Spleen removal (splenectomy) Cost by Hospital

Spleen removal (splenectomy) is a surgical procedure. Prices are from 1207 US hospitals across 51 states, from their machine-readable files.

$3,939median cash price · 1207 hospitals, 51 statestypically $1,100–$16,604 depending on the hospital
≈ 3.8× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$4,596
Cash / self-pay
$3,939
Insurer-negotiated
$7,875
Medicare pays
$1,036
$1,100$16,604
Median cash $3,939  ·  Medicare $1,036  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $3,939 — about 3.8× the Medicare rate ($1,036). High vs Medicare. A fair cash price is usually within ~2× Medicare ($2,072).

💡 Asking for the cash price instead of the $4,596 list price could save about $657 (14%).

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
Nacogdoches Memorial Hospital Nacogdoches, TX $607 $1,564 ★ 2/5 174 min —
Jennie Stuart Medical Center Hopkinsville, KY $646 $1,066 ★ 1/5 167 min —
Westfield Memorial Hospital, Inc Westfield, NY $683 $1,049 — 120 min —
Canonsburg General Hospital Canonsburg, PA $683 $901 ★ 3/5 155 min —
Forbes Hospital Monroeville, PA $683 $924 ★ 3/5 261 min —
Grove City Medical Center Grove City, PA $714 $901 ★ 4/5 150 min —
North Texas Medical Center Gainesville, TX $715 $1,717 ★ 4/5 117 min —
Allegheny Valley Hospital Natrona, PA $745 $924 ★ 4/5 203 min —
Allegheny General Hospital Pittsburgh, PA $745 $924 ★ 3/5 274 min —
Bassett Healthcare Cooperstown, NY $788 $354 ★ 2/5 199 min —
Hospital Pavia Caguas Caguas, PR $800 $713 — — —
Ahn Wexford Hospital Wexford, PA $808 $1,200 ★ 5/5 184 min —
West Penn Hospital Pittsburgh, PA $839 $1,200 ★ 3/5 208 min —
Marion General Hospital Marion, IN $880 $10,946 ★ 3/5 132 min —
Marion General Hospital Columbia, MS $880 $10,946 ★ 1/5 126 min —
Hugh Chatham Memorial Hospital Elkin, NC $1,042 $1,225 ★ 3/5 168 min —
Boulder Community Health Boulder, CO $1,083 $1,713 ★ 4/5 135 min —
Artesia General Hospital Artesia, NM $1,087 $1,604 — 99 min —
Vanderbilt Bedford Hospital Shelbyville, TN $1,155 $1,654 ★ 4/5 125 min —
Vanderbilt Tullahoma-Harton Hospital Tullahoma, TN $1,155 $1,545 ★ 3/5 168 min —
Jackson General Hospital Ripley, WV $1,188 — ★ 3/5 127 min —
Summersville Regional Medical Center Summersville, WV $1,188 — ★ 2/5 136 min —
Mon Health Medical Center Morgantown, WV $1,200 $2,092 ★ 4/5 185 min —
Mon Health Marion Whitehall, WV $1,200 $2,092 — 86 min —
Unm Hospital Albuquerque, NM $1,207 $9,424 ★ 2/5 273 min —

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 October 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: $3,939; Medicare pays $1,036.

InsurerHospitalsNegotiated median
Univera 12
$195
$126 – $1,120
Medicaid 111
$369
$57 – $2,314
Medicare 179
$467
$75 – $2,556
Tricare / VA 125
$505
$85 – $6,629
Highmark 64
$575
$85 – $10,617
Health Net 85
$637
$75 – $12,091
Amerigroup 86
$752
$482 – $10,355
AmeriHealth 85
$816
$118 – $12,080
Geisinger 28
$816
$163 – $10,605
Kaiser Permanente 120
$1,014
$88 – $13,904
Blue Cross Blue Shield 631
$1,044
$104 – $18,341
Centene / Ambetter 400
$1,054
$84 – $11,065
Molina Healthcare 310
$1,085
$300 – $7,627
Sanford Health Plan 26
$1,094
$370 – $18,436
Independent Health 19
$1,200
$482 – $1,300
HealthPartners 77
$1,268
$178 – $10,732
MVP Health Care 39
$1,420
$363 – $8,296
Anthem 295
$1,448
$147 – $14,074
Coventry 37
$1,482
$232 – $10,516
MultiPlan / PHCS network 136
$1,561
$127 – $14,810
Priority Health 27
$1,590
$378 – $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 20
$2,556
$409 – $8,971
Bright Health 37
$2,559
$1,876 – $5,558
Humana 521
$2,569
$409 – $16,840
Medica 50
$2,583
$734 – $10,218
UPMC Health Plan 49
$3,292
$653 – $16,884
UnitedHealthcare 746
$3,408
$370 – $13,933
Aetna 682
$4,470
$421 – $13,564
SelectHealth 32
$4,882
$823 – $10,486
Oscar Health 127
$6,587
$1,987 – $14,110
Cigna 544
$7,321
$1,199 – $22,332
Healthcare Highways 32
$8,517
$2,069 – $14,320
AvMed 34
$9,796
$1,520 – $26,101
Devoted Health 98
$9,982
$1,047 – $11,536
EmblemHealth 46
$12,590
$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
North Carolina$1,042
New Mexico$1,207
West Virginia$1,218
Hawaii$1,251
Vermont$1,568
Tennessee$1,652

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, COKansas City, MOKnoxville, TNMilwaukee, WIOmaha, NEPhiladelphia, PAPhoenix, AZ

Prices by state

TexasCaliforniaOhioFloridaNew YorkWisconsinPennsylvaniaMinnesotaColoradoIllinoisTennesseeMichiganNorth CarolinaLouisianaNew JerseyIndianaIowaMaineWashingtonArkansasGeorgiaMissouriSouth CarolinaArizonaNebraskaMississippiKentuckyIdahoWest VirginiaOklahomaKansasVirginiaUtahAlabamaNew HampshireConnecticutWyomingMassachusettsOregonMontanaSouth DakotaNevadaNew MexicoNorth 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 1207 US hospitals across 51 states, the typical (median) cash price is $3,939, versus a chargemaster (list) price around $4,596, a median insurer-negotiated rate of $7,875, a Medicare rate of about $1,036. Most cash prices fall between $1,100 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 1207 US hospitals is $3,939. Most hospitals fall between $1,100 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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