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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
New Hyde Park, NY $1,953 $1,953 – $1,953 69 1
Stony Brook, NY $2,135 $2,135 – $2,135 68 1
Springfield, MA $3,383 $3,383 – $3,383 65 1
San Antonio, TX $217.72 $64.87 – $313.25 65 2
Syracuse, NY $2,145 $2,145 – $2,145 64 1
Indianapolis, IN $329.47 $329.47 – $329.47 64 1
Fontana, CA $86.40 $86.40 – $86.40 63 1
Dayton, OH $2,288 $1,405 – $2,973 60 3
El Paso, TX $428.55 $373.17 – $573.53 55 3
Downey, CA $83.74 $83.74 – $83.74 54 1
Morgantown, WV $406.05 $406.05 – $406.05 44 1
Pasadena, CA $1.40 $1.40 – $1.40 43 1
Iowa City, IA $502.94 $502.94 – $502.94 43 1
Springfield, IL $128.48 $128.48 – $128.48 41 1
Yuma, AZ $5,352 $5,352 – $5,352 41 1
Flushing, NY $2,708 $2,708 – $2,708 40 1
Boston, MA $4,537 $4,537 – $4,537 39 1
Madera, CA $90.77 $34.16 – $173.90 39 3
Bellingham, WA $2,827 $2,827 – $2,827 39 1
Chicago, IL $154.53 $154.53 – $154.53 38 1
Gainesville, GA $1,393 $1,393 – $1,393 31 1
Jackson, MS $5,024 $5,024 – $5,024 31 1
West Hollywood, CA $296.33 $296.33 – $296.33 30 1
New Brunswick, NJ $1,225 $1,152 – $1,298 30 2
San Juan, PR $176.63 $176.63 – $176.63 28 1
Cambridge, MA $1,132 $1,132 – $1,132 26 1
New Orleans, LA $538.49 $538.49 – $538.49 26 1
Flint, MI $335.38 $335.38 – $335.38 26 1
Anaheim, CA $0.00 $0.00 – $0.00 25 1
Boise, ID $2,957 $2,957 – $2,957 25 1
Danville, KY $872.29 $872.29 – $872.29 22 1
Woodlands, TX $88.25 $88.25 – $88.25 18 1
Moreno Valley, CA $164.11 $164.11 – $164.11 18 1
Greenville, NC $557.31 $557.31 – $557.31 18 1
Asheville, NC $3,303 $3,303 – $3,303 16 1
Albany, NY $2,956 $2,956 – $2,956 15 1
Charlotte, NC $465.07 $465.07 – $465.07 15 1
Alma, MI $353.41 $353.41 – $353.41 15 1
Sacramento, CA $1,694 $1,694 – $1,694 15 1
Bowling Green, KY $1,521 $1,521 – $1,521 15 1
Las Vegas, NV $510.40 $510.40 – $510.40 15 1
Roanoke, VA $5,583 $5,583 – $5,583 15 1
Weslaco, TX $507.30 $507.30 – $507.30 14 1
Charleston, WV $411.50 $411.50 – $411.50 14 1
Jersey City, NJ $1,861 $1,861 – $1,861 14 1
Renton, WA $3,044 $3,044 – $3,044 13 1
Stamford, CT $4,868 $4,868 – $4,868 13 1
Wilmington, DE $2,373 $2,373 – $2,373 13 1
Monterey Park, CA $32.10 $32.10 – $32.10 13 1
Danbury, CT $6,019 $6,019 – $6,019 13 1

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.