Cost of a Appendectomy Visit
in Virginia
Reviewed by Momentary Medical Group West PC
Virginia's healthcare landscape features over 2,800 active Appendectomy providers across metropolitan areas like Northern Virginia and Richmond, as well as rural regions served by regional medical centers. Patients seeking laparoscopic appendectomy typically pay between $404 and $1,238, with a median out-of-pocket cost of $622 based on negotiated insurance rates. With Virginia's expanded Medicaid program and competitive insurer market led by Anthem, Optima Health, and UHC, residents can browse all providers statewide to find quality care at transparent pricing.
Average
$755
Median
$622
Lowest
$404
Highest
$1,238
Providers
2,859
12% below national average
Compare Similar Procedures
How does appendectomy (laparoscopic) compare to related procedures in Virginia?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $976 | $1,473 | $2,946 | 2,671 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $920 | $1,473 | $2,659 | 2,724 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $360 | $614 | $1,157 | 2,789 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $389 | $587 | $1,182 | 2,679 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $98 | $686 | $1,355 | 3,145 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $601 | $956 | $1,782 | 2,772 |
| Septoplasty Nasal septum repair | 30520 | $433 | $646 | $1,298 | 2,682 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $192 | $307 | $589 | 2,754 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $358 | $554 | $1,079 | 2,668 |
| Mastectomy Partial or simple mastectomy | 19301 | $346 | $626 | $1,292 | 2,760 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $309 | $464 | $920 | 2,679 |
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.
Top-Rated Hospitals in Virginia
These hospitals in Virginia are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
Fort Belvoir, VA
SALEM, VA
GRUNDY, VA
CHARLOTTESVILLE, VA
CHARLOTTESVILLE, VA
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 Virginia
Virginia's healthcare costs run approximately 3% above national averages, driven by higher physician salaries in the Northern Virginia suburbs and increased facility overhead in metropolitan markets. The state's mix of urban medical centers and rural critical access hospitals creates significant geographic variation in appendectomy pricing across different regions.
Urban vs. Rural Provider Availability
Northern Virginia and the Richmond metropolitan area concentrate the majority of Virginia's surgical specialists, while rural areas like Southwest Virginia and the Northern Neck rely on critical access hospitals and regional medical centers. Urban areas offer more choice in surgeons and facilities but typically charge higher fees due to increased overhead and market demand. Rural Virginia patients may face longer travel distances but often find more competitive pricing at community hospitals.
Facility Type and Overhead Costs
Hospital-owned surgical centers in Virginia typically charge higher facility fees than independent ambulatory surgery centers, particularly within large health systems like VCU Health or Sentara Healthcare. Academic medical centers such as University of Virginia Health System may have premium pricing due to their teaching hospital status and advanced technology investments. Independent surgical practices often offer more competitive pricing but may have limited availability for emergency appendectomy procedures.
Insurance Market Competition in Virginia
Virginia's insurance market features strong competition between Anthem, Optima Health, and UHC, which helps moderate negotiated rates for surgical procedures across the state. The presence of multiple regional insurers creates competitive pressure on provider networks to offer reasonable contracted rates. Virginia's relatively stable insurance market prevents the extreme rate variations seen in states with limited insurer competition.
Physician Supply and Demand in Virginia
With over 2,800 active general surgeons capable of performing appendectomy procedures, Virginia maintains adequate physician supply in most metropolitan areas. This healthy provider-to-population ratio helps prevent the significant cost inflation seen in physician-shortage states. Rural areas of Virginia still experience some access challenges, but the overall supply supports competitive pricing and reasonable wait times for both emergency and elective abdominal surgery.
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 Virginia
What is the average cost of a Appendectomy visit in Virginia without insurance?
Does Virginia Medicaid cover Appendectomy visits?
How do I find an affordable Appendectomy near me in Virginia?
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 Virginia?
How does telemedicine affect the cost of seeing a Appendectomy in Virginia?
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 |