Cost of a Appendectomy Visit
in Illinois
Reviewed by Momentary Medical Group West PC
Illinois's healthcare market, concentrated heavily in the Chicago metropolitan area with costs running approximately 10% above national averages, presents unique pricing dynamics for surgical procedures. Appendectomy patients in the Prairie State typically pay between $85 and $1,654 for laparoscopic procedures, with a median cost of $857. With over 6,800 active providers offering appendectomy services across Illinois, patients can browse comprehensive options from major academic medical centers in Chicago to community hospitals throughout the state.
Average
$865
Median
$857
Lowest
$85
Highest
$1,654
Providers
6,834
1% above national average
Compare Similar Procedures
How does appendectomy (laparoscopic) compare to related procedures in Illinois?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $85 | $1,778 | $3,789 | 4,831 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $85 | $1,664 | $3,707 | 4,966 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $418 | $694 | $1,200 | 3,854 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $90 | $655 | $1,895 | 4,839 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $85 | $943 | $1,984 | 4,987 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $85 | $1,214 | $2,665 | 5,065 |
| Septoplasty Nasal septum repair | 30520 | $512 | $683 | $1,289 | 3,659 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $253 | $339 | $596 | 3,648 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $90 | $707 | $1,569 | 4,730 |
| Mastectomy Partial or simple mastectomy | 19301 | $90 | $740 | $1,846 | 4,743 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $372 | $594 | $1,070 | 3,849 |
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.
Top-Rated Hospitals in Illinois
These hospitals in Illinois are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
GALENA, IL
CARTHAGE, IL
GIBSON CITY, IL
MONMOUTH, IL
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 Illinois
Illinois healthcare costs run approximately 10% above national averages, driven primarily by the concentration of high-cost academic medical centers in Chicago and limited competition in rural markets downstate. The state's economic disparity between the prosperous Chicago metropolitan area and struggling rural counties creates significant variation in both provider availability and pricing power across different regions.
Urban vs. Rural Provider Availability
Chicago's dense concentration of major medical centers, including Northwestern, University of Chicago, and Rush University, creates abundant appendectomy options but also drives higher facility costs due to academic hospital overhead. Rural Illinois counties often have limited surgical capacity, with patients sometimes traveling hours to reach qualified laparoscopic surgeons, reducing competitive pricing pressure. The disparity between Cook County's provider density and rural areas like southern Illinois creates significant access and cost variations across the state.
Facility Type and Overhead Costs
Illinois's hospital market includes numerous high-cost academic medical centers, particularly in Chicago, which typically charge premium rates for appendectomy procedures due to teaching hospital overhead and advanced technology investments. Independent surgery centers and community hospitals throughout Illinois often provide the same laparoscopic appendectomy services at substantially lower facility fees. Major health systems like Northwestern Medicine, Advocate Health Care, and OSF HealthCare dominate their respective regional markets, influencing local pricing dynamics.
Insurance Market Competition in Illinois
The Illinois insurance market features moderate competition with Blue Cross Blue Shield of Illinois holding significant market share alongside national players like UnitedHealthcare and Aetna. This competitive landscape allows insurers to negotiate varying rates with different hospital systems, creating the wide cost range patients experience for identical procedures. Rural Illinois markets often have fewer insurer options, potentially leading to less aggressive rate negotiations and higher costs for patients in those areas.
Physician Supply and Demand in Illinois
With over 6,800 providers offering appendectomy services across Illinois, the state maintains adequate surgical capacity in most regions, though distribution heavily favors the Chicago metropolitan area. This substantial provider network suggests healthy competition in urban markets, helping to moderate pricing despite high facility costs. Rural areas of Illinois face surgeon shortages, particularly for specialized laparoscopic procedures, which can drive longer wait times for non-emergency cases and reduce patients' ability to shop for competitive pricing.
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 Illinois
What is the average cost of a Appendectomy visit in Illinois without insurance?
Does Illinois Medicaid cover Appendectomy visits?
How do I find an affordable Appendectomy near me in Illinois?
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 Illinois?
How does telemedicine affect the cost of seeing a Appendectomy in Illinois?
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 |