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
0% above national average
Compare Similar Procedures
How does appendectomy (laparoscopic) compare to related procedures in Vermont?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $958 | $1,455 | $3,286 | 326 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $959 | $1,457 | $3,289 | 329 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $403 | $643 | $1,548 | 325 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $410 | $629 | $1,326 | 331 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $492 | $746 | $1,597 | 331 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $678 | $1,043 | $2,143 | 325 |
| Septoplasty Nasal septum repair | 30520 | $500 | $821 | $1,577 | 327 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $220 | $342 | $693 | 324 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $391 | $596 | $1,271 | 325 |
| Mastectomy Partial or simple mastectomy | 19301 | $491 | $749 | $1,593 | 324 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $338 | $519 | $1,053 | 324 |
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 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.
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 Vermont
What is the average cost of a Appendectomy visit in Vermont without insurance?
Does Vermont Medicaid cover Appendectomy visits?
How do I find an affordable Appendectomy near me in Vermont?
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 Vermont?
How does telemedicine affect the cost of seeing a Appendectomy in Vermont?
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 |
