Cost of a Appendectomy Visit
in Massachusetts
Reviewed by Momentary Medical Group West PC
Massachusetts leads the nation with the highest percentage of insured residents at 97.5%, yet laparoscopic appendectomy costs still vary dramatically across the state. Patients typically pay between $80 and $2,485 for this procedure, with negotiated rates showing a median of $834 among the 1,368 active providers. Massachusetts maintains one of the densest concentrations of specialized surgical providers in the country, giving patients access to browse all appendectomy providers throughout the Commonwealth.
Average
$1,133
Median
$834
Lowest
$80
Highest
$2,485
Providers
1,368
32% above national average
Compare Similar Procedures
How does appendectomy (laparoscopic) compare to related procedures in Massachusetts?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $1,061 | $2,196 | $6,051 | 1,004 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $80 | $2,012 | $6,060 | 1,302 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $403 | $935 | $2,078 | 1,014 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $438 | $892 | $2,410 | 1,023 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $476 | $1,057 | $2,717 | 1,072 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $710 | $1,297 | $3,890 | 1,012 |
| Septoplasty Nasal septum repair | 30520 | $456 | $1,001 | $2,788 | 1,010 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $219 | $455 | $1,237 | 1,012 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $397 | $834 | $2,168 | 1,003 |
| Mastectomy Partial or simple mastectomy | 19301 | $350 | $988 | $2,408 | 1,009 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $338 | $721 | $1,957 | 1,008 |
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 Massachusetts
These hospitals in Massachusetts are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
GREAT BARRINGTON, MA
BOSTON, MA
OAK BLUFFS, MA
BOSTON, MA
BOSTON, MA
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 Massachusetts
Massachusetts surgical costs run approximately 20% above national averages, driven by the state's concentration of prestigious academic medical centers and high cost of living throughout the greater Boston area. The Commonwealth's healthcare market represents one of the most mature and regulated environments in the country, with sophisticated price transparency requirements and strong provider consolidation.
Urban vs. Rural Provider Availability
Boston's medical district houses multiple world-renowned hospitals within a few square miles, creating intense competition and premium pricing for surgical services. Rural areas of western Massachusetts and Cape Cod rely on community hospitals with generally lower facility fees but potentially longer wait times for non-emergency procedures. The state's compact geography means most residents remain within an hour's drive of multiple surgical options.
Facility Type and Overhead Costs
Academic medical centers like Massachusetts General and Brigham and Women's command higher rates due to their teaching hospital status and research overhead costs. Independent surgical centers and community hospitals typically offer the same laparoscopic appendectomy services at 30-40% lower facility fees. Partners HealthCare's dominance in the Boston market has historically driven higher negotiated rates with insurers.
Insurance Market Competition in Massachusetts
Three major insurers - BCBS MA, Tufts Health Plan, and Harvard Pilgrim - control roughly 75% of the commercial market, creating moderate competition that keeps rates elevated but stable. The state's sophisticated regulatory environment through the Health Policy Commission monitors healthcare cost growth and provider consolidation. Massachusetts's early healthcare reform experience has created mature insurer-provider relationships with established rate structures.
Physician Supply and Demand in Massachusetts
With 1,368 providers offering laparoscopic appendectomy services, Massachusetts maintains one of the highest surgeon-to-population ratios in the nation. This abundant supply should theoretically moderate pricing, but the state's reputation for medical excellence attracts patients from across New England, maintaining steady demand. The concentration of medical schools and residency programs creates a continuous pipeline of surgeons, though many gravitate toward the higher-paying Boston market.
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 Massachusetts
What is the average cost of a Appendectomy visit in Massachusetts without insurance?
Does Massachusetts Medicaid cover Appendectomy visits?
How do I find an affordable Appendectomy near me in Massachusetts?
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 Massachusetts?
How does telemedicine affect the cost of seeing a Appendectomy in Massachusetts?
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 |