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Washington

Cost of a Appendectomy Visit
in Washington

Reviewed by Momentary Medical Group West PC

Washington's healthcare system, anchored by major health networks like Providence and MultiCare across urban Puget Sound and rural eastern counties, shows Appendectomy costs that run approximately 4% above national averages. Patients typically pay between $80 and $1832 for laparoscopic appendectomy procedures, with a median cost of $794 based on negotiated insurance rates. Washington maintains over 5400 active Appendectomy providers across the state, giving patients substantial options when selecting an in-network surgeon for their procedure.

Average

$902

Median

$794

Lowest

$80

Highest

$1,832

Providers

5,463

National avg: $861Washington: $902

5% above national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$1,606$2,114$3,7032,174
Hip Replacement

Total hip replacement (arthroplasty)

27130$1,500$2,037$3,7072,234
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$616$966$1,5212,220
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$80$764$1,4754,308
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$80$806$1,8155,408
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$985$1,415$2,4802,213
Septoplasty

Nasal septum repair

30520$80$857$1,7934,297
Tonsillectomy

Tonsillectomy, primary or secondary

42820$324$434$8892,197
Inguinal Hernia Repair

Inguinal hernia repair

49505$592$768$1,5942,162
Mastectomy

Partial or simple mastectomy

19301$585$946$1,8042,200
Carpal Tunnel Surgery

Open carpal tunnel release

64721$490$669$1,2212,180

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 Washington

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

5/5
90% would recommend157 patient surveys
5/5
88% would recommend191 patient surveys
4/5
85% would recommend160 patient surveys
JEFFERSON HEALTHCARE

PORT TOWNSEND, WA

4/5
84% would recommend251 patient surveys
4/5
82% would recommend223 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 Washington

Washington's healthcare costs run approximately 10% above national averages, driven by the state's concentration of high-cost urban markets in the Puget Sound region and significant rural access challenges across eastern counties. The state's robust insurance market and Medicaid expansion help moderate some cost pressures, though geographic disparities remain substantial.

Urban vs. Rural Provider Availability

Seattle, Tacoma, and Spokane maintain high concentrations of surgical specialists and ambulatory surgery centers, creating competitive pricing and shorter wait times for non-emergency procedures. Rural counties east of the Cascades often require patients to travel significant distances for specialized surgical care, with facilities in Wenatchee, Yakima, and the Tri-Cities serving large geographic regions. This urban-rural divide affects both access and pricing, with rural facilities sometimes offering lower base costs but higher total expenses when travel and lodging are considered.

Facility Type and Overhead Costs

Large health systems like Providence, MultiCare, and Virginia Mason operate hospital-based surgical centers that typically carry higher overhead costs and facility fees compared to independent surgery centers. Many Washington surgical centers are hospital-owned, which can lead to higher charges but also provides integrated care coordination and emergency backup capabilities. Free-standing ambulatory surgery centers, while less common, often offer more competitive pricing for routine laparoscopic procedures.

Insurance Market Competition in Washington

Washington's insurance market includes strong regional players like Premera and Regence alongside national insurers Kaiser and UHC, creating moderate competition that helps control negotiated rates. The state's active insurance commissioner and All-Payer Claims Database provide oversight that influences pricing transparency. Rural areas often have fewer insurer options, potentially leading to higher negotiated rates where competition is limited.

Physician Supply and Demand in Washington

With over 5400 active Appendectomy providers statewide, Washington maintains adequate surgical capacity in urban areas while facing shortages in rural counties. This supply distribution creates pricing pressures in underserved areas where limited competition allows providers to maintain higher rates. Wait times for non-emergency appendectomy consultations are generally reasonable in metropolitan areas but can extend several weeks in rural regions.

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 Washington

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

Based on negotiated insurance rates, appendectomy procedures in Washington range from $80 to $1832, with a median cost of $794. Uninsured patients typically pay significantly more than these negotiated rates, often $3000-$8000 for the complete procedure including surgeon, facility, and anesthesia fees. Many Washington surgical centers offer substantial self-pay discounts that can reduce these costs by 30-50% when paid in advance.

Does Washington Medicaid cover Appendectomy visits?

Yes, Washington's expanded Medicaid program covers appendectomy consultations and procedures when medically necessary, with most surgical services requiring no copayment from eligible patients. Prior authorization may be required for non-emergency consultations, but acute appendicitis cases are typically approved immediately. Medicaid also covers related services like imaging studies, laboratory work, and post-operative follow-up care through participating providers.

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

Compare costs across different facility types, as hospital-based surgical centers often charge more than independent ambulatory surgery centers for the same procedure. Ask about self-pay discounts if you're uninsured, and consider community health centers or teaching hospitals that may offer sliding scale fees. Use online cost comparison tools to check negotiated rates across different providers and insurers before making your decision.

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

Initial appendectomy consultations typically cost significantly more than follow-up visits due to the comprehensive evaluation, review of imaging studies, and surgical planning required. The actual surgical procedure represents the largest cost component, ranging from $80 to $1832 in Washington based on facility type and complexity. Post-operative follow-up visits are generally much less expensive, often costing $100-300 depending on your insurance coverage and whether complications arise.

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

Yes, appendectomy consultations, procedures, and related medical expenses are qualified medical expenses that can be paid using HSA or FSA funds. This includes surgeon fees, facility charges, anesthesia costs, and prescription medications related to your surgical care. Keep all receipts and documentation for tax purposes, as these accounts can provide significant tax savings on your medical expenses.

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

While initial appendectomy consultations require in-person evaluation for physical examination and potential urgent surgery, telemedicine can be useful for post-operative follow-up visits and non-urgent consultations. Virtual follow-up appointments typically cost less than in-person visits and are covered by most Washington insurers. However, acute appendicitis symptoms always require immediate in-person emergency evaluation, as this condition can be life-threatening and requires urgent surgical intervention.

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