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Indiana

Cost of a Appendectomy Visit
in Indiana

Reviewed by Momentary Medical Group West PC

Indiana's healthcare costs run approximately 6% below national averages, reflecting the state's lower cost of living and competitive provider market. Appendectomy patients typically pay between $80 and $1,805, with a median out-of-pocket cost of $757. With 411 active Appendectomy providers across Indiana, patients can browse all available specialists to find quality care that fits their budget.

Average

$881

Median

$757

Lowest

$80

Highest

$1,805

Providers

411

National avg: $861Indiana: $881

2% above national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$90$1,720$4,087257
Hip Replacement

Total hip replacement (arthroplasty)

27130$85$1,619$3,549291
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$70$669$1,385294
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$90$663$1,642260
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$80$827$1,834351
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$85$1,104$2,719294
Septoplasty

Nasal septum repair

30520$90$683$1,472250
Tonsillectomy

Tonsillectomy, primary or secondary

42820$85$347$649274
Inguinal Hernia Repair

Inguinal hernia repair

49505$90$627$1,448250
Mastectomy

Partial or simple mastectomy

19301$85$774$1,818273
Carpal Tunnel Surgery

Open carpal tunnel release

64721$291$559$1,070246

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 Indiana

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

5/5
91% would recommend137 patient surveys
ORTHOINDY HOSPITAL

INDIANAPOLIS, IN

5/5
90% would recommend490 patient surveys
5/5
88% would recommend149 patient surveys
PINNACLE HOSPITAL

CROWN POINT, IN

5/5
84% would recommend114 patient surveys
5/5
81% would recommend137 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 Indiana

Indiana's healthcare costs run about 6% below national averages, driven by lower facility overhead and moderate physician supply across most specialties. The state's mix of urban centers and rural communities creates distinct pricing patterns, with Indianapolis commanding premium rates while smaller cities offer more competitive surgical pricing.

Urban vs. Rural Provider Availability

Indianapolis and Fort Wayne concentrate most of Indiana's surgical specialists, creating higher demand and pricing in these metro areas. Rural counties often have limited local surgical options, requiring patients to travel to regional centers for appendectomy procedures. This geographic disparity affects both access and cost, with rural patients sometimes paying more due to limited competition.

Facility Type and Overhead Costs

Indiana's growing ambulatory surgery center market provides cost-effective alternatives to traditional hospital-based procedures. Major health systems like Indiana University Health and Community Health Network operate extensive hospital networks with higher overhead costs reflected in their pricing. Independent surgery centers typically offer more transparent pricing and lower facility fees for routine appendectomies.

Insurance Market Competition in Indiana

Anthem dominates Indiana's individual market while UHC and MDwise compete primarily in employer-sponsored plans, creating moderate competition that keeps negotiated rates reasonable. The state's insurance market is more competitive than neighboring states, helping maintain the below-national-average cost structure. Rural areas may have fewer insurer options, potentially affecting negotiated rates with local providers.

Physician Supply and Demand in Indiana

With 411 active Appendectomy providers statewide, Indiana maintains adequate surgical capacity relative to its population of 6.8 million residents. This healthy supply-to-demand ratio helps prevent the pricing premiums seen in physician shortage areas. Most providers are concentrated in urban areas, but the overall supply adequacy keeps wait times reasonable and pricing competitive across the state.

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 Indiana

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

Without insurance, appendectomy procedures in Indiana range from $80 to $1,805, with a median cost of $757. These rates represent negotiated amounts between insurers and providers, so uninsured patients may face different pricing. Many providers offer self-pay discounts that can significantly reduce these amounts for cash-paying patients.

Does Indiana Medicaid cover Appendectomy visits?

Indiana Medicaid covers medically necessary appendectomy procedures, but the state has not expanded Medicaid coverage. This means many low-income adults may not qualify for Medicaid unless they fall into specific categories like pregnancy, disability, or have dependent children. Those who do qualify receive full coverage for emergency appendectomy procedures at participating hospitals.

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

Compare costs across different facility types, as ambulatory surgery centers often charge less than hospital-based facilities. Ask about self-pay discounts if you're uninsured, and consider community health systems that may offer sliding scale fees. Indiana's competitive provider market means shopping around can result in significant savings, especially for non-emergency consultations.

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

Initial surgical consultations typically cost more than follow-up visits due to the comprehensive evaluation required. However, most appendectomy cases are urgent or emergent, bypassing the typical consultation process. When consultation visits do occur, they usually range from $200-400, while brief follow-up visits cost $100-200, though actual costs depend on your insurance coverage and the specific provider.

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

Yes, appendectomy procedures and related consultations qualify as eligible medical expenses for both HSA and FSA accounts. This includes the surgeon's fees, facility charges, anesthesia costs, and any necessary pre-operative testing. Keep all receipts and documentation, as you'll need these for reimbursement or to justify HSA withdrawals for tax purposes.

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

Telemedicine has limited application for appendectomy care since the condition typically requires physical examination and urgent surgical intervention. However, some surgeons offer virtual follow-up visits after surgery, which cost less than in-person appointments. Indiana expanded telemedicine coverage during the pandemic, and many insurers now cover virtual consultations at rates similar to office visits, typically $75-150 for follow-up care.

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