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
1% below national average
Compare Similar Procedures
How does appendectomy (laparoscopic) compare to related procedures in New Jersey?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $952 | $1,422 | $4,588 | 6,486 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $953 | $1,424 | $4,590 | 6,528 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $364 | $625 | $1,380 | 6,526 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $412 | $578 | $1,845 | 6,494 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $388 | $664 | $1,827 | 6,521 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $627 | $1,045 | $2,093 | 6,519 |
| Septoplasty Nasal septum repair | 30520 | $406 | $566 | $1,411 | 6,484 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $170 | $273 | $833 | 6,523 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $309 | $475 | $1,435 | 6,484 |
| Mastectomy Partial or simple mastectomy | 19301 | $314 | $558 | $1,446 | 6,513 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $265 | $519 | $2,119 | 6,490 |
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 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 New Jersey
These hospitals in New Jersey are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
BROWNS MILLS, NJ
MORRISTOWN, NJ
ENGLEWOOD, NJ
PLAINSBORO, NJ
PARAMUS, NJ
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.
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 New Jersey
What is the average cost of a Appendectomy visit in New Jersey without insurance?
Does New Jersey Medicaid cover Appendectomy visits?
How do I find an affordable Appendectomy near me in New Jersey?
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 New Jersey?
How does telemedicine affect the cost of seeing a Appendectomy in New Jersey?
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 |
