Cost of a Appendectomy Visit
in Rhode Island
Reviewed by Momentary Medical Group West PC
Rhode Island's small but concentrated healthcare market results in Appendectomy costs running approximately 13% above national averages, with patients typically paying between $80 and $1,751 for laparoscopic appendectomy procedures. The Ocean State maintains 79 active Appendectomy providers across its compact geography, creating reasonable access despite higher regional pricing. Patients can browse all providers throughout Rhode Island to compare costs and find in-network options that fit their insurance coverage.
Average
$905
Median
$884
Lowest
$80
Highest
$1,752
Providers
79
5% above national average
Compare Similar Procedures
How does appendectomy (laparoscopic) compare to related procedures in Rhode Island?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $1,136 | $2,323 | $6,051 | 57 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $80 | $1,978 | $6,060 | 74 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $448 | $960 | $2,135 | 58 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $452 | $895 | $2,410 | 58 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $91 | $1,006 | $1,921 | 66 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $85 | $1,277 | $3,201 | 60 |
| Septoplasty Nasal septum repair | 30520 | $555 | $1,052 | $2,160 | 56 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $239 | $441 | $742 | 58 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $440 | $858 | $1,521 | 57 |
| Mastectomy Partial or simple mastectomy | 19301 | $509 | $1,087 | $2,642 | 61 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $364 | $877 | $1,957 | 58 |
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.
Why Appendectomy Visit Costs Vary Across Rhode Island
Rhode Island's healthcare costs run approximately 13% above national averages, reflecting the state's high cost of living and concentrated provider market within a small geographic area. The Ocean State's compact size creates unique dynamics where most residents can access Providence-area medical centers, but limited competition can drive up pricing across all provider types.
Urban vs. Rural Provider Availability
Rhode Island's urban concentration around Providence and the Blackstone Valley provides abundant surgical options, while rural western counties like Washington County have fewer local providers and longer travel times to major medical centers. The state's small size means that rural residents can typically reach urban surgical centers within 45 minutes, but this geographic concentration can limit competitive pricing in outlying areas. Coastal communities around Newport and South County often rely on Providence-area facilities for complex surgical procedures like appendectomy.
Facility Type and Overhead Costs
Hospital-based outpatient surgical centers in Rhode Island typically charge premium rates due to higher overhead costs and facility fees compared to independent ambulatory surgery centers. Major health systems like Lifespan and Care New England dominate the market, with their hospital-owned facilities often commanding higher negotiated rates with insurers. Independent surgical centers and physician-owned facilities may offer more competitive pricing but have less market presence throughout the state.
Insurance Market Competition in Rhode Island
The state's insurance market is heavily concentrated among BCBS RI, UHC, and Tufts, with BCBS RI holding dominant market share that can influence negotiated rates with providers. Limited insurer competition means fewer plan options for consumers and potentially less aggressive rate negotiations compared to more competitive state markets. The small market size also means that national insurers may have less negotiating leverage with Rhode Island's concentrated provider networks.
Physician Supply and Demand in Rhode Island
With 79 active general surgeons capable of performing appendectomy procedures, Rhode Island maintains adequate surgical capacity relative to its population of just over one million residents. The state's physician supply is concentrated around major medical centers in Providence, creating potential access challenges for rural residents despite the overall adequate statewide numbers. This geographic distribution of surgical expertise can create pricing variations based on provider convenience and local market dynamics.
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 Rhode Island
What is the average cost of a Appendectomy visit in Rhode Island without insurance?
Does Rhode Island Medicaid cover Appendectomy visits?
How do I find an affordable Appendectomy near me in Rhode Island?
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 Rhode Island?
How does telemedicine affect the cost of seeing a Appendectomy in Rhode Island?
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 |