<s>[INST] Oldest daughter has been having lower right side pain for 10 years. we think its her appendix. in and out of hospitals everything normal from all the tests over all the years. so without insurance how much does a appendectomy cost with doctors,hospital,etc. [/INST] Well, the cost of appendix removal depends upon which city, which hospital , which facility you want , whether you want an open appendectomy or Laparoscopic and so many such factors. History of 10 years of pain in lower abdomen can not be due to appendicitis as by this time it would have ruptured and caused many complications. The pains like this can be due to IBS- Irritable Bowel Syndrome or so. Get investigated and diagnosed properly by showing to a Surgical Gastroenterologist.I would advise a CT scan of the abdomen, Enteroclysis, all relevant blood, urine and stool tests. </s>