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Idaho

Cost of a Appendectomy Visit
in Idaho

Reviewed by Momentary Medical Group West PC

Idaho's rural geography and limited specialist concentration create unique cost patterns for surgical procedures across the state's 44 counties. Patients seeking a laparoscopic Appendectomy in Idaho typically pay between $80 and $1,349, with a median negotiated rate of $719. With 182 active providers offering this procedure statewide, patients can browse all qualified surgeons and compare costs before scheduling their appendectomy.

Average

$716

Median

$719

Lowest

$80

Highest

$1,349

Providers

182

National avg: $861Idaho: $716

17% below national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$1,061$1,894$3,04978
Hip Replacement

Total hip replacement (arthroplasty)

27130$90$1,843$3,02393
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$85$797$1,348101
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$80$838$4,173201
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$80$738$1,480145
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$85$1,196$2,02196
Septoplasty

Nasal septum repair

30520$80$785$1,422122
Tonsillectomy

Tonsillectomy, primary or secondary

42820$85$388$67996
Inguinal Hernia Repair

Inguinal hernia repair

49505$438$690$1,19776
Mastectomy

Partial or simple mastectomy

19301$85$839$1,48493
Carpal Tunnel Surgery

Open carpal tunnel release

64721$90$581$1,03180

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 Idaho

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

5/5
90% would recommend272 patient surveys
5/5
86% would recommend108 patient surveys
5/5
85% would recommend520 patient surveys
5/5
72% would recommend188 patient surveys
4/5
89% would recommend355 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 Idaho

Idaho's surgical costs run approximately 3% below the national average, reflecting the state's lower overall cost of living and less concentrated healthcare market. The state's vast rural geography creates unique access challenges, with many patients traveling significant distances to reach qualified surgical facilities.

Urban vs. Rural Provider Availability

Most of Idaho's 182 appendectomy providers are concentrated in the Boise metropolitan area and other urban centers like Coeur d'Alene and Idaho Falls. Rural patients often face longer travel times and may encounter higher costs due to limited local competition and the need to use larger regional medical centers.

Facility Type and Overhead Costs

Hospital-based outpatient surgical centers typically charge more than independent ambulatory surgery centers due to higher overhead costs and staffing requirements. Idaho's major health systems like Saint Alphonsus and Kootenai Health operate most of the state's surgical facilities, which can affect pricing consistency across different regions.

Insurance Market Competition in Idaho

With Regence BlueCross and PacificSource holding significant market share, Idaho has moderate insurance competition compared to other western states. This concentrated market can affect negotiated rates, though the presence of multiple regional insurers helps maintain some price competition for surgical procedures.

Physician Supply and Demand in Idaho

Idaho's 182 active providers offering laparoscopic appendectomy represents adequate coverage for the state's population, though geographic distribution remains uneven. The concentration of surgeons in urban areas means rural patients may face longer wait times for non-emergency procedures and potentially higher costs due to limited local options.

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 Idaho

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

Uninsured patients in Idaho can expect to pay between $80 and $1,349 for a laparoscopic appendectomy consultation and procedure, with a median cost of $719. Many hospitals and surgical centers offer significant self-pay discounts, potentially reducing these costs by 30-50%. It's important to ask about charity care programs and payment plans, as Idaho healthcare facilities are required to provide financial assistance options for qualifying patients.

Does Idaho Medicaid cover Appendectomy visits?

Yes, Idaho Medicaid covers medically necessary appendectomy procedures following the state's Medicaid expansion in 2020. Coverage includes both emergency and planned appendectomy surgeries when performed by Medicaid-enrolled providers. Patients should verify that their chosen surgeon and facility accept Idaho Medicaid, as not all providers participate in the program.

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

Compare costs across different surgical facilities, as prices can vary significantly between hospital-based and independent surgery centers. Ask about self-pay discounts if you're uninsured, and consider community health centers for initial evaluation if you're experiencing non-acute symptoms. Rural patients may need to factor in travel costs when comparing options between local and urban facilities.

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

Initial surgical consultations for potential appendectomy typically cost more than follow-up visits, though emergency appendectomy often bypasses the consultation phase entirely. Pre-operative consultations may range from $200-400, while post-operative follow-up visits usually cost $100-200. Many surgeons include several follow-up visits in their global surgical fee, so clarify what's included in your quoted price.

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

Yes, appendectomy procedures and related consultations qualify as eligible medical expenses for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). This includes pre-operative consultations, the surgical procedure itself, anesthesia fees, and post-operative follow-up care. Keep all receipts and documentation for reimbursement or direct payment from your HSA/FSA account.

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

While telemedicine can be useful for post-operative follow-up visits, appendectomy procedures require in-person evaluation and surgery. Some surgeons offer virtual consultations for second opinions or pre-operative discussions, which typically cost less than in-person visits. Idaho has expanded telehealth coverage since 2020, making virtual follow-up care more accessible for rural patients who live far from their surgeon.

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