Removal of appendix using an endoscope
Medicare pricing data for 10,846 providers across 52 states
Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Removal of appendix using an endoscope (HCPCS code 44970) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $532.76, but hospitals typically charge $2,093 — a 3.9x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $532.76, your out-of-pocket cost would be approximately $106.55. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 3.9x more than what Medicare allows for this procedure. Medicare actually pays $419.20 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $647 | $4,298 | 36 | 67 | +21.4% |
| Hawaii | $600 | $1,556 | 36 | 70 | +12.6% |
| California | $581 | $2,182 | 839 | 1,867 | +9.0% |
| Maryland | $579 | $1,653 | 205 | 474 | +8.7% |
| Virginia | $579 | $1,493 | 295 | 643 | +8.6% |
| New Jersey | $579 | $5,905 | 259 | 572 | +8.6% |
| Illinois | $577 | $2,399 | 429 | 904 | +8.3% |
| District of Columbia | $568 | $1,819 | 29 | 50 | +6.6% |
| Michigan | $560 | $1,573 | 343 | 573 | +5.2% |
| Massachusetts | $557 | $2,117 | 275 | 621 | +4.5% |
| New York | $556 | $3,598 | 623 | 1,127 | +4.4% |
| Texas | $553 | $2,129 | 669 | 1,344 | +3.8% |
| Louisiana | $552 | $1,669 | 143 | 255 | +3.7% |
| Georgia | $549 | $1,907 | 290 | 567 | +3.0% |
| Nevada | $548 | $1,898 | 80 | 171 | +2.8% |
| Ohio | $541 | $1,661 | 399 | 743 | +1.5% |
| Rhode Island | $538 | $1,619 | 47 | 88 | +1.0% |
| Florida | $538 | $1,831 | 689 | 1,730 | +0.9% |
| Pennsylvania | $532 | $1,754 | 527 | 993 | -0.2% |
| Kentucky | $531 | $1,460 | 161 | 326 | -0.2% |
| Connecticut | $529 | $2,218 | 143 | 223 | -0.8% |
| Tennessee | $529 | $1,558 | 228 | 435 | -0.8% |
| North Dakota | $525 | $2,036 | 34 | 67 | -1.5% |
| Arizona | $524 | $1,774 | 226 | 586 | -1.7% |
| Puerto Rico | $523 | $650 | 11 | 11 | -1.8% |
| South Carolina | $519 | $1,720 | 202 | 485 | -2.6% |
| Vermont | $513 | $2,396 | 26 | 51 | -3.7% |
| Delaware | $510 | $1,248 | 50 | 108 | -4.3% |
| Washington | $507 | $1,687 | 277 | 559 | -4.9% |
| Colorado | $506 | $1,913 | 231 | 380 | -5.1% |
| Oklahoma | $506 | $1,436 | 120 | 289 | -5.1% |
| North Carolina | $505 | $1,722 | 373 | 712 | -5.2% |
| Montana | $504 | $1,575 | 56 | 100 | -5.4% |
| Missouri | $503 | $1,703 | 231 | 538 | -5.5% |
| Oregon | $502 | $1,821 | 168 | 284 | -5.8% |
| Wyoming | $499 | $2,671 | 35 | 71 | -6.4% |
| Iowa | $494 | $1,665 | 125 | 281 | -7.2% |
| West Virginia | $493 | $1,537 | 70 | 109 | -7.5% |
| Kansas | $493 | $1,409 | 115 | 284 | -7.5% |
| Alabama | $491 | $1,371 | 158 | 288 | -7.8% |
| Utah | $488 | $1,423 | 99 | 215 | -8.4% |
| Mississippi | $486 | $1,607 | 101 | 219 | -8.7% |
| Indiana | $479 | $1,520 | 262 | 522 | -10.0% |
| Arkansas | $478 | $1,259 | 107 | 231 | -10.3% |
| New Hampshire | $476 | $2,538 | 89 | 141 | -10.7% |
| Minnesota | $474 | $2,374 | 231 | 413 | -11.0% |
| Wisconsin | $467 | $4,949 | 257 | 444 | -12.3% |
| New Mexico | $466 | $1,929 | 86 | 181 | -12.5% |
| South Dakota | $454 | $1,502 | 61 | 130 | -14.7% |
| Maine | $453 | $1,444 | 65 | 99 | -15.1% |
| Idaho | $435 | $1,398 | 84 | 184 | -18.3% |
| Nebraska | $409 | $1,634 | 88 | 206 | -23.2% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber