Logo
New Jersey

Cost of a Appendectomy Visit
in New Jersey

Reviewed by Momentary Medical Group West PC

New Jersey's dense healthcare infrastructure, with over 70 hospitals serving the nation's most densely populated state, creates competitive pricing for surgical procedures like appendectomy. Patients typically pay between $340 and $1,669 for a laparoscopic appendectomy, with a median negotiated rate of $546 based on transparency data from major insurers. With 6,585 active providers offering appendectomy services across the state, patients can browse all providers in New Jersey to find the most cost-effective option.

Average

$852

Median

$546

Lowest

$340

Highest

$1,669

Providers

6,585

National avg: $861New Jersey: $852

1% below national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$952$1,422$4,5886,486
Hip Replacement

Total hip replacement (arthroplasty)

27130$953$1,424$4,5906,528
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$364$625$1,3806,526
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$412$578$1,8456,494
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$388$664$1,8276,521
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$627$1,045$2,0936,519
Septoplasty

Nasal septum repair

30520$406$566$1,4116,484
Tonsillectomy

Tonsillectomy, primary or secondary

42820$170$273$8336,523
Inguinal Hernia Repair

Inguinal hernia repair

49505$309$475$1,4356,484
Mastectomy

Partial or simple mastectomy

19301$314$558$1,4466,513
Carpal Tunnel Surgery

Open carpal tunnel release

64721$265$519$2,1196,490

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 New Jersey

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

4/5
84% would recommend907 patient surveys
3/5
81% would recommend2,632 patient surveys
3/5
78% would recommend1,326 patient surveys
3/5
77% would recommend343 patient surveys
VALLEY HOSPITAL

PARAMUS, NJ

3/5
76% would recommend1,308 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 New Jersey

New Jersey's healthcare costs run approximately 17% above the national average, driven by the state's high cost of living, dense population, and concentration of major medical centers. The proximity to New York City creates wage pressures that elevate healthcare staffing costs throughout northern counties.

Urban vs. Rural Provider Availability

Northern New Jersey's urban corridor from Newark to Jersey City features numerous hospital systems and surgical specialists, creating competitive pricing dynamics. Southern and western counties have fewer surgical options, potentially requiring longer travel distances but sometimes offering more competitive rates. The state's small geographic footprint means most residents can access multiple provider options within reasonable driving distances.

Facility Type and Overhead Costs

Major health systems like RWJBarnabas Health, Hackensack Meridian Health, and Atlantic Health System operate numerous hospitals with varying cost structures across New Jersey. Academic medical centers such as Robert Wood Johnson University Hospital command premium rates, while community hospitals and ambulatory surgery centers often provide more cost-effective options. Hospital-owned surgical practices typically carry higher overhead costs than independent physician groups.

Insurance Market Competition in New Jersey

The concentration of major insurers including Horizon Blue Cross Blue Shield, Aetna, and UnitedHealthcare creates moderate competition but also significant market power for rate negotiations. Horizon's dominant position as the state's largest insurer influences pricing across many provider networks. The relatively limited insurer competition compared to larger states can result in less aggressive rate competition.

Physician Supply and Demand in New Jersey

With 6,585 providers offering appendectomy services, New Jersey maintains adequate surgical capacity relative to its population density. This supply level suggests reasonable competition among providers, though emergency nature of many appendectomies limits price shopping opportunities. The concentration of medical schools and residency programs helps maintain steady physician supply, supporting competitive pricing in non-emergency situations.

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 New Jersey

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

Without insurance, laparoscopic appendectomy costs in New Jersey range from $340 to $1,669, with a median rate of $546 based on negotiated insurance rates. Self-pay patients often receive discounts of 20-40% off standard charges, and many hospitals offer payment plans. Emergency procedures may carry additional facility fees and anesthesia costs beyond the surgical fee.

Does New Jersey Medicaid cover Appendectomy visits?

Yes, New Jersey Medicaid covers medically necessary appendectomy procedures as the state expanded Medicaid under the Affordable Care Act. Coverage includes both emergency and elective appendectomies when clinically indicated, though patients may need to use in-network providers. Prior authorization may be required for certain imaging studies but not for emergency appendectomy procedures.

How do I find an affordable Appendectomy near me in New Jersey?

Compare costs across different hospital systems, as rates can vary significantly between academic medical centers and community hospitals. Consider ambulatory surgery centers for elective procedures, which often offer competitive pricing. Ask about self-pay discounts and payment plans, and verify both surgeon and facility are in your insurance network to avoid surprise bills.

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, though emergency appendicitis evaluations are often billed as part of the overall surgical package. Follow-up appointments for wound checks and recovery assessment usually involve standard office visit fees. The $546 median cost reflects the surgical procedure itself rather than consultation fees.

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

Yes, appendectomy procedures and related consultations qualify as eligible medical expenses for both Health Savings Accounts and Flexible Spending Accounts. This includes surgeon fees, facility costs, anesthesia, and related medical supplies. Keep all receipts and documentation for HSA/FSA reimbursement purposes, as these accounts can provide significant tax savings for surgical expenses.

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

Telemedicine is limited for appendectomy care since diagnosis typically requires physical examination and urgent surgical intervention. Some surgeons offer virtual follow-up appointments after surgery, which may cost less than in-person visits. Pre-operative consultations for elective procedures might include telehealth components, but acute appendicitis requires immediate in-person evaluation and treatment.

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