Cost of a Appendectomy Visit
in Wisconsin
Reviewed by Momentary Medical Group West PC
Wisconsin's rural healthcare access challenges affect surgical costs, with appendectomy procedures showing significant variation across the state's diverse provider network. Patients typically pay between $73 and $5,429 for a laparoscopic appendectomy, with a median cost of $1,115, reflecting the state's position at 47% above national averages. With over 4,000 active Appendectomy providers across Wisconsin's urban centers and rural communities, patients can browse all providers in Wisconsin to find quality care that fits their budget.
Average
$2,206
Median
$1,115
Lowest
$73
Highest
$5,429
Providers
4,057
156% above national average
Compare Similar Procedures
How does appendectomy (laparoscopic) compare to related procedures in Wisconsin?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $73 | $3,723 | $10,559 | 2,606 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $73 | $3,602 | $10,564 | 2,707 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $80 | $95 | $10,062 | 3,125 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $73 | $1,658 | $4,236 | 2,595 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $73 | $1,221 | $4,635 | 3,551 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $73 | $1,742 | $5,848 | 5,130 |
| Septoplasty Nasal septum repair | 30520 | $95 | $1,082 | $4,419 | 1,138 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $95 | $547 | $1,404 | 1,113 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $73 | $1,248 | $4,031 | 2,412 |
| Mastectomy Partial or simple mastectomy | 19301 | $73 | $984 | $3,947 | 2,389 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $85 | $747 | $5,357 | 2,273 |
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 Wisconsin
These hospitals in Wisconsin are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
GLENDALE, WI
ALTOONA, WI
PRAIRIE DU SAC, WI
MADISON, WI
WOODRUFF, WI
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 Wisconsin
Wisconsin's appendectomy costs run approximately 47% above national averages, reflecting the state's mix of high-cost urban medical centers and rural critical access hospitals. The state's moderate insurance market competition helps contain some costs, though rural access challenges can limit price transparency and patient choice.
Urban vs. Rural Provider Availability
Wisconsin's geographic spread creates significant disparities in appendectomy access and pricing between metropolitan areas like Milwaukee-Madison and rural northern counties. Rural patients often face longer transport times to surgical facilities, potentially complicating emergency appendectomy care and affecting overall treatment costs. Critical access hospitals in rural Wisconsin operate under different reimbursement structures that can influence surgical pricing.
Facility Type and Overhead Costs
Hospital-based surgical suites in Wisconsin typically charge higher facility fees compared to independent ambulatory surgery centers, though emergency appendectomy procedures usually require hospital settings. Major health systems like Aurora Health Care, Advocate Aurora, and UW Health dominate Wisconsin's surgical market, with their integrated delivery models affecting pricing structures. Academic medical centers in Wisconsin often have higher overhead costs but may offer more complex surgical capabilities.
Insurance Market Competition in Wisconsin
Wisconsin's insurance landscape includes strong regional players like BCBS Wisconsin (Anthem), UnitedHealthcare, and the unique WEA Trust cooperative, creating moderate competition that helps control surgical costs. The state's competitive market allows for varied network designs, with some insurers focusing on high-value provider partnerships to reduce appendectomy costs. Rural areas of Wisconsin may have fewer insurer options, potentially limiting patient choice and price competition.
Physician Supply and Demand in Wisconsin
With over 4,000 active appendectomy providers, Wisconsin maintains adequate surgical capacity in most regions, though rural areas face ongoing surgeon shortage challenges. The state's surgical supply appears sufficient to meet demand in urban areas, helping maintain competitive pricing for non-emergency procedures. Rural surgeon availability remains a concern, potentially affecting both access and pricing for appendectomy care in Wisconsin's northern and western counties.
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 Wisconsin
What is the average cost of a Appendectomy visit in Wisconsin without insurance?
Does Wisconsin Medicaid cover Appendectomy visits?
How do I find an affordable Appendectomy near me in Wisconsin?
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 Wisconsin?
How does telemedicine affect the cost of seeing a Appendectomy in Wisconsin?
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 |