Spleen removal (splenectomy) Cost by Hospital

Spleen removal (splenectomy) is a surgical procedure. Prices are from 1192 US hospitals across 51 states, from their machine-readable files.

$3,434median cash price · 1192 hospitals, 51 statestypically $897–$16,604 depending on the hospital
≈ 3.3× Medicare · On the higher sideFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$4,528
Cash / self-pay
$3,434
Insurer-negotiated
$7,946
Medicare pays
$1,036
$897$16,604
Median cash $3,434  ·  Medicare $1,036  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $3,434 — about 3.3× the Medicare rate ($1,036). On the higher side. A fair cash price is usually within ~2× Medicare ($2,072).

💡 Asking for the cash price instead of the $4,528 list price could save about $1,093 (24%).

Estimate what you’ll pay
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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
O'connor Hospital Delhi, NY $543 $743 — 88 min 14.7%
Little Falls Hospital Little Falls, NY $543 $616 ★ 2/5 110 min 15.7%
Cobleskill Regional Hospital Cobleskill, NY $543 $712 ★ 4/5 109 min 14.6%
Unity Health-Jacksonville Jacksonville, AR $549 — — 130 min 15.2%
Unity Health-Newport Newport, AR $549 — — 104 min 15.4%
Saint Vincent Hospital Erie, PA $559 $924 ★ 4/5 212 min 14.7%
Jefferson Hospital Louisville, GA $590 $913 — 92 min 15.2%
Jefferson Hospital Jefferson Hills, PA $590 $913 ★ 4/5 172 min 15.4%
Nacogdoches Memorial Hospital Nacogdoches, TX $607 $1,633 ★ 2/5 178 min 15.4%
Jennie Stuart Medical Center Hopkinsville, KY $646 $1,066 ★ 1/5 156 min 15.5%
Westfield Memorial Hospital, Inc Westfield, NY $683 $1,049 — 114 min 14.8%
Canonsburg General Hospital Canonsburg, PA $683 $901 ★ 3/5 155 min 15.6%
Forbes Hospital Monroeville, PA $683 $924 ★ 3/5 252 min 16.5%
Grove City Medical Center Grove City, PA $714 $901 ★ 4/5 147 min 14.1%
North Texas Medical Center Gainesville, TX $715 $1,717 ★ 4/5 121 min 14.9%
Allegheny Valley Hospital Natrona, PA $745 $924 ★ 4/5 201 min 15.7%
Allegheny General Hospital Pittsburgh, PA $745 $924 ★ 3/5 274 min 14.7%
Bassett Healthcare Cooperstown, NY $788 $354 ★ 2/5 199 min 15.6%
Hospital Pavia Caguas Caguas, PR $800 $713 — — 17.1%
Ahn Wexford Hospital Wexford, PA $808 $1,200 ★ 5/5 186 min 15.3%
West Penn Hospital Pittsburgh, PA $839 $1,200 ★ 3/5 203 min 16.3%
Marion General Hospital Marion, IN $880 $10,946 ★ 3/5 126 min 14.6%
Marion General Hospital Columbia, MS $880 $10,946 ★ 1/5 130 min 15.4%
South Central Reg Med Ctr Laurel, MS $966 $1,055 ★ 1/5 129 min 16.9%
Hugh Chatham Memorial Hospital Elkin, NC $1,042 $1,225 ★ 3/5 171 min 15.1%

CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated July 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.

What insurers pay for Spleen removal (splenectomy)

Median in-network negotiated rate by insurer, across hospitals that publish it (cheapest first). Your actual rate depends on your specific plan and deductible. Cash / self-pay for comparison: $3,434; Medicare pays $1,036.

InsurerHospitalsNegotiated median
Univera 12
$195
$126 – $1,120
Medicaid 109
$369
$57 – $2,314
Medicare 176
$467
$75 – $2,556
Tricare / VA 123
$505
$85 – $6,574
Highmark 57
$575
$84 – $10,617
Health Net 83
$637
$75 – $11,835
Amerigroup 85
$741
$482 – $10,328
AmeriHealth 82
$816
$118 – $12,080
Geisinger 26
$816
$163 – $10,401
Kaiser Permanente 120
$1,014
$88 – $13,904
Blue Cross Blue Shield 628
$1,040
$104 – $18,162
Centene / Ambetter 385
$1,054
$83 – $10,936
Molina Healthcare 308
$1,085
$298 – $8,646
Sanford Health Plan 26
$1,094
$370 – $18,436
Independent Health 19
$1,200
$482 – $1,300
HealthPartners 75
$1,268
$178 – $10,724
MVP Health Care 39
$1,420
$363 – $8,296
Anthem 282
$1,425
$136 – $14,203
Coventry 35
$1,450
$232 – $10,537
MultiPlan / PHCS network 133
$1,554
$127 – $14,810
Priority Health 28
$1,590
$382 – $5,539
Workers' Comp / No-Fault 28
$1,707
$1,707 – $1,707
Security Health Plan 21
$2,314
$409 – $12,846
UCare 33
$2,464
$433 – $10,941
Harvard Pilgrim 21
$2,556
$409 – $8,934
Bright Health 37
$2,559
$1,876 – $5,558
Humana 513
$2,569
$409 – $16,840
Medica 50
$2,583
$734 – $10,218
UnitedHealthcare 727
$3,535
$370 – $13,938
UPMC Health Plan 45
$3,946
$687 – $17,366
Aetna 664
$4,470
$409 – $13,564
SelectHealth 32
$4,882
$823 – $10,486
Oscar Health 115
$6,587
$2,065 – $13,269
Cigna 533
$7,321
$1,202 – $22,332
Healthcare Highways 32
$8,517
$2,069 – $14,320
AvMed 34
$9,796
$1,520 – $26,101
Devoted Health 94
$9,982
$1,064 – $11,519
EmblemHealth 32
$13,269
$1,785 – $83,860

Negotiated rates are from hospitals’ machine-readable files (45 CFR §180); payer names are normalized to major brands, so a brand may span several plans. Estimates — confirm with your insurer.

Where it’s cheapest

StateMedian cash
Mississippi$966
North Carolina$1,042
New Mexico$1,147
West Virginia$1,218
Hawaii$1,251
Nevada$1,532

Prices by city

Chicago, ILAustin, TXDallas, TXHouston, TXNew York, NYCharlotte, NCCleveland, OHFort Worth, TXLos Angeles, CAPlano, TXSan Antonio, TXArlington, TXBrooklyn, NYNashville, TNSacramento, CAAurora, COBronx, NYColorado Springs, COKnoxville, TNMilwaukee, WIOmaha, NEPhiladelphia, PAPhoenix, AZSan Francisco, CA

Prices by state

TexasCaliforniaOhioFloridaNew YorkWisconsinMinnesotaPennsylvaniaColoradoIllinoisTennesseeNorth CarolinaMichiganLouisianaNew JerseyIowaIndianaMaineWashingtonMississippiArkansasGeorgiaKentuckyNebraskaArizonaSouth CarolinaKansasIdahoWest VirginiaOklahomaMissouriVirginiaUtahAlabamaConnecticutNew HampshireWyomingMassachusettsOregonNew MexicoMontanaSouth DakotaNevadaNorth DakotaVermontHawaiiDelaware

Does Medicare cover Spleen removal (splenectomy)?

Yes — Medicare generally covers Spleen removal (splenectomy). It is typically an inpatient service, so Medicare Part A (hospital insurance) pays the hospital a bundled rate — Medicare’s benchmark payment is about $1,036. Your own cost is mainly the Part A hospital deductible for the benefit period (a flat amount, not a percentage), plus any physician (Part B) charges. A Medicare Advantage or Medigap plan can change what you owe.

General guidance from Medicare’s national rates — your actual coverage and share depend on medical necessity, your plan, and where the service is performed. Confirm with Medicare or your plan.

About these prices

Based on prices published by 1192 US hospitals across 51 states, the typical (median) cash price is $3,434, versus a chargemaster (list) price around $4,528, a median insurer-negotiated rate of $7,946, a Medicare rate of about $1,036. Most cash prices fall between $897 and $16,604 — a wide spread, which is exactly why comparing hospitals pays off.

How to save

  • Ask each hospital for its cash / self-pay price — for shoppable services it is often far below the list price.
  • Compare several nearby hospitals; prices for the same service can differ severalfold.
  • Request a written estimate and the billing code (CPT/DRG) before scheduling.
  • Use the Medicare benchmark above to judge whether a quote is reasonable.
  • If you are uninsured, ask about financial assistance or prompt-pay discounts.

Frequently asked questions

How much does Spleen removal (splenectomy) cost without insurance?
The median cash (self-pay) price across 1192 US hospitals is $3,434. Most hospitals fall between $897 and $16,604. Prices vary widely between hospitals, so it pays to compare before you book.
Does Medicare cover Spleen removal (splenectomy)?
Yes — it is generally covered under Medicare Part A as an inpatient service (Medicare's benchmark payment is about $1,036). You pay the Part A hospital deductible for the benefit period, plus any Part B physician charges.
What does Medicare pay for Spleen removal (splenectomy)?
Medicare pays about $1,036. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.
Why do Spleen removal (splenectomy) prices vary between hospitals?
Hospitals set their own chargemaster and cash prices and negotiate different rates with each insurer, so two hospitals in the same area can charge very differently for the same service.
Is the cash price lower than using insurance?
Sometimes. If you are uninsured or have a high deductible, the cash/self-pay price can be lower than the insurer-negotiated rate — ask the hospital for both.

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