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Based on public Medicaid payment data.

Average Medicaid Appendectomy Payments

Typical Medicaid Appendectomy reimbursement across 112 cities

Avg. Medicaid Paid

$2,700

Price Range

$0.00 – $6,019

Total Claims

28.8K

Cities

112

Typical Payment Range

Typical Medicaid Appendectomy payments fall between $362.60 and $2,771 per claim (median: $594.94). The top 10% of payments exceed $3,799.

Based on per-provider averages across all Medicaid claims in this category.

About This Procedure

Surgical removal of the appendix, usually performed as an emergency procedure for appendicitis.

Why do these costs look low?

These figures represent Medicaid reimbursement rates β€” the amounts that state Medicaid programs actually paid providers. Medicaid typically reimburses significantly less than private insurance or out-of-pocket prices. If you have private insurance or are paying cash, expect higher costs. See the cost components below for per-code averages.

Costs by City

City Avg. Paid Min / Max Claims Providers
Iowa City, IA $502.94 $502.94 – $502.94 43 1
Morgantown, WV $406.05 $406.05 – $406.05 44 1
Downey, CA $83.74 $83.74 – $83.74 54 1
El Paso, TX $428.55 $373.17 – $573.53 55 3
Dayton, OH $2,288 $1,405 – $2,973 60 3
Fontana, CA $86.40 $86.40 – $86.40 63 1
Syracuse, NY $2,145 $2,145 – $2,145 64 1
Indianapolis, IN $329.47 $329.47 – $329.47 64 1
Springfield, MA $3,383 $3,383 – $3,383 65 1
San Antonio, TX $217.72 $64.87 – $313.25 65 2
Stony Brook, NY $2,135 $2,135 – $2,135 68 1
New Hyde Park, NY $1,953 $1,953 – $1,953 69 1
Palo Alto, CA $575.27 $575.27 – $575.27 69 1
Fairfax, VA $524.22 $511.18 – $533.15 69 3
Port Arthur, TX $456.11 $456.11 – $456.11 77 1
Wenatchee, WA $3,042 $3,042 – $3,042 79 1
Thousand Oaks, CA $155.19 $155.19 – $155.19 80 1
Kansas City, MO $264.37 $140.08 – $490.90 81 4
Provo, UT $223.87 $223.87 – $223.87 84 1
Salt Lake City, UT $392.28 $392.28 – $392.28 98 1
Cayey, PR $168.45 $168.45 – $168.45 120 1
Paterson, NJ $1,609 $1,609 – $1,609 144 1
Mcallen, TX $447.40 $373.00 – $488.44 151 3
Cleveland, OH $987.47 $798.17 – $2,092 164 2
Seattle, WA $3,040 $145.27 – $3,806 165 4
Dallas, TX $730.18 $435.78 – $3,783 165 6
Kalamazoo, MI $511.40 $331.97 – $2,949 175 2
Akron, OH $2,945 $2,945 – $2,945 181 1
Fort Worth, TX $1,742 $466.23 – $2,337 184 5
Valhalla, NY $2,766 $731.62 – $2,888 212 2
Los Angeles, CA $307.84 $96.70 – $395.37 213 8
Yakima, WA $3,142 $3,142 – $3,142 217 1
Cincinnati, OH $3,079 $3,079 – $3,079 243 1
New York, NY $2,961 $2,961 – $2,961 246 1
Brooklyn, NY $2,350 $2,025 – $2,366 249 2
Milwaukee, WI $1,466 $1,466 – $1,466 318 1
Miami, FL $824.33 $701.45 – $2,018 329 4
Houston, TX $660.23 $102.46 – $1,008 356 8
Manati, PR $169.38 $153.57 – $175.45 367 3
Richland, WA $3,077 $3,077 – $3,077 381 1
Columbus, OH $3,410 $3,410 – $3,410 406 1
Hackensack, NJ $2,325 $2,325 – $2,325 408 1
Greenville, SC $15.80 $15.80 – $15.80 437 1
Hartford, CT $4,959 $4,959 – $4,959 443 1
Spokane, WA $3,416 $3,416 – $3,416 450 1
Albuquerque, NM $2,994 $2,889 – $3,027 456 2
Lexington, KY $1,820 $1,820 – $1,820 536 1
Royal Oak, MI $511.70 $264.45 – $2,974 537 2
Modesto, CA $50.71 $50.71 – $50.71 629 1
Tacoma, WA $3,895 $3,646 – $3,900 636 2

Cost Components

National averages for each billing code in this procedure category. Sorted by claim volume.

Code Description Avg. Paid Claims Providers
44970 Laparoscopic appendectomy $2,574 33,299 193
44950 Appendectomy $715.74 314 4
44955 Appendectomy w/ abscess drain β€” β€” β€”
44960 Appendectomy for peritonitis β€” β€” β€”

These averages group common billing codes used when providers bill Medicaid for this procedure. Individual costs will vary.