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Connecticut

Cost of a Appendectomy Visit
in Connecticut

Reviewed by Momentary Medical Group West PC

Connecticut's healthcare costs run approximately 14% above national averages, reflecting the state's concentration of academic medical centers and specialized facilities. For patients requiring an Appendectomy procedure in Connecticut, costs typically range from $361 to $1,590, with a median negotiated rate of $774 across the state's network of providers. With 441 active Appendectomy providers throughout Connecticut, patients have substantial options when selecting a facility that meets both their clinical needs and budget considerations.

Average

$908

Median

$774

Lowest

$361

Highest

$1,590

Providers

441

National avg: $861Connecticut: $908

6% above national average

Compare Similar Procedures

How does appendectomy (laparoscopic) compare to related procedures in Connecticut?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$909$1,791$6,051388
Hip Replacement

Total hip replacement (arthroplasty)

27130$807$1,720$6,060408
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$70$679$2,135414
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$366$707$2,410395
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$416$848$1,820418
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$527$1,116$3,201399
Septoplasty

Nasal septum repair

30520$432$780$2,160394
Tonsillectomy

Tonsillectomy, primary or secondary

42820$194$361$742393
Inguinal Hernia Repair

Inguinal hernia repair

49505$368$669$1,435384
Mastectomy

Partial or simple mastectomy

19301$426$836$2,642394
Carpal Tunnel Surgery

Open carpal tunnel release

64721$311$618$1,957394

Important: These are cost estimates only — not a quote and not medical advice.

The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 44970Laparoscopic appendectomy). They represent what a patient might pay without insurance.

Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.

This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.

Where this data comes from & what CPT 44970 covers

Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 44970 (Laparoscopic appendectomy), as mandated by the CMS Price Transparency Rule.

What CPT 44970 covers: the provider's professional fee for appendectomy (laparoscopic). It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.

How to read this data

Negotiated Rate

The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.

P5, Median, P95

P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.

What this does not tell you

These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.

Top-Rated Hospitals in Connecticut

These hospitals in Connecticut are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.

4/5
80% would recommend767 patient surveys
SHARON HOSPITAL

SHARON, CT

4/5
76% would recommend267 patient surveys
4/5
74% would recommend1,054 patient surveys
4/5
74% would recommend678 patient surveys
4/5
73% would recommend415 patient surveys

Hospital ratings are based on HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) survey data published by CMS.

Why Appendectomy Visit Costs Vary Across Connecticut

Connecticut's healthcare costs run approximately 14% above national averages, driven by the state's concentration of prestigious academic medical centers and high regional cost of living, particularly in Fairfield County's proximity to New York City. The state's compact geography creates intense competition among major health systems while supporting higher overhead costs for both facilities and physician practices.

Urban vs. Rural Provider Availability

Connecticut's urban corridor from New Haven to Hartford concentrates the majority of surgical facilities, including Yale-New Haven Health System and Hartford HealthCare's multiple locations. Rural areas in eastern Connecticut, particularly Windham and New London counties, have fewer surgical options, often requiring patients to travel 30-60 minutes for appendectomy procedures. This geographic concentration allows urban facilities to command premium rates while rural patients face limited negotiating power and higher travel costs.

Facility Type and Overhead Costs

Hospital-based outpatient surgical departments in Connecticut typically charge 40-60% more than independent ambulatory surgical centers due to higher overhead costs and academic medical center affiliations. Major health systems like Yale-New Haven, Hartford HealthCare, and Trinity Health maintain extensive networks of hospital-owned facilities that generally negotiate higher rates with insurers. Independent surgical centers, while less common, often provide more competitive pricing for routine appendectomy procedures.

Insurance Market Competition in Connecticut

The state's insurance market concentration around Anthem, Cigna, and UnitedHealthcare creates moderate competition with generally favorable negotiated rates for surgical procedures. Connecticut's relatively small geographic size allows these major insurers to maintain comprehensive provider networks without extensive rural contracting challenges. This market structure typically results in more predictable pricing but fewer opportunities for patients to leverage insurer competition for better rates.

Physician Supply and Demand in Connecticut

With 441 active providers performing appendectomy procedures, Connecticut maintains adequate surgical capacity relative to its population of 3.6 million residents. This robust provider supply helps moderate wait times for non-emergency cases while creating competitive pricing pressure among facilities. The state's proximity to New York and Boston also attracts experienced surgeons, maintaining high clinical standards while supporting multiple surgical options in most regions.

JP

Jayant Panwar

CEO, Momentary Labs · San Francisco, CA

Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.

The cost figures on this page reflect his ongoing work to make this data accessible to patients.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — Appendectomy Costs in Connecticut

What is the average cost of a Appendectomy visit in Connecticut without insurance?

Uninsured patients in Connecticut can expect appendectomy costs ranging from $361 to $1,590, with a median price of $774 based on negotiated insurance rates. However, many facilities offer significant cash-pay discounts of 30-50% for uninsured patients who pay upfront. Community hospitals and ambulatory surgical centers typically provide more affordable options compared to academic medical centers, making it worthwhile to compare prices before scheduling non-emergency procedures.

Does Connecticut Medicaid cover Appendectomy visits?

Yes, Connecticut's expanded Medicaid program fully covers medically necessary appendectomy procedures when performed by in-network providers. Emergency appendectomy is covered regardless of prior authorization, while elective interval appendectomy may require documentation of medical necessity. Patients should verify that their chosen surgeon and facility participate in Connecticut Medicaid to avoid unexpected charges, as some private surgical centers may not accept Medicaid coverage.

How do I find an affordable Appendectomy near me in Connecticut?

Compare prices between hospital-based surgery centers and independent ambulatory facilities, as the latter often charge 30-40% less for routine procedures. Ask about cash-pay discounts if you're uninsured, and consider facilities outside Fairfield County where overhead costs are typically lower. Community health centers and hospitals with charity care programs may offer sliding-scale pricing based on income, particularly for uninsured or underinsured patients.

What is the difference in cost between an initial consultation and a follow-up visit?

For appendectomy procedures, most patients proceed directly from emergency evaluation to surgery without separate consultation fees, as the condition rarely allows time for elective consultation. Post-operative follow-up visits typically cost $150-300 depending on the complexity of wound care and recovery assessment. Emergency room evaluation prior to surgery may add $800-2,000 to total costs, though this is usually covered separately from the surgical procedure itself.

Can I use an HSA or FSA to pay for a Appendectomy visit in Connecticut?

Yes, appendectomy procedures qualify as eligible medical expenses for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). This includes surgeon fees, facility charges, anesthesia costs, and related post-operative care expenses. Keep all receipts and documentation for reimbursement, and remember that HSA funds roll over annually while FSA funds typically must be used within the plan year.

How does telemedicine affect the cost of seeing a Appendectomy in Connecticut?

Telemedicine has limited application for appendectomy procedures since the condition requires physical examination and immediate surgical intervention when diagnosed. However, post-operative follow-up visits may sometimes be conducted via telemedicine, typically costing $50-150 less than in-person visits. Connecticut's telemedicine coverage requirements ensure that virtual follow-up visits are covered at the same level as in-person care by most insurance plans.

Click a state to compare costs

Average Visit Cost

$385
$2,206

Office visit (CPT 44970)

Compare With Other States

RankStateAverage
1Wisconsin
Range: $73$5,429
$2,206
2Iowa
Range: $85$2,810
$1,400
3Wyoming
Range: $631$1,894
$1,180
4New Hampshire
Range: $558$1,752
$1,147
5Nebraska
Range: $726$1,396
$1,142
6Massachusetts
Range: $80$2,485
$1,133
7South Dakota
Range: $85$2,418
$1,127
8Georgia
Range: $85$2,038
$1,033
9Minnesota
Range: $80$2,095
$1,024
10Maine
Range: $682$1,177
$1,001
11Michigan
Range: $80$2,021
$978
12District of Columbia
Range: $413$1,405
$945
13New Mexico
Range: $507$1,408
$933
14Connecticut
Range: $361$1,590
$908
15Rhode Island
Range: $80$1,752
$905
16Washington
Range: $80$1,832
$902
17Missouri
Range: $551$1,185
$901
18North Dakota
Range: $80$1,767
$882
19New York
Range: $412$1,655
$882
20Indiana
Range: $80$1,805
$881
21Illinois
Range: $85$1,654
$865
22Delaware
Range: $80$1,893
$865
23Vermont
Range: $449$1,463
$865
24New Jersey
Range: $340$1,669
$852
25North Carolina
Range: $80$1,655
$837
26Mississippi
Range: $473$1,440
$827
27Oregon
Range: $80$1,616
$814
28West Virginia
Range: $85$1,557
$799
29California
Range: $80$1,375
$796
30Pennsylvania
Range: $80$1,669
$794
31Utah
Range: $80$1,321
$792
32Hawaii
Range: $80$1,376
$767
33Kansas
Range: $562$1,006
$767
34Louisiana
Range: $368$1,236
$766
35Colorado
Range: $85$1,421
$765
36Kentucky
Range: $85$1,415
$758
37Virginia
Range: $404$1,238
$755
38Maryland
Range: $437$1,238
$750
39Ohio
Range: $355$1,185
$733
40Arkansas
Range: $85$1,236
$720
41Idaho
Range: $80$1,349
$716
42Tennessee
Range: $90$1,258
$699
43Nevada
Range: $464$983
$673
44South Carolina
Range: $80$1,290
$667
45Alabama
Range: $80$1,208
$653
46Texas
Range: $85$1,155
$634
47Oklahoma
Range: $85$1,142
$588
48Arizona
Range: $90$1,016
$538
49Alaska
Range: $80$1,339
$500
50Montana
Range: $80$1,231
$464
51Florida
Range: $35$1,065
$385
Appendectomy (Laparoscopic) in Other States