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Oregon

Cost of a Appendectomy Visit
in Oregon

Reviewed by Momentary Medical Group West PC

Oregon's healthcare system operates at approximately 9% above national cost averages, with Medicaid expansion helping to stabilize pricing across the state's diverse geographic regions. For patients requiring a laparoscopic appendectomy, costs typically range from $80 to $1,616, with a median rate of $745. With 366 active appendectomy providers throughout Oregon, patients have substantial options for finding quality surgical care in both urban centers and rural communities.

Average

$814

Median

$745

Lowest

$80

Highest

$1,616

Providers

366

National avg: $861Oregon: $814

6% below national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$1,116$2,114$3,635165
Hip Replacement

Total hip replacement (arthroplasty)

27130$90$1,921$3,637201
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$85$803$1,687188
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$80$763$1,591250
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$80$751$1,770326
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$85$1,271$3,201186
Septoplasty

Nasal septum repair

30520$80$843$1,641243
Tonsillectomy

Tonsillectomy, primary or secondary

42820$85$413$774176
Inguinal Hernia Repair

Inguinal hernia repair

49505$440$758$1,399156
Mastectomy

Partial or simple mastectomy

19301$85$934$1,746180
Carpal Tunnel Surgery

Open carpal tunnel release

64721$90$643$1,930170

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.

Why Appendectomy Visit Costs Vary Across Oregon

Oregon's healthcare costs run approximately 9% above national averages, reflecting the state's higher cost of living and concentrated provider networks in major metropolitan areas. The state's unique geography, with dense urban populations along the I-5 corridor and sparse rural communities east of the Cascades, creates significant cost and access disparities for surgical services.

Urban vs. Rural Provider Availability

Portland's metro area concentrates the majority of Oregon's surgical specialists, creating competitive pricing in the urban core while rural areas often face provider shortages and higher costs due to limited competition. Eastern Oregon communities frequently require patients to travel significant distances for specialized surgical care, adding transportation costs to the overall expense. Some rural hospitals offer telemedicine consultations to reduce travel requirements for initial evaluations.

Facility Type and Overhead Costs

Hospital-based outpatient surgery in Oregon typically costs 40-60% more than procedures performed at independent ambulatory surgery centers due to higher facility fees and overhead expenses. Major health systems like OHSU and Legacy Health operate numerous locations throughout the Portland area, while smaller independent practices often offer more competitive pricing structures. Rural hospitals may charge premium rates due to lower patient volumes and higher per-case overhead costs.

Insurance Market Competition in Oregon

The presence of major insurers including Regence BCBS, PacificSource, and UHC creates moderate competition that helps control negotiated rates for surgical procedures. Oregon's state insurance exchange offers additional plan options, though rural areas often have fewer carrier choices than urban markets. Limited insurer competition in some regions can result in higher negotiated rates and reduced provider network options.

Physician Supply and Demand in Oregon

With 366 active appendectomy providers serving the state, Oregon maintains adequate surgical capacity in urban areas but faces shortages in rural regions. This distribution pattern creates pricing pressures where urban competition drives down costs while rural scarcity can increase rates. Wait times for non-emergency procedures tend to be shorter in Portland and Salem compared to eastern Oregon communities.

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 Oregon

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

Uninsured patients in Oregon can expect to pay between $80 and $1,616 for laparoscopic appendectomy, with a median cost of $745 based on negotiated insurance rates. Many Oregon surgical centers offer cash-pay discounts of 30-50% off standard rates for uninsured patients. Payment plans and financial assistance programs are commonly available to help manage these substantial costs.

Does Oregon Medicaid cover Appendectomy visits?

Yes, Oregon's expanded Medicaid program covers appendectomy procedures as essential medical services with minimal or no patient cost-sharing. Emergency appendectomies are fully covered, and elective procedures require prior authorization but are typically approved when medically necessary. Medicaid expansion has significantly improved access to surgical care for lower-income Oregon residents.

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

Compare costs across Oregon's 366 appendectomy providers by checking both hospital-based and independent surgical centers, as prices can vary by over $1,500 for the same procedure. Ask about self-pay discounts, payment plans, and consider traveling to areas with lower facility fees if time permits. Community health centers and rural hospitals sometimes offer more competitive pricing than urban facilities.

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

Initial surgical consultations typically cost significantly more than follow-up visits, as they involve comprehensive evaluation and treatment planning. Emergency consultations for suspected appendicitis may bypass typical consultation fees and proceed directly to surgical intervention. Follow-up visits after appendectomy are usually brief wound checks with substantially lower fees than the initial evaluation.

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

Yes, both HSA and FSA funds can be used to pay for appendectomy consultations, procedures, and related medical expenses as they qualify as necessary medical care. Keep all receipts and documentation for tax purposes, including facility fees, surgeon fees, and anesthesia costs. Pre-tax medical savings accounts provide significant tax advantages for surgical procedures with high out-of-pocket costs.

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

Telemedicine consultations for surgical evaluation typically cost 50-70% less than in-person visits, though physical examination is usually required for appendectomy assessment. Oregon providers increasingly use telehealth for pre-operative consultations and post-surgical follow-up care to reduce patient costs and travel requirements. Emergency appendicitis symptoms still require immediate in-person evaluation and cannot be adequately assessed through telemedicine alone.

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