coverage
Typical coverage: Medically necessary — covered after deductible; emergency surgery often subject to ER copay
Most insurance plans use a tiered formulary: Tier 1 (generic) $0-$15 copay, Tier 2 (preferred brand) $25-$75, Tier 3 (non-preferred brand) $50-$150, Tier 4 (specialty) $100-$500+. Prior authorization may be required for certain medications. Step therapy may require trying cheaper alternatives first.
How to Save Money
- Always ask for generic when available — saves 50-90%
- Use GoodRx, RxSaver, or similar discount cards
- Costco pharmacy is open to non-members and often has lowest prices
- Mark Cuban's Cost Plus Drugs offers transparent low pricing
- Manufacturer patient assistance programs provide free medication to qualifying patients
- HSA/FSA funds can cover medication costs tax-free
Related Procedures & Costs
Frequently Asked Questions
An appendectomy costs $10,000 to $35,000 without insurance, depending on whether it is laparoscopic or open, and whether there are complications.
Yes, appendectomy is always covered as it is medically necessary. However, you will still owe your deductible, copays, and coinsurance.
Recovery from laparoscopic appendectomy is typically 1-3 weeks. Open surgery may require 2-4 weeks of recovery.