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Texas

Cost of a Appendectomy Visit
in Texas

Reviewed by Momentary Medical Group West PC

Texas operates over 600 ambulatory surgery centers, creating one of the nation's most competitive markets for surgical procedures like laparoscopic appendectomy. Based on negotiated insurance rates, patients typically pay between $85 and $1,155 for this minimally invasive procedure, with a median cost of $663. With over 13,000 active providers across the Lone Star State offering appendectomy services, patients have extensive options for finding quality care at competitive prices.

Average

$634

Median

$663

Lowest

$85

Highest

$1,155

Providers

13,126

National avg: $861Texas: $634

26% below national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
IUD Removal

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58301$60$105$1996,391
Knee Replacement

Total knee replacement (arthroplasty)

27447$1,056$1,568$3,0065,230
Hip Replacement

Total hip replacement (arthroplasty)

27130$90$1,139$2,6028,415
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$85$691$1,2106,544
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$421$625$1,2505,233
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$90$776$1,30011,548
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$85$977$1,9125,874
Septoplasty

Nasal septum repair

30520$90$638$1,3097,864
Tonsillectomy

Tonsillectomy, primary or secondary

42820$85$313$5975,861
Inguinal Hernia Repair

Inguinal hernia repair

49505$407$602$1,0865,176
Mastectomy

Partial or simple mastectomy

19301$85$722$1,3415,830
Carpal Tunnel Surgery

Open carpal tunnel release

64721$90$469$8958,448

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 Texas

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

5/5
91% would recommend130 patient surveys
5/5
91% would recommend191 patient surveys
5/5
91% would recommend235 patient surveys
5/5
91% would recommend403 patient surveys
5/5
90% would recommend379 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 Texas

Texas appendectomy costs run approximately 4% below national averages, reflecting the state's competitive surgical market and lower overall healthcare costs compared to coastal states. The vast geographic spread from major metropolitan areas to remote rural counties creates significant variation in both access and pricing across different regions.

Urban vs. Rural Provider Availability

Major Texas metropolitan areas like Houston, Dallas-Fort Worth, San Antonio, and Austin offer numerous surgical options with competitive pricing due to high procedure volumes. Rural areas of East Texas, the Panhandle, and West Texas may have limited surgical facilities, requiring patients to travel to regional medical centers for appendectomy procedures. This geographic disparity can result in higher costs for rural patients due to both facility premiums and travel expenses.

Facility Type and Overhead Costs

Texas's large network of independent ambulatory surgery centers typically offers lower facility fees compared to hospital-based outpatient departments. Major health systems like Houston Methodist, Baylor Scott & White, and UT Southwestern operate numerous facilities across the state, with varying cost structures depending on location and facility type. Academic medical centers generally carry higher overhead costs but may offer more complex surgical expertise.

Insurance Market Competition in Texas

The presence of multiple major insurers including UnitedHealthcare, Blue Cross Blue Shield of Texas, Aetna, and Cigna creates competitive negotiated rates for surgical procedures throughout the state. Texas's large population and numerous healthcare facilities give insurers significant leverage in rate negotiations. However, some rural areas may have limited insurer participation, potentially resulting in higher out-of-network costs for certain appendectomy providers.

Physician Supply and Demand in Texas

With over 13,000 providers offering appendectomy services across Texas, the state maintains adequate surgical capacity in most metropolitan areas. This robust provider supply helps maintain competitive pricing and reasonable wait times for scheduled procedures. However, the concentration of surgeons in urban areas means rural patients may face longer travel distances and potentially higher costs due to limited local competition.

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 Texas

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

Based on negotiated insurance rates in Texas, appendectomy procedures range from $85 to $1,155, with a median cost of $663. Uninsured patients may pay significantly more than these rates, as they represent what insurers have negotiated rather than cash-pay prices. Many Texas surgical centers offer self-pay discounts that can reduce costs by 30-50%, making cash prices more affordable than standard billing rates.

Does Texas Medicaid cover Appendectomy visits?

Texas has not expanded Medicaid, limiting coverage to specific categories like pregnant women, children, and disabled individuals. Traditional Texas Medicaid covers appendectomy procedures for eligible patients, including emergency appendectomies and planned surgical consultations. Adults who don't qualify for traditional Medicaid may need to seek care through county hospital systems or charity care programs offered by major health systems.

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

Compare costs between independent ambulatory surgery centers and hospital-based facilities, as surgery centers typically offer lower facility fees. Ask about self-pay discounts if you're uninsured, and consider traveling to areas with higher provider competition for better pricing. Community health centers and county hospital systems throughout Texas often provide sliding-scale pricing based on income for surgical consultations.

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

Emergency appendectomy evaluations typically cost significantly more than follow-up visits due to facility fees and urgent care premiums. Most appendectomy procedures occur through emergency departments rather than planned consultations, making direct cost comparisons difficult. Follow-up visits after appendectomy surgery are generally routine office visits with much lower costs than the initial emergency evaluation and surgical procedure.

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

Yes, appendectomy consultations and procedures are qualified medical expenses eligible for HSA and FSA reimbursement. This includes surgeon fees, facility fees, anesthesia costs, and related medical expenses like pre-operative lab work or imaging studies. Keep all receipts and documentation, as you may need to provide proof that expenses were for legitimate medical treatment rather than cosmetic procedures.

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

Telemedicine is not applicable for appendectomy procedures themselves, as these require hands-on surgical intervention in a sterile operating environment. However, some surgeons offer telehealth follow-up visits after appendectomy surgery, which typically cost less than in-person office visits. Texas has expanded telehealth coverage since 2020, with most major insurers now covering virtual follow-up consultations for post-surgical care.

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