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Kentucky

Cost of a Appendectomy Visit
in Kentucky

Reviewed by Momentary Medical Group West PC

Kentucky's healthcare costs run approximately 5% below the national average, providing residents with relatively affordable access to specialized surgical care. Appendectomy procedures in the Bluegrass State typically range from $85 to $1,415, with a median cost of $776 based on negotiated insurance rates across 246 active providers. Kentucky patients can browse providers throughout the state's urban centers and rural communities to find quality laparoscopic appendectomy care that fits their budget and location preferences.

Average

$758

Median

$776

Lowest

$85

Highest

$1,415

Providers

246

National avg: $861Kentucky: $758

12% below national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$977$1,837$3,564148
Hip Replacement

Total hip replacement (arthroplasty)

27130$386$1,784$3,244179
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$85$676$1,313184
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$394$717$1,419153
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$90$837$1,539233
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$85$995$2,038191
Septoplasty

Nasal septum repair

30520$435$792$1,627149
Tonsillectomy

Tonsillectomy, primary or secondary

42820$85$357$679178
Inguinal Hernia Repair

Inguinal hernia repair

49505$396$673$1,220146
Mastectomy

Partial or simple mastectomy

19301$85$737$1,529182
Carpal Tunnel Surgery

Open carpal tunnel release

64721$340$565$1,957145

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 Kentucky

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

5/5
88% would recommend102 patient surveys
FLEMING COUNTY HOSPITAL

FLEMINGSBURG, KY

5/5
85% would recommend117 patient surveys
5/5
84% would recommend134 patient surveys
4/5
84% would recommend1,537 patient surveys
4/5
82% would recommend190 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 Kentucky

Kentucky's healthcare costs run about 5% below national averages, reflecting the state's lower cost of living and competitive insurance market. The state's mix of urban medical centers and rural hospitals creates varied pricing structures across different regions and facility types.

Urban vs. Rural Provider Availability

Kentucky's urban areas like Louisville and Lexington offer multiple surgical options with competitive pricing, while rural Appalachian regions may have fewer providers but often lower facility costs. The state's mountainous eastern regions sometimes require patients to travel longer distances for specialized surgical care. This geographic variation affects both access and pricing, with rural facilities often offering more affordable care but fewer amenities.

Facility Type and Overhead Costs

Hospital-owned surgical centers in Kentucky typically charge higher facility fees than independent ambulatory surgery centers, though they may offer more comprehensive emergency backup services. Major health systems like Baptist Health and Norton Healthcare have significant market presence, influencing regional pricing through their negotiated insurance rates. Independent surgical facilities often provide competitive pricing for routine appendectomies while maintaining high-quality care standards.

Insurance Market Competition in Kentucky

Strong competition among Anthem, UHC, and Humana in Kentucky's insurance market helps keep negotiated surgical rates competitive compared to more consolidated markets. The state's relatively balanced insurer market prevents any single company from dominating rate negotiations with healthcare providers. This competitive dynamic generally benefits patients through more reasonable pricing and broader provider networks for surgical care.

Physician Supply and Demand in Kentucky

With 246 active appendectomy providers across Kentucky, the state maintains adequate surgical capacity for most regions, though some rural areas experience surgeon shortages. This supply level indicates reasonable access to care without significant shortage-driven price inflation. Urban areas have sufficient competition among surgeons to maintain competitive pricing, while rural regions may have fewer options but often compensate with lower overhead costs.

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 Kentucky

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

Appendectomy procedures in Kentucky typically cost between $85 and $1,415 for uninsured patients, with a median cost of $776 based on negotiated insurance rates. Self-pay patients often receive discounts of 20-40% off these standard rates when paying upfront. Many Kentucky providers also offer payment plans or charity care programs to help make surgical care more affordable for uninsured residents.

Does Kentucky Medicaid cover Appendectomy visits?

Yes, Kentucky's expanded Medicaid program covers appendectomy procedures for eligible adults, including both emergency and elective cases when medically necessary. Coverage includes the surgical consultation, the procedure itself, anesthesia, and follow-up care when provided by participating Kentucky surgeons. Patients should verify that their chosen surgeon accepts Medicaid before scheduling to avoid unexpected costs.

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

Compare costs across different facility types, as independent surgical centers often charge less than hospital-based facilities for routine appendectomies. Ask about self-pay discounts, payment plans, and charity care programs if you're uninsured or underinsured. Community health centers and non-profit hospitals in Kentucky may offer sliding fee scales based on income, making surgical care more accessible for budget-conscious patients.

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

Initial appendectomy consultations typically cost more than follow-up visits, as they involve comprehensive evaluation and surgical planning. Emergency appendectomy consultations may have different billing structures than scheduled consultations, especially when performed in hospital emergency departments. Follow-up visits for post-surgical care are generally less expensive and focus on wound healing and recovery monitoring.

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

Yes, both HSA and FSA funds can be used for appendectomy consultations and surgical procedures in Kentucky, as these are qualified medical expenses under IRS guidelines. You can use these tax-advantaged accounts for surgeon fees, facility costs, anesthesia, and related medical expenses. Keep detailed receipts for all appendectomy-related expenses to substantiate your HSA or FSA usage for tax purposes.

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

While initial appendectomy evaluations typically require in-person examination due to the physical nature of surgical assessment, telemedicine may be used for certain follow-up visits or second opinions in Kentucky. Telehealth consultations generally cost less than in-person visits and may be covered by insurance for appropriate clinical scenarios. However, acute appendicitis evaluation and surgical planning usually necessitate hands-on examination and diagnostic imaging that requires in-person 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