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The delivery of pediatric surgical care for acute appendicitis involves general surgeons (GS) and pediatric surgeons (PS), but the differences in clinical practice are primarily undescribed. We examined charge differences between GS and PS for the treatment of pediatric acute appendicitis. We performed a retrospective review of the North Carolina hospital discharge database (2013-2017) in pediatric patients (≤18y) who had surgery for appendiceal pathology (acute or chronic appendicitis and other appendiceal pathology). We performed a