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Hawaii

Cost of a Appendectomy Visit
in Hawaii

Reviewed by Momentary Medical Group West PC

Hawaii's island geography creates unique healthcare challenges, with medical costs running approximately 16% above national averages due to isolation and import dependencies. Patients requiring an Appendectomy typically pay between $80 and $1,376, with a median out-of-pocket cost of $846 based on negotiated insurance rates. The state has 75 active Appendectomy providers serving residents across the island chain, allowing patients to browse options throughout Hawaii's healthcare network.

Average

$767

Median

$846

Lowest

$80

Highest

$1,376

Providers

75

National avg: $861Hawaii: $767

11% below national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$1,018$1,894$2,94646
Hip Replacement

Total hip replacement (arthroplasty)

27130$90$1,896$2,94750
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$85$746$1,38651
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$80$752$1,28752
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$80$929$1,50768
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$85$1,235$1,92946
Septoplasty

Nasal septum repair

30520$80$858$1,37647
Tonsillectomy

Tonsillectomy, primary or secondary

42820$85$399$66545
Inguinal Hernia Repair

Inguinal hernia repair

49505$426$734$1,14942
Mastectomy

Partial or simple mastectomy

19301$85$922$1,47545
Carpal Tunnel Surgery

Open carpal tunnel release

64721$358$604$1,04041

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.

Why Appendectomy Visit Costs Vary Across Hawaii

Hawaii's healthcare costs run approximately 16% above national averages, driven by the state's island isolation, high cost of living, and dependence on imported medical supplies and equipment. The concentration of advanced surgical facilities on Oahu creates access disparities for neighbor island residents who may need to travel for specialized care.

Urban vs. Rural Provider Availability

Oahu concentrates most of Hawaii's surgical specialists and advanced facilities, while neighbor islands like Maui, Kauai, and the Big Island have more limited options for non-emergency appendectomies. Inter-island medical transport adds significant costs for complex cases requiring specialized facilities, though most routine appendectomies can be performed on each major island. Rural and remote areas may require helicopter transport for emergency cases, covered by insurance but highlighting geographic access challenges.

Facility Type and Overhead Costs

Hospital-based surgical centers in Hawaii charge premium rates due to higher overhead costs related to importing supplies and maintaining 24/7 emergency capabilities across isolated locations. Independent surgery centers often offer lower facility fees but may have limited availability for emergency procedures, making hospital-based care necessary for urgent appendectomies. Major health systems like Hawaii Pacific Health and Kaiser Permanente dominate the market, with their facility fees reflecting the costs of maintaining comprehensive services across multiple islands.

Insurance Market Competition in Hawaii

HMSA (Blue Cross Blue Shield) maintains the largest market share in Hawaii, followed by UHC and Kaiser Permanente, creating a relatively concentrated insurance market with limited competition. This concentration can lead to higher negotiated rates with providers, though the state's small population and geographic isolation limit the number of insurers willing to enter the market. Kaiser operates as an integrated system with its own facilities and providers, often offering different pricing structures than traditional insurance models.

Physician Supply and Demand in Hawaii

With 75 active Appendectomy providers serving Hawaii's population of 1.4 million, the state maintains adequate surgical capacity for routine cases but may face constraints during peak tourist seasons or emergency situations. The limited number of specialists relative to the geographic spread across islands can create scheduling challenges for non-urgent procedures, particularly on neighbor islands. Many surgeons split time between islands or maintain privileges at multiple facilities to serve the distributed population, which can affect availability and pricing.

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 Hawaii

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

Without insurance, appendectomy costs in Hawaii range from $80 to $1,376, with a median cost of $846 based on negotiated insurance rates that hospitals often use as baseline pricing. Self-pay patients may qualify for discounts of 30-50% off standard rates, and many Hawaii surgical centers offer payment plans to help manage costs. Emergency procedures may qualify for charity care programs at major health systems, while planned procedures allow time to shop for the most affordable in-network option.

Does Hawaii Medicaid cover Appendectomy visits?

Yes, Hawaii expanded Medicaid under the ACA, and the state's QUEST Integration program covers medically necessary appendectomies for eligible residents earning up to 138% of the federal poverty level. Coverage includes both emergency and planned appendectomy procedures when performed by Medicaid-participating providers. Prior authorization may be required for non-emergency cases, though emergency appendectomies receive immediate coverage approval due to their urgent nature.

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

Compare costs across different surgical facilities, as independent surgery centers often charge less than hospital-based facilities for planned procedures. Ask about self-pay discounts if you're uninsured, and verify that both the surgeon and facility are in-network with your insurance to avoid surprise bills. Community health centers and major health systems like Hawaii Pacific Health may offer sliding scale fees or financial assistance programs for qualifying patients.

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

For appendectomy, most cases are either emergency procedures requiring immediate surgery or urgent consultations leading to same-day surgery, rather than traditional consultation-then-procedure patterns. Emergency appendectomies typically include all associated evaluation costs within the surgical fee. Follow-up visits after appendectomy are usually brief wound checks or post-operative evaluations that cost significantly less than the initial surgical procedure, often $200-400 depending on complexity and provider type.

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

Yes, appendectomy procedures are qualified medical expenses eligible for HSA and FSA reimbursement, including surgeon fees, facility fees, anesthesia, and related medical costs. You can use these tax-advantaged accounts to pay deductibles, copays, and any out-of-pocket costs not covered by insurance. Keep all receipts and documentation for HSA/FSA reimbursement, as both emergency and planned appendectomies qualify as necessary medical treatments.

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

Telemedicine has limited application for appendectomy since the condition requires hands-on physical examination and immediate surgical intervention when diagnosed. However, post-operative follow-up visits may be conducted via telehealth for routine wound checks and recovery monitoring, potentially reducing costs and travel time between islands. Hawaii's geographic challenges make telehealth particularly valuable for post-surgical care, allowing outer island patients to connect with Oahu-based specialists without costly inter-island travel.

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