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Package

Appendectomy - laparoscopic

Package

Appendectomy - laparoscopic

Laparoscopic appendectomy is a minimally invasive surgery to remove the appendix, most commonly performed when appendicitis is diagnosed. The surgeon makes a few small incisions in the abdomen and uses a camera and instruments to safely remove the appendix under general anesthesia. Most patients go home the same day or after a short hospital stay. Recovery is typically quick, with most people returning to normal activities within one to two weeks.
You'd pay up to
$3,682 / Case Rate

A single, all-inclusive pricing methodology for a procedure in healthcare contracts, instead of separate charges for each service.

The estimated total cost of care without any insurance coverage or discounts.

$3,682

Without insurance

What goes into a price?

Negotiated prices across insurers

Lowest
$1,333
Highest
$10,320
Cash price
up to $3,682

Self pay or cash prices vary by facility when paying out of pocket without insurance benefits. The chart shows you how the lowest and highest amounts facilities charge for this service if you were paying without insurance benefits. If you're uninsured or not submitting a claim to insurance, you also have the right to a Good Faith Estimate under federal law. Contact the provider for a copy of your Good Faith Estimate or to better understand payment options available to you.

Procedures included in this package

This list includes the services and fees bundled into the Appendectomy - laparoscopic Standard Service Package (SSP GA009). The final price for the procedure will depend on which services your provider ultimately performs, your insurance plan and your medical benefits.

Code Code Type Description
HCPCS J2543 Facility Fee Injection of 1.125 g piperacillin/tazobactam
HCPCS J1885 Facility Fee Intramuscular injection of 15mg ketorolac tromethamine
HCPCS J3010 Facility Fee Intramuscular injection of fentanyl citrate, 0.1mg
HCPCS 85025 Facility Fee Complete blood count (CBC) with differential WBC
HCPCS 74177 Facility Fee CT scan of abdomen and pelvis with contrast
HCPCS 44970 Facility Fee Surgical Laparoscopy to Remove Appendix
HCPCS 81001 Facility Fee Automated urinalysis with dip stick/tablet reagent and microscopy
HCPCS 83690 Facility Fee Blood test for lipase enzyme, for fat breakdown
HCPCS J2405 Facility Fee Intramuscular injection of ondansetron hydrochloride, 1mg
HCPCS 44970 Professional Fee Surgical Laparoscopy to Remove Appendix
HCPCS J1100 Facility Fee Intramuscular injection of 1mg dexamethasone sodium phosphate
HCPCS 99222 Professional Fee Initial Hospital Care, E/M Moderate Complexity, with Coordination
HCPCS 80053 Facility Fee Comprehensive metabolic panel also includes albumin, total protein, ALP, ALT, AST and bilirubin
HCPCS 88304 Facility Fee Gross and Microscopic Surgical Pathology Examination of Various Body Organs/Structures
Revenue Code 250 Facility Fee Pharmacy (Also see 063X, an extension of 250X) - General
HCPCS A9900 Facility Fee Additional Equipment or Service for Medical Supplies Under Specific Code
HCPCS Q9967 Facility Fee Non-ionic low osmolar contrast, 300-399mg/ml iodine concentration per ml

Disclaimer

Hawaii Health Systems Corporation is committed to empowering our patients to make informed decisions about their healthcare. This includes helping patients understand the cost of care and the availability of financial assistance.

In compliance with federal law, we provide a list of standard charges that are reviewed on an annual basis. Charges for hospital services are not equivalent to the actual amount paid by insurance companies or patients. The amount paid for services is based on many factors, including health insurance benefit plans, applicable discounts, and services provided based on each patient's unique needs.

You'd pay up to
$3,682 / Case Rate

A single, all-inclusive pricing methodology for a procedure in healthcare contracts, instead of separate charges for each service.

The estimated total cost of care without any insurance coverage or discounts.

Disclaimer

Hawaii Health Systems Corporation is committed to empowering our patients to make informed decisions about their healthcare. This includes helping patients understand the cost of care and the availability of financial assistance.

In compliance with federal law, we provide a list of standard charges that are reviewed on an annual basis. Charges for hospital services are not equivalent to the actual amount paid by insurance companies or patients. The amount paid for services is based on many factors, including health insurance benefit plans, applicable discounts, and services provided based on each patient's unique needs.

What’s the difference between an individual procedure and a Standard Service Package (SSP)?

Individual Procedure

Individual procedures, like blood tests, each have unique prices and billing codes (like a CPT or HCPCS code). While they can be billed alone, they're usually grouped with other procedures on a claim. This grouping is what determines the total cost of your care.

Standard Service Package (SSP)

A SSP combines all medical services, materials, and fees associated with a healthcare visit or procedure into a single bundle to offer a more comprehensive estimate.

Contact us to verify your estimate

Have your service name, codes, and payment preference ready. If you’re using insurance, you may be asked for insurance details like your Member or Group ID.

Service Appendectomy - laparoscopic
Service Codes HCPCS J2543, HCPCS J1885, HCPCS J3010, HCPCS 85025, HCPCS 74177
Insurance I'm not using insurance
Location Hilo Benioff Medical Center Main
When you contact us, you can say:
"Hi, I'm calling to verify a price for Appendectomy - laparoscopic I found through Hilo Benioff Medical Center Main's price estimate tool. Here are the codes I’m looking at: HCPCS J2543, HCPCS J1885, HCPCS J3010, HCPCS 85025, HCPCS 74177. I'm not using insurance, can you confirm the cash pay estimate and help me schedule if needed?"
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