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Ohio

Cost of a Appendectomy Visit
in Ohio

Reviewed by Momentary Medical Group West PC

Ohio's healthcare market features over 4,300 active laparoscopic appendectomy providers across major health systems like Cleveland Clinic and OhioHealth, creating competitive pricing that runs approximately 13% below national averages. Patients typically pay between $355 and $1,185 for laparoscopic appendectomy procedures, with a median cost of $660. The state's expanded Medicaid program and strong insurer competition from Medical Mutual, Anthem, and UnitedHealthcare help keep costs manageable for most residents seeking appendectomy care throughout Ohio's diverse urban and rural communities.

Average

$733

Median

$660

Lowest

$355

Highest

$1,185

Providers

4,341

National avg: $861Ohio: $733

15% below national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$848$1,471$2,4913,206
Hip Replacement

Total hip replacement (arthroplasty)

27130$85$1,415$2,4913,692
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$335$613$1,0873,282
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$338$585$9833,234
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$85$667$1,1854,653
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$85$917$1,5973,541
Septoplasty

Nasal septum repair

30520$357$592$1,1163,245
Tonsillectomy

Tonsillectomy, primary or secondary

42820$85$297$5593,518
Inguinal Hernia Repair

Inguinal hernia repair

49505$328$547$1,0393,201
Mastectomy

Partial or simple mastectomy

19301$303$598$1,1753,266
Carpal Tunnel Surgery

Open carpal tunnel release

64721$268$453$7973,211

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 Ohio

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

5/5
93% would recommend661 patient surveys
5/5
93% would recommend252 patient surveys
5/5
87% would recommend209 patient surveys
5/5
85% would recommend414 patient surveys
5/5
84% would recommend141 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 Ohio

Ohio's surgical costs run approximately 13% below national averages, reflecting the state's moderate cost of living and competitive healthcare market spanning from major metropolitan areas to rural farming communities. The presence of world-renowned health systems like Cleveland Clinic alongside numerous community hospitals creates pricing pressure that benefits patients seeking appendectomy procedures.

Urban vs. Rural Provider Availability

Ohio's major metropolitan areas including Columbus, Cleveland, and Cincinnati offer abundant surgical options with competitive pricing, while rural counties may have limited local access requiring travel to regional medical centers. This geographic disparity can add transportation costs but often results in lower facility fees at smaller community hospitals.

Facility Type and Overhead Costs

Hospital-based outpatient surgical departments in Ohio typically charge 20-40% more than independent ambulatory surgery centers due to higher overhead and staffing costs. Major health systems like OhioHealth and Mercy Health operate extensive networks that can offer standardized pricing across multiple locations.

Insurance Market Competition in Ohio

The balanced competition between Medical Mutual, Anthem, and UnitedHealthcare prevents any single insurer from dominating rate negotiations, resulting in relatively favorable pricing for appendectomy procedures. This multi-payer environment encourages providers to maintain competitive rates to secure broad network participation.

Physician Supply and Demand in Ohio

With over 4,300 providers offering laparoscopic appendectomy services, Ohio maintains adequate surgical capacity relative to its population of 11.8 million residents. This healthy provider-to-patient ratio helps control costs and reduces wait times for non-emergency appendectomy procedures.

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 Ohio

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

Uninsured patients in Ohio can expect to pay between $355 and $1,185 for laparoscopic appendectomy procedures, with a median cost of $660. Many facilities offer significant self-pay discounts of 30-40% off standard rates, and payment plans are widely available. Community hospitals and ambulatory surgery centers typically offer the most affordable options for cash-paying patients.

Does Ohio Medicaid cover Appendectomy visits?

Yes, Ohio's expanded Medicaid program fully covers medically necessary appendectomy procedures with minimal patient cost-sharing, typically just small copays for emergency room visits if applicable. The program maintains a robust network of qualified general surgeons throughout the state. Emergency appendectomy procedures are covered immediately without prior authorization requirements.

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

Compare costs between ambulatory surgery centers and hospital outpatient departments, as surgery centers often charge 20-40% less for the same procedure. Ask about self-pay discounts if uninsured, and consider community health system facilities which typically offer lower rates than academic medical centers. Rural facilities may offer lower base rates but factor in travel costs and recovery logistics.

What is the difference in cost between an initial consultation and a follow-up visit?

Initial surgical consultations for appendectomy evaluation typically cost $200-400, while post-operative follow-up visits range from $100-200 depending on complexity and wound care needs. Emergency consultations through the ER involve additional facility fees but are usually covered at higher benefit levels by insurance. Most appendectomy cases require 1-2 follow-up visits for optimal recovery monitoring.

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

Yes, appendectomy procedures and related consultations qualify as eligible medical expenses for both HSA and FSA accounts under IRS guidelines. This includes surgeon fees, facility costs, anesthesia, and related diagnostic imaging. Keep all receipts and documentation for reimbursement, as these accounts can significantly reduce your out-of-pocket costs through pre-tax savings.

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

While initial appendectomy consultations must be in-person due to the need for physical examination, some Ohio surgeons offer telehealth follow-up visits for post-operative care at reduced costs of $75-150. Pre-operative consultations may sometimes be conducted via telemedicine for routine cases, though emergency appendicitis always requires immediate in-person evaluation. Telehealth options are most useful for routine follow-up care and wound monitoring.

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