Cost of a Appendectomy Visit
in Delaware
Reviewed by Momentary Medical Group West PC
Delaware's healthcare costs run approximately 11% above the national average, reflecting the state's concentrated provider network across just three counties. For patients requiring an Appendectomy in Delaware, negotiated rates with insurers range from $80 to $1,893, with a median cost of $622 based on transparency data from 99 active providers statewide. You can browse all qualified Appendectomy specialists throughout Delaware to compare costs and verify insurance coverage before scheduling your procedure.
Average
$865
Median
$622
Lowest
$80
Highest
$1,893
Providers
99
1% above national average
Compare Similar Procedures
How does appendectomy (laparoscopic) compare to related procedures in Delaware?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $1,005 | $1,687 | $6,051 | 78 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $80 | $1,574 | $6,060 | 91 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $343 | $691 | $2,135 | 83 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $412 | $640 | $2,410 | 80 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $416 | $773 | $2,073 | 81 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $85 | $1,038 | $3,201 | 83 |
| Septoplasty Nasal septum repair | 30520 | $449 | $726 | $2,160 | 78 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $154 | $319 | $698 | 82 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $330 | $602 | $1,435 | 79 |
| Mastectomy Partial or simple mastectomy | 19301 | $95 | $705 | $2,642 | 84 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $354 | $612 | $1,957 | 77 |
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 44970 — Laparoscopic 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.
Why Appendectomy Visit Costs Vary Across Delaware
Delaware's healthcare costs run approximately 11% above the national average, driven by the state's small size, concentrated provider networks, and limited competition among the three major health systems. The First State's unique position as a corporate haven generates higher income levels that support premium pricing for medical services.
Urban vs. Rural Provider Availability
New Castle County around Wilmington contains about 60% of Delaware's population and the majority of surgical specialists, while Kent and Sussex counties rely more heavily on ChristianaCare and Bayhealth's regional networks. Rural patients often face longer travel times to reach subspecialty surgical care, though telemedicine consultations have improved access to pre-operative planning. The state's small size means most residents are within 30 minutes of a major medical center, unlike larger states with more isolated rural populations.
Facility Type and Overhead Costs
ChristianaCare's dominance in northern Delaware and Bayhealth's control of central and southern regions create a duopoly that influences pricing across facility types. Hospital-based outpatient surgery centers typically charge higher facility fees due to their 24/7 emergency capabilities and higher staffing costs. Independent ambulatory surgery centers are less common in Delaware compared to larger states, limiting cost-competitive alternatives for elective procedures.
Insurance Market Competition in Delaware
The concentration of just three major insurers—Highmark, Aetna, and UHC—creates limited competition that can result in higher negotiated rates compared to states with more diverse insurance markets. Highmark Blue Cross Blue Shield holds the largest market share, giving it significant leverage in provider negotiations. The small state population limits the ability of smaller insurers to achieve economies of scale, further concentrating market power among the big three carriers.
Physician Supply and Demand in Delaware
With 99 active providers performing laparoscopic appendectomies statewide, Delaware maintains adequate surgical capacity relative to its population of under one million residents. The presence of ChristianaCare's residency programs helps maintain surgeon supply, though competition for specialists can drive compensation levels higher than in oversupplied markets. Most surgeons maintain privileges at multiple facilities, providing patients with options but also reducing price competition between health systems.
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.
Frequently Asked Questions — Appendectomy Costs in Delaware
What is the average cost of a Appendectomy visit in Delaware without insurance?
Does Delaware Medicaid cover Appendectomy visits?
How do I find an affordable Appendectomy near me in Delaware?
What is the difference in cost between an initial consultation and a follow-up visit?
Can I use an HSA or FSA to pay for a Appendectomy visit in Delaware?
How does telemedicine affect the cost of seeing a Appendectomy in Delaware?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 44970)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Wisconsin Range: $73 – $5,429 | $2,206 |
| 2 | Iowa Range: $85 – $2,810 | $1,400 |
| 3 | Wyoming Range: $631 – $1,894 | $1,180 |
| 4 | New Hampshire Range: $558 – $1,752 | $1,147 |
| 5 | Nebraska Range: $726 – $1,396 | $1,142 |
| 6 | Massachusetts Range: $80 – $2,485 | $1,133 |
| 7 | South Dakota Range: $85 – $2,418 | $1,127 |
| 8 | Georgia Range: $85 – $2,038 | $1,033 |
| 9 | Minnesota Range: $80 – $2,095 | $1,024 |
| 10 | Maine Range: $682 – $1,177 | $1,001 |
| 11 | Michigan Range: $80 – $2,021 | $978 |
| 12 | District of Columbia Range: $413 – $1,405 | $945 |
| 13 | New Mexico Range: $507 – $1,408 | $933 |
| 14 | Connecticut Range: $361 – $1,590 | $908 |
| 15 | Rhode Island Range: $80 – $1,752 | $905 |
| 16 | Washington Range: $80 – $1,832 | $902 |
| 17 | Missouri Range: $551 – $1,185 | $901 |
| 18 | North Dakota Range: $80 – $1,767 | $882 |
| 19 | New York Range: $412 – $1,655 | $882 |
| 20 | Indiana Range: $80 – $1,805 | $881 |
| 21 | Illinois Range: $85 – $1,654 | $865 |
| 22 | Delaware Range: $80 – $1,893 | $865 |
| 23 | Vermont Range: $449 – $1,463 | $865 |
| 24 | New Jersey Range: $340 – $1,669 | $852 |
| 25 | North Carolina Range: $80 – $1,655 | $837 |
| 26 | Mississippi Range: $473 – $1,440 | $827 |
| 27 | Oregon Range: $80 – $1,616 | $814 |
| 28 | West Virginia Range: $85 – $1,557 | $799 |
| 29 | California Range: $80 – $1,375 | $796 |
| 30 | Pennsylvania Range: $80 – $1,669 | $794 |
| 31 | Utah Range: $80 – $1,321 | $792 |
| 32 | Hawaii Range: $80 – $1,376 | $767 |
| 33 | Kansas Range: $562 – $1,006 | $767 |
| 34 | Louisiana Range: $368 – $1,236 | $766 |
| 35 | Colorado Range: $85 – $1,421 | $765 |
| 36 | Kentucky Range: $85 – $1,415 | $758 |
| 37 | Virginia Range: $404 – $1,238 | $755 |
| 38 | Maryland Range: $437 – $1,238 | $750 |
| 39 | Ohio Range: $355 – $1,185 | $733 |
| 40 | Arkansas Range: $85 – $1,236 | $720 |
| 41 | Idaho Range: $80 – $1,349 | $716 |
| 42 | Tennessee Range: $90 – $1,258 | $699 |
| 43 | Nevada Range: $464 – $983 | $673 |
| 44 | South Carolina Range: $80 – $1,290 | $667 |
| 45 | Alabama Range: $80 – $1,208 | $653 |
| 46 | Texas Range: $85 – $1,155 | $634 |
| 47 | Oklahoma Range: $85 – $1,142 | $588 |
| 48 | Arizona Range: $90 – $1,016 | $538 |
| 49 | Alaska Range: $80 – $1,339 | $500 |
| 50 | Montana Range: $80 – $1,231 | $464 |
| 51 | Florida Range: $35 – $1,065 | $385 |