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Vermont

Cost of a Appendectomy Visit
in Vermont

Reviewed by Momentary Medical Group West PC

Vermont's rural geography creates unique challenges for surgical care access, with many patients traveling to regional medical centers for specialized procedures. Appendectomy patients in Vermont typically pay between $449 and $1,463 for laparoscopic procedures, with a median cost of $682. The state's 337 active appendectomy providers are concentrated in urban centers like Burlington and Rutland, though patients throughout Vermont can browse all available providers to find the most cost-effective options.

Average

$865

Median

$682

Lowest

$449

Highest

$1,463

Providers

337

National avg: $861Vermont: $865

0% above national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$958$1,455$3,286326
Hip Replacement

Total hip replacement (arthroplasty)

27130$959$1,457$3,289329
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$403$643$1,548325
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$410$629$1,326331
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$492$746$1,597331
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$678$1,043$2,143325
Septoplasty

Nasal septum repair

30520$500$821$1,577327
Tonsillectomy

Tonsillectomy, primary or secondary

42820$220$342$693324
Inguinal Hernia Repair

Inguinal hernia repair

49505$391$596$1,271325
Mastectomy

Partial or simple mastectomy

19301$491$749$1,593324
Carpal Tunnel Surgery

Open carpal tunnel release

64721$338$519$1,053324

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 Vermont

Vermont's surgical costs run approximately 15% above national averages, reflecting the state's rural geography and limited provider competition in specialized surgical services. The concentration of surgical facilities in Burlington and a few regional centers creates cost disparities between urban and rural areas throughout the state.

Urban vs. Rural Provider Availability

Burlington's Chittenden County contains the majority of Vermont's surgical specialists, while rural counties often have limited or no resident surgeons requiring patient transfers. This geographic concentration drives higher costs in urban centers due to demand, while rural hospitals face higher overhead costs due to lower surgical volumes. Patients in areas like the Northeast Kingdom frequently travel 50+ miles for surgical care, adding transportation costs to overall treatment expenses.

Facility Type and Overhead Costs

Hospital-owned surgical practices dominate Vermont's healthcare landscape, with systems like UVM Medical Center and Dartmouth-Hitchcock controlling significant market share and pricing power. Independent surgical practices are increasingly rare, limiting competitive pressure on pricing for procedures like appendectomy. Academic medical centers in Vermont often charge premium rates due to their teaching hospital status and advanced technology investments.

Insurance Market Competition in Vermont

Vermont's small insurance market is heavily concentrated between Blue Cross Blue Shield of Vermont and MVP Health Care, limiting competitive pressure on negotiated surgical rates. This duopoly structure can result in similar pricing across insurers, reducing patient options for cost savings through plan selection. The state's insurance exchange offers additional options but with limited enrollment, maintaining the dominant market position of the two major carriers.

Physician Supply and Demand in Vermont

Vermont's 337 active appendectomy providers represents adequate coverage for the state's population, though geographic distribution heavily favors urban areas. The state faces ongoing challenges recruiting surgeons to rural practices, creating access disparities that can affect both costs and wait times. Burlington-area surgical capacity is generally sufficient, while rural regions may experience surgeon shortages that impact emergency surgical availability and pricing.

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 Vermont

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

Uninsured patients in Vermont typically pay between $449 and $1,463 for laparoscopic appendectomy procedures, with a median cost of $682 based on negotiated insurance rates. These costs represent what insurers pay and may be higher for cash-pay patients, though many Vermont hospitals offer self-pay discounts. Emergency appendectomy procedures often involve additional costs for anesthesia, pathology, and facility fees that can significantly increase total out-of-pocket expenses. Patients should ask about payment plans and charity care programs, as most Vermont hospitals offer financial assistance for emergency surgical procedures.

Does Vermont Medicaid cover Appendectomy visits?

Vermont Medicaid covers medically necessary appendectomy procedures as part of the state's expanded Medicaid program, typically with minimal patient cost-sharing. Coverage includes both emergency and elective appendectomy when medically indicated, though patients may be limited to participating surgeons and facilities. Prior authorization is generally not required for emergency appendectomy, but follow-up care and complications may need approval. Vermont's Medicaid program also covers related services like anesthesia, pathology, and post-operative care as part of comprehensive surgical benefits.

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

Compare costs among Vermont's 337 appendectomy providers, focusing on both surgeon and facility fees which are billed separately. Many Vermont hospitals offer self-pay discounts of 30-50% for uninsured patients, while community health centers may provide sliding-scale surgical referrals. Geographic location significantly impacts costs, with rural hospitals sometimes charging higher facility fees than urban surgical centers. Consider both in-network status and total out-of-pocket costs when evaluating surgical options, as emergency procedures can quickly exceed annual deductibles.

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

Appendectomy procedures are typically emergency situations that bypass routine consultation visits, proceeding directly to surgical evaluation and treatment. Pre-operative consultations, when time permits, may involve standard specialist visit costs separate from surgical fees. Post-operative follow-up visits are usually included in the global surgical fee for 90 days after appendectomy, meaning no additional surgeon charges during the recovery period. However, complications or extended care beyond the global period may result in additional charges for both surgeon visits and related treatments.

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

Health Savings Accounts and Flexible Spending Accounts can be used to pay for appendectomy procedures as qualified medical expenses under IRS guidelines. This includes surgeon fees, facility charges, anesthesia costs, and related medical expenses like prescription medications and follow-up care. Using HSA funds provides tax advantages for Vermont residents, effectively reducing the cost of surgical procedures by your marginal tax rate. Keep all receipts and documentation, as appendectomy procedures often involve multiple providers and billing entities that may require separate HSA reimbursement requests.

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

Telemedicine has limited application for appendectomy procedures since surgical treatment requires in-person intervention for diagnosis confirmation and treatment. However, post-operative follow-up visits can sometimes be conducted via telehealth, potentially reducing travel costs for Vermont patients in rural areas. Some Vermont health systems offer virtual consultations for non-urgent abdominal pain evaluation, which may help determine if in-person surgical evaluation is necessary. Emergency appendectomy situations require immediate in-person care, making telehealth unsuitable for acute appendicitis diagnosis and treatment.

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