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Maryland

Cost of a Appendectomy Visit
in Maryland

Reviewed by Momentary Medical Group West PC

Maryland's hospital rate-setting system creates more predictable pricing for surgical procedures across the state's healthcare facilities. Appendectomy patients in Maryland typically pay between $437 and $1,238 for laparoscopic procedures, with a median cost of $573 based on insurer-negotiated rates. The state's 4,028 active appendectomy providers offer patients extensive options across major metro areas and rural counties throughout Maryland.

Average

$750

Median

$573

Lowest

$437

Highest

$1,238

Providers

4,028

National avg: $861Maryland: $750

13% below national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$1,204$1,365$3,4753,921
Hip Replacement

Total hip replacement (arthroplasty)

27130$1,124$1,289$2,6673,950
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$477$581$1,0833,982
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$485$559$1,5913,923
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$545$633$1,3553,993
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$754$892$1,7794,051
Septoplasty

Nasal septum repair

30520$461$617$1,3953,925
Tonsillectomy

Tonsillectomy, primary or secondary

42820$226$271$6073,971
Inguinal Hernia Repair

Inguinal hernia repair

49505$381$498$1,0793,919
Mastectomy

Partial or simple mastectomy

19301$346$626$1,2923,976
Carpal Tunnel Surgery

Open carpal tunnel release

64721$318$419$9203,931

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 Maryland

Maryland's healthcare costs run approximately 13% above national averages, driven by proximity to high-cost Washington D.C. markets and Baltimore's concentration of specialty medical facilities. The state's unique hospital rate-setting authority creates more predictable pricing structures compared to free-market states.

Urban vs. Rural Provider Availability

Baltimore-Washington corridor concentrates most of Maryland's surgical specialists, while rural Eastern Shore and Western Maryland counties have limited local options for non-emergency procedures. Patients in rural areas often travel to suburban Baltimore or D.C. metro facilities, adding transportation costs to their total expense. Urban provider competition helps moderate pricing in metro areas while rural markets face limited competition.

Facility Type and Overhead Costs

Hospital-owned outpatient surgical centers dominate Maryland's appendectomy market, particularly within major health systems like Johns Hopkins and University of Maryland networks. These facilities typically charge higher overhead costs than independent surgery centers due to academic medical center affiliations and emergency department capabilities. Ambulatory surgery centers offer cost-effective alternatives for uncomplicated laparoscopic procedures.

Insurance Market Competition in Maryland

CareFirst BCBS maintains the largest market share in Maryland, with UHC and Aetna providing competitive alternatives in most counties. This three-way competition creates moderate negotiated rate pressure on providers, though less aggressive than in more competitive state markets. Rural counties may have limited insurer options, reducing competitive pressure on pricing.

Physician Supply and Demand in Maryland

Maryland's 4,028 active appendectomy providers indicate adequate surgical capacity for the state's population, concentrated heavily in Baltimore and Washington metro areas. This provider density supports competitive pricing in urban markets while rural areas face potential access challenges requiring travel to regional centers. Strong medical training programs at Johns Hopkins and University of Maryland help maintain adequate specialist supply.

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 Maryland

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

Uninsured patients in Maryland typically pay between $437 and $1,238 for laparoscopic appendectomy procedures, with a median cost of $573 based on negotiated insurance rates. Many providers offer self-pay discounts of 20-40% for upfront payment, potentially reducing these costs significantly. Payment plans are commonly available to help manage the financial burden of emergency surgical procedures.

Does Maryland Medicaid cover Appendectomy visits?

Yes, Maryland's expanded Medicaid program covers appendectomy procedures with minimal patient cost-sharing for emergency surgeries. Coverage extends to adults earning up to 138% of federal poverty level, including both emergency and medically necessary elective procedures. Prior authorization may be required for elective consultations, but emergency appendectomies receive immediate coverage approval.

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

Compare costs between hospital-owned surgical centers and independent ambulatory facilities, as independent centers often charge lower overhead fees. Many Maryland providers offer cash-pay discounts and payment plans for uninsured patients, particularly in competitive metro areas. Community health centers and federally qualified health centers provide sliding-scale surgical referrals for qualifying low-income patients.

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 comprehensive evaluation and treatment planning requirements. Emergency appendectomy consultations bypass the typical consultation process, moving directly to surgical intervention based on clinical presentation and imaging studies. Post-operative follow-up visits are generally brief and focus on wound healing and recovery progress.

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

Yes, appendectomy procedures qualify as eligible medical expenses for both HSA and FSA accounts under IRS guidelines. These tax-advantaged funds can cover surgeon fees, facility charges, anesthesia costs, and related medical expenses. Save receipts for all appendectomy-related expenses as documentation for HSA/FSA reimbursement claims.

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

Telemedicine has limited application for acute appendicitis evaluation, as physical examination and imaging studies are essential for diagnosis and surgical planning. Some post-operative follow-up visits may be conducted via telehealth for routine wound checks and recovery monitoring at reduced costs. Maryland providers increasingly offer telehealth consultations for chronic abdominal pain evaluation before determining if surgical consultation is necessary.

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