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Appendectomy (laparoscopic): what insurers pay

Laparoscopic removal of the appendix. Commercial negotiated rates by hospital and market, next to Medicare for the same code.

Open the interactive explorerAll operations

CPT 44970: Appendectomy (Laparoscopic)

1246 hospitals in 80 markets. National Medicare rate $6,176, surgery center $3,031.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)14$5,831$6,860$7,369$2,986–$10,403
Alaska (statewide)4———$4,431–$18,124
Arizona (statewide)12$6,306$6,818$8,224$3,770–$16,051
Arkansas (statewide)12$5,296$5,681$5,803$3,476–$8,064
Atlanta GA6$6,917$6,917$9,543$6,917–$10,418
Austin TX13$4,640$9,079$9,287$4,640–$9,287
Boston MA11$7,420$9,450$10,070$5,256–$11,547
California (statewide)70$7,930$12,212$17,886$3,942–$24,039
Charlotte NC5$6,936$6,936$6,936$6,842–$6,936
Chicago IL8$8,255$8,676$14,716$6,180–$16,105
Cleveland OH10$6,340$6,620$7,950$5,380–$11,049
Colorado (statewide)15$7,176$8,951$10,194$4,602–$18,231
Columbus OH1———$21,745–$21,745
Connecticut (statewide)2———$7,040–$25,188
Dallas-Fort Worth TX12$9,108$10,226$12,743$9,102–$24,256
Denver CO15$8,396$9,124$11,288$7,425–$11,798
Detroit MI17$6,035$6,035$7,583$3,155–$9,407
Florida (statewide)59$10,523$11,265$12,975$3,738–$18,974
Georgia (statewide)34$5,986$8,250$10,418$2,725–$21,406
Hawaii (statewide)6$6,631$7,231$13,195$5,092–$15,342
Houston TX19$8,588$9,474$9,861$7,297–$11,539
Idaho (statewide)15$7,694$11,731$14,819$5,212–$17,482
Illinois (statewide)33$6,630$9,970$13,871$4,277–$17,333
Indiana (statewide)36$8,919$13,479$22,582$3,282–$35,006
Indianapolis IN2———$25,148–$27,131
Iowa (statewide)23$7,432$8,645$12,028$5,620–$18,346
Kansas (statewide)22$6,386$7,391$9,810$3,390–$18,124
Kentucky (statewide)18$5,746$7,168$8,026$3,381–$19,226
Las Vegas NV2———$3,434–$5,337
Los Angeles CA17$9,636$11,275$12,557$8,661–$28,632
Louisiana (statewide)25$6,046$7,752$10,188$4,834–$11,671
Maine (statewide)17$23,906$26,842$27,754$6,402–$34,895
Maryland (statewide)1———$7,460–$7,460
Massachusetts (statewide)7$5,256$5,256$6,153$5,256–$8,178
Miami-Fort Lauderdale FL1———$10,893–$10,893
Michigan (statewide)31$5,915$6,118$7,580$3,031–$9,049
Minneapolis-St. Paul MN8$7,893$8,110$9,255$7,634–$10,919
Minnesota (statewide)14$8,186$14,364$17,327$7,820–$21,332
Mississippi (statewide)23$7,548$7,829$8,624$4,446–$16,488
Missouri (statewide)24$8,026$10,279$13,736$3,697–$23,158
Montana (statewide)6$11,884$12,964$16,174$7,293–$19,272
Nashville TN7$6,274$6,274$8,761$3,942–$12,218
Nebraska (statewide)11$8,645$8,645$10,380$4,628–$18,020
Nevada (statewide)6$5,346$6,888$11,232$5,337–$14,121
New Hampshire (statewide)6$13,552$17,496$25,244$10,042–$27,574
New Jersey (statewide)24$6,770$7,826$11,305$6,602–$19,167
New Mexico (statewide)11$7,978$11,911$15,689$3,789–$25,448
New York (statewide)34$6,513$8,025$12,752$5,258–$19,626
New York City8$5,284$5,851$8,417$5,217–$18,617
North Carolina (statewide)8$8,430$12,746$15,238$5,214–$19,175
North Dakota (statewide)5$10,093$10,189$10,572$8,434–$13,183
Ohio (statewide)38$7,197$11,773$16,696$4,208–$23,237
Oklahoma (statewide)12$6,575$12,229$14,368$6,176–$24,007
Oregon (statewide)11$14,941$17,634$19,664$12,137–$27,220
Pennsylvania (statewide)51$6,246$9,455$15,002$3,264–$27,810
Philadelphia PA11$5,798$7,838$8,616$5,401–$11,208
Phoenix AZ8$5,502$5,808$5,850$4,586–$5,975
Pittsburgh PA12$5,261$9,875$11,938$4,264–$14,684
Portland OR9$14,470$14,470$23,243$13,972–$23,243
Rhode Island (statewide)4———$6,688–$15,100
Richmond VA3———$9,910–$10,695
Rio Grande Valley TX6$7,856$8,007$9,036$7,831–$9,328
Salt Lake City UT9$6,413$6,494$6,494$5,253–$6,574
San Antonio TX3———$7,122–$8,570
San Diego CA7$13,218$13,218$13,304$10,886–$14,338
San Francisco Bay Area CA6$9,806$10,671$12,836$8,892–$37,273
Seattle-Tacoma WA16$14,046$16,351$16,841$11,267–$21,268
South Carolina (statewide)19$11,012$14,896$20,144$7,944–$21,345
South Dakota (statewide)3———$7,172–$29,642
St. Louis MO4———$5,697–$6,187
Tampa FL6$12,975$12,975$12,975$11,995–$23,168
Tennessee (statewide)36$5,766$6,411$7,422$3,794–$11,902
Texas (statewide)80$6,354$9,079$11,539$3,348–$29,489
Utah (statewide)5$5,253$5,440$6,494$5,253–$19,858
Vermont (statewide)2———$6,395–$7,028
Virginia (statewide)25$9,764$16,473$18,722$6,630–$23,921
Washington (statewide)13$12,084$14,549$16,737$3,668–$27,226
Washington DC9$9,518$9,927$9,927$6,312–$9,927
West Virginia (statewide)11$8,612$10,099$19,693$4,997–$40,248
Wisconsin (statewide)37$10,201$12,997$13,353$7,222–$20,535

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Dodge County HospitalGeorgia (statewide)$2,7250.5×12026-05-14
Usa Health Children'S & Women'S HospitalAlabama (statewide)$2,9860.6×12026-04-30
Holland HospitalMichigan (statewide)$3,0310.5×32026-09-21
Henry Ford Health -St John HospitalDetroit MI$3,1550.5×12026-01-01
Morgan Medical CenterGeorgia (statewide)$3,2000.5×12026-07-28
Upmc ColePennsylvania (statewide)$3,2640.6×12026-03-06
Pulaski Memorial HospitalIndiana (statewide)$3,2820.5×62026-07-07
Ennis Regional Medical CenterTexas (statewide)$3,3480.6×12026-04-01
Oaklawn HospitalMichigan (statewide)$3,3800.6×22026-03-27
Norton HospitalKentucky (statewide)$3,3810.6×12026-02-11
Salina Surgical HospitalKansas (statewide)$3,3900.6×12026-01-15
King'S Daughters' Medical CenterKentucky (statewide)$3,4230.6×22026-09-25
Mainehealth Waldo HospitalMaine (statewide)$28,6664.8×12025-09-09
Northern Light Mayo HospitalMaine (statewide)$29,2324.9×22026-03-30
Parkview Regional Medical CenterIndiana (statewide)$29,4894.6×12026-09-01
Parkview HospitalTexas (statewide)$29,4894.9×12026-09-01
Same Day Surgery Center LlcSouth Dakota (statewide)$29,6424.8×22026-09-10
Parkview Whitley HospitalIndiana (statewide)$31,0824.9×12026-09-01
Parkview Noble HospitalIndiana (statewide)$32,8845.1×12026-09-01
Parkview Wabash Hospital, IncIndiana (statewide)$33,0965.2×12026-09-01
Mainehealth Lincoln HospitalMaine (statewide)$34,8955.9×12025-09-09
Parkview Huntington HospitalIndiana (statewide)$35,0065.5×12026-09-01
Stanford Health CareSan Francisco Bay Area CA$37,2734.2×42026-04-01
Logan Regional Medical CenterWest Virginia (statewide)$40,2486.9×12026-04-01

Every hospital is on its state's page (linked in the market table) and in the interactive explorer.

MS-DRG 399: Appendix Procedures Without Cc/McC

1500 hospitals in 83 markets. National Medicare rate $8,330.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)20$10,508$11,817$14,228$7,669–$26,757
Alaska (statewide)4———$10,288–$37,168
Arizona (statewide)28$13,801$19,738$24,070$6,258–$31,054
Arkansas (statewide)10$9,552$10,447$11,465$8,096–$11,845
Atlanta GA9$20,286$21,617$22,755$20,286–$33,094
Austin TX13$7,453$11,210$12,013$7,172–$15,934
Boston MA12$9,533$10,588$13,009$8,118–$19,118
California (statewide)54$13,504$16,331$20,847$7,127–$47,539
Charlotte NC8$17,111$18,531$22,378$12,841–$22,378
Chicago IL11$14,192$15,690$18,264$10,676–$21,291
Cleveland OH11$14,175$15,447$15,934$11,871–$19,315
Colorado (statewide)16$15,036$21,633$26,469$7,013–$35,991
Columbus OH2———$15,393–$23,267
Connecticut (statewide)6$22,194$23,364$24,469$17,350–$25,400
Dallas-Fort Worth TX15$11,852$13,198$15,730$10,352–$25,278
Delaware (statewide)2———$15,680–$25,740
Denver CO15$12,805$14,938$22,736$9,823–$29,824
Detroit MI16$15,680$15,863$21,762$10,119–$29,747
Florida (statewide)90$11,757$13,808$22,854$6,990–$34,384
Georgia (statewide)42$15,913$22,336$27,430$10,320–$33,094
Hawaii (statewide)11$22,778$23,655$27,484$19,746–$29,055
Houston TX19$11,957$16,025$17,602$8,689–$31,084
Idaho (statewide)15$11,915$22,044$28,106$7,000–$34,011
Illinois (statewide)43$11,121$12,592$16,772$7,705–$24,760
Indiana (statewide)50$14,350$16,240$19,234$8,253–$39,452
Indianapolis IN5$14,732$15,000$20,954$13,700–$25,949
Iowa (statewide)17$10,564$12,542$15,888$9,565–$20,351
Kansas (statewide)19$10,026$11,974$16,174$7,569–$37,168
Kentucky (statewide)32$10,087$11,968$15,176$6,837–$27,562
Las Vegas NV1———$18,408–$18,408
Los Angeles CA18$18,646$20,570$22,241$15,337–$26,167
Louisiana (statewide)24$8,882$10,498$11,790$7,357–$15,224
Maine (statewide)13$22,810$31,042$34,611$8,826–$34,611
Maryland (statewide)1———$16,016–$16,016
Massachusetts (statewide)8$13,938$16,801$22,037$8,161–$39,236
Miami-Fort Lauderdale FL3———$12,119–$14,721
Michigan (statewide)36$13,723$15,417$17,662$7,640–$27,874
Minneapolis-St. Paul MN15$17,120$19,305$19,350$12,197–$21,593
Minnesota (statewide)22$14,052$14,607$18,933$6,284–$23,827
Mississippi (statewide)22$11,000$11,958$12,944$7,282–$18,964
Missouri (statewide)29$11,440$13,599$14,759$6,885–$22,595
Montana (statewide)6$9,778$17,362$21,922$5,365–$28,205
Nashville TN8$10,565$11,274$14,580$9,812–$21,577
Nebraska (statewide)15$19,159$20,825$23,427$13,156–$27,339
Nevada (statewide)6$13,290$15,993$21,258$12,654–$22,782
New Hampshire (statewide)8$14,272$17,243$22,014$11,328–$32,418
New Jersey (statewide)19$20,306$22,213$25,886$12,019–$30,797
New Mexico (statewide)11$8,678$11,856$17,958$5,282–$33,850
New York (statewide)48$13,118$15,282$20,821$8,305–$36,046
New York City8$20,860$21,758$25,410$10,018–$35,246
North Carolina (statewide)33$9,941$13,152$22,378$6,950–$32,045
North Dakota (statewide)7$12,868$14,282$14,970$11,612–$20,294
Ohio (statewide)53$14,276$16,781$20,016$7,246–$30,208
Oklahoma (statewide)15$9,714$11,912$13,690$8,300–$22,386
Oregon (statewide)13$18,374$20,790$23,474$9,003–$30,208
Pennsylvania (statewide)60$14,207$17,243$20,879$7,784–$32,434
Philadelphia PA11$19,967$20,998$23,770$18,964–$30,191
Phoenix AZ11$19,054$19,054$21,566$18,025–$23,351
Pittsburgh PA7$14,825$15,675$17,596$12,218–$20,512
Portland OR9$24,044$26,025$29,269$22,608–$29,269
Research Triangle NC9$12,648$14,947$15,151$9,929–$17,654
Rhode Island (statewide)6$14,017$18,400$23,572$12,116–$24,786
Richmond VA7$15,578$21,940$26,190$11,588–$27,542
Rio Grande Valley TX6$14,080$14,254$14,293$12,594–$20,046
Salt Lake City UT9$17,746$17,746$17,746$17,486–$17,746
San Antonio TX3———$10,060–$32,178
San Diego CA8$14,489$16,748$19,487$13,567–$22,816
San Francisco Bay Area CA2———$14,245–$18,748
Seattle-Tacoma WA16$23,309$25,069$26,451$21,644–$31,408
South Carolina (statewide)31$20,954$23,840$30,954$10,998–$35,837
South Dakota (statewide)4———$12,592–$18,619
St. Louis MO7$15,852$15,852$15,852$5,849–$19,504
Tampa FL11$22,319$22,854$23,630$17,697–$25,388
Tennessee (statewide)32$9,918$11,408$14,403$8,655–$21,577
Texas (statewide)87$11,766$13,852$20,200$7,220–$31,453
Utah (statewide)5$17,746$23,575$24,529$8,397–$24,529
Vermont (statewide)3———$14,050–$31,056
Virginia (statewide)28$15,849$21,352$23,651$11,687–$37,734
Washington (statewide)14$18,860$22,026$27,527$8,995–$47,060
Washington DC11$17,036$22,033$22,712$9,990–$24,103
West Virginia (statewide)13$6,219$6,514$21,907$5,424–$27,571
Wisconsin (statewide)51$14,926$21,235$23,566$10,470–$27,533
Wyoming (statewide)2———$18,172–$24,733

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Los Alamos Medical CenterNew Mexico (statewide)$5,2820.7×32026-07-10
Mccone County Health CenterMontana (statewide)$5,3650.6×12026-01-01
Wetzel County HospitalWest Virginia (statewide)$5,4240.7×22026-07-10
Mercy Hospital SouthSt. Louis MO$5,8490.7×12026-06-10
Weirton Medical Center, IncWest Virginia (statewide)$6,1970.8×22026-07-10
Camden Clark Medical CenterWest Virginia (statewide)$6,1980.8×22026-07-09
Reynolds Memorial Hospital, IncWest Virginia (statewide)$6,2190.8×32026-07-09
Northern Cochise Community Hospital, Inc.Arizona (statewide)$6,2580.7×12026-07-29
Grand Itasca Clinic And HospitalMinnesota (statewide)$6,2840.8×12026-01-28
Thomas Memorial HospitalWest Virginia (statewide)$6,4040.8×32026-07-10
United Hospital Center, IncWest Virginia (statewide)$6,4330.8×32026-07-10
Wheeling Hospital, IncWest Virginia (statewide)$6,5140.8×32026-07-09
Cherokee Medical CenterSouth Carolina (statewide)$35,8374.8×42026-04-01
Intermountain Health St. Mary'S Regional HospitalColorado (statewide)$35,9914.2×42026-03-22
Montefiore Mount Vernon HospitalNew York (statewide)$36,0463.5×102026-04-01
Providence Alaska Medical CenterAlaska (statewide)$37,1684.1×42026-04-01
Providence Medical CenterKansas (statewide)$37,1684.8×42026-04-01
Carilion New River Valley Medical CenterVirginia (statewide)$37,7344.8×12025-12-15
Lourdes Medical CenterWashington (statewide)$38,7914.2×12026-07-10
Holyoke Medical CenterMassachusetts (statewide)$39,2364.0×62026-05-01
Northwest Health- StarkeIndiana (statewide)$39,4524.6×22026-04-01
Lac/Harbor-Ucla Med CenterCalifornia (statewide)$46,7854.4×12026-03-12
Providence Centralia HospitalWashington (statewide)$47,0605.1×22026-04-01
Lac/Olive View-Ucla Medical CenterCalifornia (statewide)$47,5394.4×12026-03-12

Every hospital is on its state's page (linked in the market table) and in the interactive explorer.

MS-DRG 398: Appendix Procedures With Cc

1488 hospitals in 83 markets. National Medicare rate $11,014.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)20$13,646$15,210$17,824$10,141–$36,029
Alaska (statewide)4———$13,446–$50,037
Arizona (statewide)28$18,850$26,672$33,298$8,880–$44,063
Arkansas (statewide)10$12,803$13,814$15,225$10,751–$15,838
Atlanta GA10$27,309$28,965$29,902$27,309–$44,552
Austin TX13$9,547$13,242$14,633$9,063–$21,264
Boston MA12$12,605$14,001$17,532$10,734–$30,995
California (statewide)55$17,498$21,437$26,996$9,594–$102,306
Charlotte NC8$23,040$24,952$29,589$16,980–$29,589
Chicago IL10$18,828$21,760$24,980$14,373–$28,153
Cleveland OH11$18,743$20,676$20,855$15,696–$25,540
Colorado (statewide)16$19,882$29,129$34,999$9,274–$47,589
Columbus OH2———$30,765–$40,560
Connecticut (statewide)6$24,966$26,916$28,748$17,350–$32,809
Dallas-Fort Worth TX15$14,506$17,112$20,234$13,220–$34,036
Delaware (statewide)2———$21,520–$36,024
Denver CO15$16,851$19,752$30,064$12,705–$39,741
Detroit MI16$20,734$20,851$28,026$10,119–$35,345
Florida (statewide)89$14,891$17,060$30,656$9,412–$45,464
Georgia (statewide)41$20,616$29,480$33,598$12,261–$44,552
Hawaii (statewide)11$30,430$31,690$36,512$26,110–$38,614
Houston TX19$15,175$19,793$23,818$11,700–$37,475
Idaho (statewide)15$20,835$33,716$37,612$15,469–$46,239
Illinois (statewide)41$14,353$16,671$22,640$10,188–$32,739
Indiana (statewide)50$14,732$20,482$25,433$8,234–$33,087
Indianapolis IN5$14,732$15,000$27,706$13,700–$34,312
Iowa (statewide)20$14,288$16,902$21,104$12,845–$25,679
Kansas (statewide)18$13,038$16,296$19,601$10,046–$50,037
Kentucky (statewide)32$13,416$16,665$20,280$9,357–$39,109
Las Vegas NV1———$24,787–$24,787
Los Angeles CA18$25,117$27,722$29,942$20,279–$35,227
Louisiana (statewide)24$11,947$14,115$15,876$9,510–$20,254
Maine (statewide)13$30,714$41,046$45,765$11,670–$45,765
Maryland (statewide)1———$18,696–$18,696
Massachusetts (statewide)8$17,182$19,721$21,088$10,792–$26,866
Miami-Fort Lauderdale FL3———$15,467–$19,465
Michigan (statewide)38$17,714$19,924$24,146$10,119–$33,119
Minneapolis-St. Paul MN15$22,637$25,646$25,989$16,286–$28,552
Minnesota (statewide)21$19,192$19,315$25,646$8,310–$32,083
Mississippi (statewide)17$16,347$16,944$17,740$11,803–$25,076
Missouri (statewide)29$14,884$16,468$19,515$9,271–$47,012
Montana (statewide)6$12,929$22,833$28,564$7,223–$37,294
Nashville TN8$13,121$13,307$17,392$12,904–$29,053
Nebraska (statewide)15$25,360$26,910$31,128$17,716–$36,149
Nevada (statewide)5$19,650$21,538$29,554$17,038–$30,061
New Hampshire (statewide)8$19,130$22,991$25,609$14,978–$35,600
New Jersey (statewide)19$25,537$29,241$34,499$15,893–$40,722
New Mexico (statewide)11$11,641$15,380$23,456$7,112–$45,570
New York (statewide)48$17,400$20,268$27,512$10,981–$48,526
New York City8$27,698$28,770$33,599$13,487–$46,604
North Carolina (statewide)31$13,886$17,506$29,589$9,358–$38,886
North Dakota (statewide)7$17,069$19,231$19,878$15,632–$27,322
Ohio (statewide)51$17,516$22,819$27,640$9,581–$40,440
Oklahoma (statewide)15$12,368$15,751$17,638$8,300–$28,101
Oregon (statewide)13$24,603$27,080$31,275$12,002–$40,440
Pennsylvania (statewide)60$18,675$23,334$28,308$11,737–$43,228
Philadelphia PA11$26,470$28,422$32,850$25,076–$39,921
Phoenix AZ11$25,194$25,576$29,208$25,194–$32,308
Pittsburgh PA7$20,218$21,386$24,067$16,372–$27,954
Portland OR9$30,904$33,152$39,403$30,436–$39,403
Research Triangle NC9$17,031$19,119$20,126$13,369–$23,344
Rhode Island (statewide)7$19,186$24,279$30,436$15,872–$32,774
Richmond VA7$20,598$32,458$35,440$15,176–$37,424
Rio Grande Valley TX6$17,703$18,160$18,768$16,073–$25,097
Salt Lake City UT9$23,465$23,465$23,465$23,218–$23,465
San Antonio TX3———$12,730–$36,879
San Diego CA9$17,629$21,658$22,634$14,409–$25,442
San Francisco Bay Area CA2———$17,412–$25,240
Seattle-Tacoma WA16$31,460$33,464$35,693$29,291–$42,282
South Carolina (statewide)31$28,401$32,748$40,929$12,367–$45,951
South Dakota (statewide)3———$19,472–$24,619
St. Louis MO7$19,934$19,934$19,934$7,734–$26,122
Tampa FL11$29,790$30,774$31,246$23,400–$33,570
Tennessee (statewide)31$13,157$15,389$17,907$11,654–$29,053
Texas (statewide)87$14,816$17,992$24,638$7,529–$41,589
Utah (statewide)5$23,465$31,706$32,989$11,103–$32,989
Vermont (statewide)3———$18,918–$41,817
Virginia (statewide)29$20,857$29,313$31,503$15,307–$49,894
Washington (statewide)13$25,240$29,208$32,575$12,043–$63,576
Washington DC11$22,526$29,668$30,582$13,095–$31,870
West Virginia (statewide)14$9,006$9,640$29,944$7,796–$36,457
Wisconsin (statewide)48$21,810$28,593$31,483$13,088–$36,407
Wyoming (statewide)2———$24,028–$33,626

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Los Alamos Medical CenterNew Mexico (statewide)$7,1120.7×32026-07-10
Mccone County Health CenterMontana (statewide)$7,2230.7×12026-01-01
Ascension ProvidenceTexas (statewide)$7,5290.7×32026-01-01
Mercy Hospital SouthSt. Louis MO$7,7340.7×12026-06-10
Wetzel County HospitalWest Virginia (statewide)$7,7960.8×22026-07-10
Putnam County HospitalIndiana (statewide)$8,2340.7×22026-06-30
Ascension St John SapulpaOklahoma (statewide)$8,3000.8×42026-01-01
Grand Itasca Clinic And HospitalMinnesota (statewide)$8,3100.8×12026-01-28
Schneck Medical CenterIndiana (statewide)$8,4800.7×32024-01-24
Northern Cochise Community Hospital, Inc.Arizona (statewide)$8,8800.8×12026-07-29
Weirton Medical Center, IncWest Virginia (statewide)$8,9080.9×22026-07-10
Camden Clark Medical CenterWest Virginia (statewide)$8,9100.9×22026-07-09
St Luke'S Wood River Medical CenterIdaho (statewide)$46,2394.3×22026-03-25
NYU Langone Hospitals (Orthopedic Hospital + Tisch files)New York City$46,6043.4×92026-01-01
Hedrick Medical CenterMissouri (statewide)$47,0124.4×22025-12-31
Intermountain Health St. Mary'S Regional HospitalColorado (statewide)$47,5894.2×42026-03-22
Montefiore Mount Vernon HospitalNew York (statewide)$48,5263.5×102026-04-01
Carilion New River Valley Medical CenterVirginia (statewide)$49,8944.8×12025-12-15
Providence Alaska Medical CenterAlaska (statewide)$50,0374.2×42026-04-01
Providence Medical CenterKansas (statewide)$50,0374.9×42026-04-01
Lac/Olive View-Ucla Medical CenterCalifornia (statewide)$59,1424.2×12026-03-12
Lac/Harbor-Ucla Med CenterCalifornia (statewide)$60,5804.3×12026-03-12
Providence Centralia HospitalWashington (statewide)$63,5765.3×22026-04-01
Lac/Rancho Los Amigos National Rehabilitation CtrCalifornia (statewide)$102,3067.2×12026-03-12

Every hospital is on its state's page (linked in the market table) and in the interactive explorer.

MS-DRG 397: Appendix Procedures With McC

1428 hospitals in 83 markets. National Medicare rate $17,427.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)20$21,246$24,066$26,556$16,046–$58,995
Alaska (statewide)4———$20,991–$81,922
Arizona (statewide)28$28,290$40,630$48,400$11,412–$56,629
Arkansas (statewide)8$20,787$23,084$24,495$19,089–$25,728
Atlanta GA10$44,711$45,829$47,313$44,711–$72,942
Austin TX11$15,394$20,493$24,116$15,005–$34,244
Boston MA12$19,945$22,153$27,648$16,983–$49,042
California (statewide)51$27,956$34,198$44,659$15,708–$121,686
Charlotte NC8$37,726$40,857$46,818$26,866–$46,818
Chicago IL10$30,550$35,628$40,585$23,531–$44,545
Cleveland OH11$29,656$31,066$32,925$24,835–$40,410
Colorado (statewide)16$31,459$46,100$55,378$14,673–$75,298
Columbus OH1———$48,679–$48,679
Connecticut (statewide)4———$17,350–$45,654
Dallas-Fort Worth TX15$21,491$27,080$30,325$20,232–$55,733
Delaware (statewide)2———$29,337–$39,267
Denver CO15$26,423$31,252$47,569$19,591–$63,821
Detroit MI16$31,580$32,806$40,008$18,390–$43,258
Florida (statewide)89$21,952$24,016$48,506$15,001–$71,936
Georgia (statewide)43$32,846$46,413$54,181$18,936–$72,942
Hawaii (statewide)11$34,320$38,110$48,640$29,942–$53,454
Houston TX19$22,848$30,088$36,500$19,158–$52,743
Idaho (statewide)14$30,306$49,749$59,188$24,476–$68,645
Illinois (statewide)41$23,499$27,229$35,823$16,120–$51,802
Indiana (statewide)48$18,690$32,074$40,344$15,001–$52,352
Indianapolis IN5$15,001$15,002$43,839$14,482–$54,290
Iowa (statewide)15$23,361$27,221$32,847$20,831–$42,048
Kansas (statewide)18$19,984$23,837$31,014$10,136–$47,435
Kentucky (statewide)26$22,342$27,648$31,827$15,320–$57,150
Las Vegas NV2———$40,588–$45,731
Los Angeles CA18$40,146$45,339$49,020$32,087–$57,674
Louisiana (statewide)23$19,521$22,986$26,129$14,846–$31,520
Maine (statewide)13$50,292$64,945$72,412$18,465–$72,412
Maryland (statewide)1———$18,992–$18,992
Massachusetts (statewide)7$25,995$29,721$32,404$17,074–$32,686
Miami-Fort Lauderdale FL3———$23,466–$30,798
Michigan (statewide)36$23,673$31,298$35,074$10,828–$49,814
Minneapolis-St. Paul MN14$37,406$40,579$42,550$18,489–$45,176
Minnesota (statewide)21$30,561$30,561$41,994$13,148–$52,534
Mississippi (statewide)17$25,218$25,865$28,044$19,327–$40,184
Missouri (statewide)28$22,876$24,811$30,591$13,354–$49,819
Montana (statewide)6$20,457$35,902$44,432$11,828–$59,009
Nashville TN8$17,937$19,207$26,514$15,974–$47,574
Nebraska (statewide)14$41,526$42,960$47,485$29,008–$57,197
Nevada (statewide)4———$30,386–$47,564
New Hampshire (statewide)8$28,364$33,464$40,340$23,699–$56,328
New Jersey (statewide)19$40,896$46,208$54,587$25,146–$65,541
New Mexico (statewide)11$17,906$23,892$39,580$11,646–$74,607
New York (statewide)47$26,934$32,092$43,000$17,375–$79,447
New York City8$44,181$45,522$52,710$22,080–$73,739
North Carolina (statewide)30$21,132$29,230$46,818$15,781–$60,097
North Dakota (statewide)7$27,467$31,489$31,707$25,593–$44,736
Ohio (statewide)47$27,502$36,616$43,338$15,160–$65,522
Oklahoma (statewide)15$19,068$24,921$27,226$13,000–$46,014
Oregon (statewide)11$37,745$42,661$50,559$19,431–$65,522
Pennsylvania (statewide)58$24,880$36,029$42,899$16,285–$69,474
Philadelphia PA11$42,143$45,512$53,282$39,676–$63,165
Phoenix AZ11$39,863$40,403$43,293$39,355–$46,926
Pittsburgh PA7$26,024$27,802$30,758$23,295–$34,739
Portland OR9$49,830$51,618$64,512$48,562–$64,512
Research Triangle NC9$27,888$32,729$32,955$21,891–$36,936
Rhode Island (statewide)6$32,805$42,793$49,316$23,744–$51,856
Richmond VA7$28,339$51,356$56,074$23,748–$62,835
Rio Grande Valley TX6$24,834$26,818$28,866$22,720–$37,163
Salt Lake City UT9$37,128$37,128$37,128$37,078–$37,128
San Antonio TX3———$19,688–$48,522
San Diego CA6$31,390$34,390$37,952$27,333–$39,690
San Francisco Bay Area CA2———$27,297–$41,324
Seattle-Tacoma WA16$51,393$53,422$55,297$47,722–$69,225
South Carolina (statewide)28$43,716$53,090$65,315$16,173–$72,578
South Dakota (statewide)3———$30,810–$38,953
St. Louis MO6$28,887$28,887$28,887$12,238–$40,934
Tampa FL11$47,405$50,390$50,390$37,025–$53,116
Tennessee (statewide)30$19,044$22,519$25,662$16,058–$47,574
Texas (statewide)82$22,398$28,488$38,282$15,920–$65,805
Utah (statewide)4———$37,128–$54,164
Vermont (statewide)3———$30,977–$68,474
Virginia (statewide)26$33,490$43,950$48,944$20,725–$78,945
Washington (statewide)13$38,884$45,338$50,796$19,592–$100,621
Washington DC11$35,642$48,580$50,076$20,512–$50,770
West Virginia (statewide)14$14,469$15,488$39,028$12,524–$57,684
Wisconsin (statewide)47$37,774$46,819$49,814$13,088–$57,605
Wyoming (statewide)1———$49,919–$49,919

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Stormont Vail Health Flint Hills, LlcKansas (statewide)$10,1360.7×32025-12-19
Henry Ford Health Providence Southfield HospitalMichigan (statewide)$10,8280.6×12026-01-01
Northern Cochise Community Hospital, Inc.Arizona (statewide)$11,4120.6×12026-07-29
Los Alamos Medical CenterNew Mexico (statewide)$11,6460.7×32026-07-10
Mccone County Health CenterMontana (statewide)$11,8280.7×12026-01-01
Mercy Hospital SouthSt. Louis MO$12,2380.7×12026-06-10
Wetzel County HospitalWest Virginia (statewide)$12,5240.8×22026-07-10
Ascension St John SapulpaOklahoma (statewide)$13,0000.8×32026-01-01
Thedacare Regional Medical Center - Appleton IncWisconsin (statewide)$13,0880.8×22026-08-07
Grand Itasca Clinic And HospitalMinnesota (statewide)$13,1480.8×12026-01-28
Lafayette Regional Health CenterMissouri (statewide)$13,3540.8×22026-09-01
Weirton Medical Center, IncWest Virginia (statewide)$14,3100.9×22026-07-10
Presbyterian Espanola HospitalNew Mexico (statewide)$74,6074.4×22026-04-01
Intermountain Health St. Mary'S Regional HospitalColorado (statewide)$75,2984.2×42026-03-22
Providence St Joseph HospitalCalifornia (statewide)$75,3853.4×22026-04-01
Albany Medical Center HospitalNew York (statewide)$75,5803.5×22025-12-31
Carilion New River Valley Medical CenterVirginia (statewide)$78,9454.8×12025-12-15
Montefiore Mount Vernon HospitalNew York (statewide)$79,4473.7×102026-04-01
Providence Alaska Medical CenterAlaska (statewide)$81,9224.3×42026-04-01
Lac/Olive View-Ucla Medical CenterCalifornia (statewide)$83,3013.7×12026-03-12
Lac/Harbor-Ucla Med CenterCalifornia (statewide)$89,4184.0×12026-03-12
Loma Linda University Children'S HospitalCalifornia (statewide)$97,1764.3×22026-09-02
Providence Centralia HospitalWashington (statewide)$100,6215.3×22026-04-01
Lac/Rancho Los Amigos National Rehabilitation CtrCalifornia (statewide)$121,6865.4×12026-03-12

Every hospital is on its state's page (linked in the market table) and in the interactive explorer.

Questions

How much do commercial insurers pay hospitals for appendectomy (laparoscopic)?

Across 1246 hospitals in 80 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 44970, hospital outpatient is $9,328, 1.5× the same hospital's local Medicare base rate. The middle half of hospitals runs $6,862 to $13,437. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for appendectomy (laparoscopic)?

Medicare's national hospital outpatient rate for CPT 44970 is $6,176 and its surgery-center rate is $3,031, before local wage adjustment.

Which hospitals post the lowest and highest commercial rates for appendectomy (laparoscopic)?

Lowest medians: Dodge County Hospital ($2,725), Usa Health Children'S & Women'S Hospital ($2,986), Holland Hospital ($3,031). Highest: Logan Regional Medical Center ($40,248), Stanford Health Care ($37,273), Parkview Huntington Hospital ($35,006). Coverage: every hospital whose price file we could read.