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Appendectomy without Complicated Diagnosis (without CC/MCC)

California rates for MS-DRG 343

Appendectomy without Complicated Principal Diagnosis without CC/MCC

Rates data updated October 2026.

How much does Appendectomy without Complicated Diagnosis (without CC/MCC) cost?

$18,197

Typical facility fee. In California, October 2026.

Insurers have agreed to pay about $18,197 for this service. Most negotiated rates run $18,197 to $18,197.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $18,197 · 10th to 90th $15,136 to $26,303
$20Kfacility $18,197

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Blue Shield
Setting
Facility
Modifier
None
Typical Low
$12,302.69
Median
$16,982.44
Typical High
$38,904.51
Providence
Setting
Facility
Modifier
None
Typical Low
$20,892.96
Median
$20,892.96
Typical High
$26,302.68
Sutter Health Plus
Setting
Facility
Modifier
None
Typical Low
$18,197.01
Median
$18,197.01
Typical High
$18,197.01

Where California sits

The same service costs 25.1 times more in Massachusetts than in Ohio. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

California· 7th of 33

$18,197

MA $25,704OH $1,023

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.