虫垂切除術の費用はいくら？
An appendectomy is a surgical procedure to remove the appendix, typically performed as an emergency surgery to treat appendicitis. It can be done as an open surgery or laparoscopically.
保険なし
$16,000
保険あり
$4,800
メディケア
$3,680
全国平均
$11,500
By Elena Bellini, MPH, Health Policy & Management · Last reviewed 2026-04-16 ·
Sources: CMS Medicare Provider Utilization and Payment Data 2025 · Methodology · Editorial standards 概要
An appendectomy is the surgical removal of the appendix, almost always performed to treat acute appendicitis — one of the most common surgical emergencies in the United States, with roughly 300,000 cases per year. The operation is nearly always done laparoscopically today (a minimally invasive approach using small incisions and a camera); open appendectomy is reserved for complicated cases such as perforation with widespread peritonitis. Most uncomplicated laparoscopic appendectomies take 30–60 minutes under general anesthesia and are followed by a 23-hour observation stay or same-day discharge. Complicated appendicitis — particularly perforation with abscess — can require a 3–5 day hospitalization, drain placement, intravenous antibiotics, and interval appendectomy weeks later. The billed cost varies dramatically with complication status, and it is one of the surgical categories where uninsured and out-of-network patients most often encounter catastrophic bills.
費用に影響する要素
- Complication status: uncomplicated laparoscopic vs perforated/abscessed appendicitis makes a 2–3x cost difference.
- Length of stay: same-day discharge vs multi-night inpatient stay.
- Site of service: community hospital vs academic medical center can affect facility fees materially.
- Open vs laparoscopic approach: open surgery (less common today) is slightly cheaper per-minute but usually requires longer hospital stay.
- Anesthesia and any intraoperative imaging: every clinician involved is billed separately unless the surgery is bundled.
- Whether the admission begins in the ER: ER facility fees and triage workup are significant add-ons to the surgical total.
節約方法
- In a true emergency, do not delay care to shop for price — emergency appendicitis care is protected under the No Surprises Act, and balance billing is prohibited at the ER and for out-of-network clinicians during the admission.
- After the event, request the itemized bill (not the summary). Audit for duplicate charges, unbundling, and services that may not have been rendered.
- Cross-check every charge against your Explanation of Benefits — the No Surprises Act protects you from balance bills for out-of-network ER care and facility-based ancillary providers.
- Apply for hospital financial assistance (IRS 501(r)) promptly; nonprofit hospitals are required to have written policies, often covering families up to 300–400% of federal poverty level.
- If self-pay, negotiate aggressively. Uninsured appendectomy patients routinely reduce bills by 50–70% through financial assistance and negotiated rates.
- Do not put unpaid appendectomy debt on a medical credit card before exhausting hospital payment-plan options; interest-free hospital plans are almost always the better financial choice.
保険とカバレッジに関する注意事項
Appendectomy is covered by all commercial insurance, Medicare, and Medicaid plans when medically necessary — and medical necessity for appendectomy in the setting of confirmed appendicitis is rarely in question. Because the operation almost always follows an ER visit, it falls under the emergency-services provisions of the No Surprises Act: commercial-insured patients should only be charged in-network cost-sharing, even if the surgeon, anesthesiologist, or facility is out-of-network. If you receive a bill inconsistent with in-network cost-sharing following an emergency appendectomy, that is a candidate for a No Surprises Act dispute (see our guide on out-of-network surprise bills).
Data sources for this page
Cost figures on this page are compiled from the following sources, triangulated per the rules in our methodology:
- CMS Medicare Provider Utilization and Payment Data 2025 — primary CMS reference used as the Medicare-rate anchor.
- Hospital Price Transparency machine-readable files (HPT MRFs) from a sample of major hospitals in each state, per the federal Hospital Price Transparency rule.
- Transparency in Coverage payer in-network rate files for commercial-rate cross-validation.
- State All-Payer Claims Database (APCD) summaries where published (Colorado, New Hampshire, Massachusetts, Minnesota, Maine, Utah, Vermont, Rhode Island, Washington, Oregon).
Last reviewed 2026-04-16. See editorial standards for our fact-checking process and correction policy.
Range: $11,600 to $22,000 · 50 states shown
州別費用
| 州 | 保険なし | 保険あり | メディケア |
|---|---|---|---|
| Mississippi | $11,600 | $3,480 | $2,668 |
| Arkansas | $12,000 | $3,600 | $2,760 |
| West Virginia | $12,000 | $3,600 | $2,760 |
| Oklahoma | $12,200 | $3,660 | $2,806 |
| Alabama | $12,400 | $3,720 | $2,852 |
| Kentucky | $13,500 | $4,050 | $3,105 |
| Louisiana | $13,800 | $4,140 | $3,174 |
| Iowa | $14,000 | $4,200 | $3,220 |
| New Mexico | $14,000 | $4,200 | $3,220 |
| South Carolina | $14,000 | $4,200 | $3,220 |
| South Dakota | $14,000 | $4,200 | $3,220 |
| Kansas | $14,200 | $4,260 | $3,266 |
| North Dakota | $14,200 | $4,260 | $3,266 |
| Idaho | $14,400 | $4,320 | $3,312 |
| Nebraska | $14,400 | $4,320 | $3,312 |
| Tennessee | $14,400 | $4,320 | $3,312 |
| Indiana | $14,900 | $4,470 | $3,427 |
| Missouri | $14,900 | $4,470 | $3,427 |
| Utah | $14,900 | $4,470 | $3,427 |
| Wyoming | $14,900 | $4,470 | $3,427 |
| Georgia | $15,100 | $4,530 | $3,473 |
| North Carolina | $15,100 | $4,530 | $3,473 |
| Michigan | $15,300 | $4,590 | $3,519 |
| Montana | $15,300 | $4,590 | $3,519 |
| Arizona | $15,600 | $4,680 | $3,588 |
| Maine | $15,800 | $4,740 | $3,634 |
| Ohio | $15,800 | $4,740 | $3,634 |
| Wisconsin | $15,800 | $4,740 | $3,634 |
| Texas | $16,000 | $4,800 | $3,680 |
| Minnesota | $16,200 | $4,860 | $3,726 |
| Florida | $16,300 | $4,890 | $3,749 |
| Illinois | $16,500 | $4,950 | $3,795 |
| Pennsylvania | $16,500 | $4,950 | $3,795 |
| Delaware | $16,700 | $5,010 | $3,841 |
| Nevada | $16,700 | $5,010 | $3,841 |
| Vermont | $16,700 | $5,010 | $3,841 |
| Virginia | $16,700 | $5,010 | $3,841 |
| Colorado | $17,000 | $5,100 | $3,910 |
| New Hampshire | $17,000 | $5,100 | $3,910 |
| Oregon | $17,200 | $5,160 | $3,956 |
| Maryland | $17,600 | $5,280 | $4,048 |
| Rhode Island | $17,900 | $5,370 | $4,117 |
| Washington | $17,900 | $5,370 | $4,117 |
| Connecticut | $19,200 | $5,760 | $4,416 |
| New Jersey | $19,200 | $5,760 | $4,416 |
| California | $21,100 | $6,330 | $4,853 |
| Massachusetts | $21,300 | $6,390 | $4,899 |
| Alaska | $21,600 | $6,480 | $4,968 |
| New York | $21,800 | $6,540 | $5,014 |
| Hawaii | $22,000 | $6,600 | $5,060 |
よくある質問
保険なしで虫垂切除術はいくらかかりますか？
米国での虫垂切除術の保険なし平均費用は$16,000です。州によって費用は大きく異なります。
保険は虫垂切除術をカバーしますか？
ほとんどの医療保険は、医学的に必要な場合に虫垂切除術をカバーします。保険適用時の平均自己負担額は$4,800です。
メディケアは虫垂切除術をカバーしますか？
メディケアパートBは通常、医師の処方がある場合に虫垂切除術をカバーします。メディケア承認の平均額は$3,680です。
Elena Bellini による確認 · 最終確認日：2026-04-16
データ出典：CMS Medicare Provider Utilization and Payment Data 2025。最終更新：2026-03-01。この情報は教育目的のみであり、医療アドバイスではありません。 本ウェブサイトは情報提供のみを目的としており、医療アドバイスではありません。必ず資格のある医療専門家にご相談ください。