Cost of a Appendectomy Visit
in New York
Reviewed by Momentary Medical Group West PC
New York's healthcare system, dominated by massive hospital networks like NewYork-Presbyterian and NYU Langone, creates significant price variation for surgical procedures across the state's diverse geography. Patients needing a laparoscopic Appendectomy typically pay between $412 and $1,655, with a median out-of-pocket cost of $577 based on negotiated insurance rates. New York hosts over 31,000 active Appendectomy providers, giving patients extensive options when selecting a surgeon and facility for their procedure.
Average
$882
Median
$577
Lowest
$412
Highest
$1,655
Providers
31,025
2% above national average
Compare Similar Procedures
How does appendectomy (laparoscopic) compare to related procedures in New York?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $898 | $1,288 | $6,051 | 30,852 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $900 | $1,289 | $6,060 | 30,927 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $364 | $515 | $2,135 | 30,876 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $384 | $538 | $2,410 | 30,865 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $452 | $638 | $1,820 | 30,954 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $627 | $890 | $3,201 | 30,796 |
| Septoplasty Nasal septum repair | 30520 | $466 | $625 | $2,160 | 30,844 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $203 | $276 | $742 | 30,860 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $364 | $504 | $1,435 | 30,842 |
| Mastectomy Partial or simple mastectomy | 19301 | $452 | $609 | $2,642 | 30,775 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $320 | $622 | $1,963 | 30,846 |
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 York
These hospitals in New York are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
ELIZABETHTOWN, NY
SARANAC LAKE, NY
NEW YORK, NY
WALTON, NY
ROSLYN, NY
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 York
New York's healthcare costs run approximately 22% above national averages, driven by the state's high concentration of prestigious medical institutions and elevated operating expenses throughout the NYC metropolitan region. The Empire State's unique geography spans from densely populated urban centers to vast rural areas, creating dramatic variations in surgical access and pricing across different regions.
Urban vs. Rural Provider Availability
New York City and Long Island boast some of the nation's highest concentrations of board-certified surgeons, while rural counties in the North Country and Southern Tier may have limited local surgical options. Patients in remote areas often travel significant distances to Albany, Syracuse, or Buffalo for specialized laparoscopic procedures, potentially adding travel costs to their medical expenses. This geographic disparity creates pricing pressure in underserved regions while fostering intense competition among NYC-area providers.
Facility Type and Overhead Costs
Major health systems like NewYork-Presbyterian, NYU Langone, and Mount Sinai operate extensive networks of both hospital-based and ambulatory surgery centers throughout the state. Academic medical centers typically charge premium rates due to their teaching hospital status and research overhead, while community hospitals may offer more competitive pricing. Freestanding ambulatory surgery centers, particularly common in suburban areas, often provide the most cost-effective option for routine laparoscopic procedures.
Insurance Market Competition in New York
Empire BCBS dominates the individual market while UHC, Aetna, and Cigna compete heavily in the employer-sponsored segment, creating robust negotiated rate competition in most regions. The NYC metro area's highly consolidated provider market gives major health systems significant leverage in rate negotiations, contributing to above-average costs. Upstate markets tend to be less concentrated, potentially offering more competitive pricing for surgical procedures.
Physician Supply and Demand in New York
With over 31,000 active Appendectomy providers statewide, New York maintains one of the nation's highest surgeon-to-population ratios, particularly in metropolitan areas. This abundant supply helps keep wait times reasonable and creates competitive pressure on pricing in urban markets, though rural areas may still face access challenges. The concentration of providers around major medical schools and teaching hospitals contributes to New York's reputation for surgical excellence but also supports premium pricing structures.
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 York
What is the average cost of a Appendectomy visit in New York without insurance?
Does New York Medicaid cover Appendectomy visits?
How do I find an affordable Appendectomy near me in New York?
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 York?
How does telemedicine affect the cost of seeing a Appendectomy in New York?
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 |