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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.

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CPT 44970: Laparoscopy Appendectomy

256 hospitals in 37 markets. National Medicare rate $6,176, surgery center $3,031.

MarketHospitals25th pctMedian75th pctLow–high
Atlanta GA6$6,917$6,917$9,543$6,917–$10,418
Austin TX13$4,640$9,274$10,922$4,640–$10,922
Boston MA11$7,028$7,907$8,914$4,850–$11,016
California (statewide)1———$13,297–$13,297
Chicago IL8$8,255$8,676$14,716$6,180–$16,105
Cleveland OH10$4,984$6,632$8,402$3,942–$9,608
Columbus OH1———$21,745–$21,745
Dallas-Fort Worth TX13$9,126$12,326$12,370$9,126–$24,256
Denver CO15$7,036$8,192$11,428$6,314–$12,373
Detroit MI17$6,035$6,035$7,584$3,155–$9,407
Georgia (statewide)1———$7,973–$7,973
Houston TX16$8,431$8,588$9,474$4,778–$9,537
Illinois (statewide)1———$5,934–$5,934
Kansas (statewide)1———$10,461–$10,461
Las Vegas NV2———$5,346–$6,448
Los Angeles CA16$8,838$10,222$12,364$7,382–$28,632
Miami-Fort Lauderdale FL1———$8,897–$8,897
Minneapolis-St. Paul MN8$7,893$8,110$8,366$7,634–$9,771
Nashville TN7$5,946$6,274$6,274$3,942–$6,274
New York (statewide)1———$9,123–$9,123
New York City8$5,212$5,372$8,500$5,178–$18,617
Ohio (statewide)1———$9,915–$9,915
Pennsylvania (statewide)1———$19,822–$19,822
Philadelphia PA11$5,798$7,589$8,611$5,401–$11,208
Phoenix AZ8$5,502$5,808$5,850$4,586–$5,975
Pittsburgh PA12$5,576$9,980$14,624$4,297–$18,623
Portland OR8$14,470$14,470$21,931$14,470–$21,931
Richmond VA3———$10,695–$10,695
Rio Grande Valley TX6$6,731$7,748$9,142$6,284–$9,328
San Antonio TX3———$5,622–$10,312
San Diego CA6$7,776$7,776$7,776$7,208–$14,450
San Francisco Bay Area CA6$11,052$18,808$33,970$9,518–$38,875
Seattle-Tacoma WA14$17,580$17,988$21,321$11,210–$22,844
St. Louis MO4———$7,908–$8,281
Tampa FL6$12,975$12,975$12,975$9,761–$23,168
Washington DC9$9,779$9,927$9,927$4,209–$9,927
Wisconsin (statewide)1———$8,886–$8,886
HospitalMarketMedian across insurers× MedicareInsurersFile date
Henry Ford Health -St John HospitalDetroit MI$3,1550.5×12026-01-01
Ascension Saint Thomas Hospital (Midtown + West)Nashville TN$3,9420.7×12026-01-01
University Hospitals Ahuja Medical CenterCleveland OH$3,9420.7×12026-07-14
University Hospitals St. John Medical CenterCleveland OH$4,2080.7×32026-07-14
George Washington Univ HospitalWashington DC$4,2090.6×32026-09-01
Upmc MercyPittsburgh PA$4,2970.7×12026-03-06
University Hospitals - Elyria Medical CenterCleveland OH$4,4570.8×32026-07-14
Chandler Regional Medical Center (Dignity)Phoenix AZ$4,5860.7×22026-02-28
Mercy Gilbert Medical Center (Dignity)Phoenix AZ$4,5860.7×22026-02-28
Ascension Seton Medical Center AustinAustin TX$4,6400.8×12026-01-01
Dell Seton Med Center At The University Of TxAustin TX$4,6400.8×12026-01-01
Ascension Seton SouthwestAustin TX$4,6400.8×12026-01-01
Ascension Seton NorthwestAustin TX$4,6400.8×12026-01-01
Cedar Park Regional Medical CenterAustin TX$4,6400.8×12026-01-01
Ascension Seton HaysAustin TX$4,6400.8×12026-01-01
Chi St Luke's Health BrazosportHouston TX$4,7780.8×52026-02-28
South Shore HospitalBoston MA$4,8500.7×22026-04-01
Elmhurst Hospital CenterNew York City$5,1780.7×62026-09-05
South Brooklyn HealthNew York City$5,2040.7×62026-09-05
Jacobi Medical CenterNew York City$5,2140.7×62026-09-05
LINCOLN MEDICAL & MENTAL HEALTH CENTERNew York City$5,2160.7×62026-09-05
Trinity Health Oakland HospitalDetroit MI$5,2650.9×162026-03-31
Henderson HospitalLas Vegas NV$5,3460.8×12026-09-01
Upmc PassavantPittsburgh PA$5,3460.9×12026-03-07
Riddle Memorial HospitalPhiladelphia PA$5,4010.9×22026-04-01
Jamaica Hospital Medical CenterNew York City$5,5280.7×52026-03-25
Upmc St MargaretPittsburgh PA$5,5760.9×12026-03-06
Upmc EastPittsburgh PA$5,5760.9×12026-03-06
University Health SystemSan Antonio TX$5,6220.9×42025-10-14
Vanderbilt Wilson County HospitalNashville TN$5,6431.0×72025-10-01
Paoli HospitalPhiladelphia PA$5,6801.0×22026-04-01
Mclaren Port HuronDetroit MI$5,7510.9×12025-12-31
Bryn Mawr HospitalPhiladelphia PA$5,7600.9×22026-04-01
HonorHealth Scottsdale Osborn Medical CenterPhoenix AZ$5,8080.9×42026-04-01
HonorHealth Scottsdale Shea Medical CenterPhoenix AZ$5,8080.9×42026-04-01
HonorHealth John C. Lincoln Medical CenterPhoenix AZ$5,8080.9×42026-04-01
HonorHealth Deer Valley Medical CenterPhoenix AZ$5,8080.9×42026-04-01
Lankenau Medical CenterPhiladelphia PA$5,8361.0×22026-04-01
Sarah Bush Lincoln Health CenterIllinois (statewide)$5,9340.9×22026-06-03
HonorHealth Scottsdale Thompson Peak Medical CenterPhoenix AZ$5,9750.9×32026-04-01
HonorHealth Sonoran Crossing Medical CenterPhoenix AZ$5,9750.9×32026-04-01
Trinity Health Livonia HospitalDetroit MI$5,9971.0×152026-03-31
Corewell Health Beaumont Grosse Pointe HospitalDetroit MI$6,0351.0×12026-05-01
Corewell Health William Beaumont University HospitDetroit MI$6,0351.0×12026-05-01
Corewell Health Beaumont Troy HospitalDetroit MI$6,0351.0×12026-05-01
Corewell Health Wayne HospitalDetroit MI$6,0351.0×12026-05-01
Corewell Health Farmington Hills HospitalDetroit MI$6,0351.0×12026-05-01
Corewell Health Trenton HospitalDetroit MI$6,0351.0×12026-05-01
Jefferson Abington HospitalPhiladelphia PA$6,0741.0×42026-09-15
Endeavor Health Evanston HospitalChicago IL$6,1800.9×32026-04-01
Henry Ford Health Rochester HospitalDetroit MI$6,1981.0×12026-01-01
Vanderbilt University Medical CenterNashville TN$6,2501.1×72025-10-01
TriStar StoneCrest Medical CenterNashville TN$6,2741.1×52026-09-01
TriStar Skyline Medical CenterNashville TN$6,2741.1×52026-09-01
TriStar Summit Medical CenterNashville TN$6,2741.1×52026-09-01
TriStar Hendersonville Medical CenterNashville TN$6,2741.1×52026-09-01
Knapp Medical CenterRio Grande Valley TX$6,2841.0×12026-09-01
HCA HealthONE Presbyterian/St. Luke'sDenver CO$6,3141.0×42026-09-01
HCA HealthONE SwedishDenver CO$6,3341.0×42026-09-01
University Medical Center of Southern NevadaLas Vegas NV$6,4481.0×72026-07-01
Magee Womens Hospital Of Upmc Health SystemPittsburgh PA$6,4611.1×12026-03-06
Cleveland Clinic Lutheran HospitalCleveland OH$6,5651.1×32026-06-15
Marymount HospitalCleveland OH$6,5651.1×32026-06-15
Mclaren Lapeer RegionDetroit MI$6,6221.1×12025-12-31
HCA HealthONE Sky RidgeDenver CO$6,6271.0×42026-09-01
Hca Healthone RoseDenver CO$6,6481.0×42026-09-01
Mission Regional Medical CenterRio Grande Valley TX$6,6711.1×12026-09-01
MetroHealth SystemCleveland OH$6,7001.2×32026-04-01
Baylor St. Luke's Medical CenterHouston TX$6,7141.1×52026-02-28
Emerson Hospital -Boston MA$6,8320.9×12026-05-18
Harlingen Medical CenterRio Grande Valley TX$6,9121.1×32026-09-01
Emory University HospitalAtlanta GA$6,9171.1×62026-04-01
Emory University Hospital MidtownAtlanta GA$6,9171.1×62026-04-01
Emory Saint Joseph's HospitalAtlanta GA$6,9171.1×62026-04-01
Emory Johns Creek HospitalAtlanta GA$6,9171.1×62026-04-01
Beverly Hospital CorporationBoston MA$7,0121.0×32026-04-01
Lahey Hospital & Medical Center, BurlingtonBoston MA$7,0451.0×22026-04-01
Tri-City Medical CenterSan Diego CA$7,2080.9×42026-05-29
Winchester HospitalBoston MA$7,3681.0×32026-04-01
Usc Verdugo Hills HospitalLos Angeles CA$7,3820.9×42026-04-01
Uchealth Highlands Ranch HospitalDenver CO$7,4251.2×42025-11-01
Medina HospitalCleveland OH$7,5001.3×42026-06-15
Henry Ford Health Macomb HospitalDetroit MI$7,5841.3×32026-06-28
Jefferson Health-NortheastPhiladelphia PA$7,5891.2×52026-09-15
Jefferson Einstein Montgomery HospitalPhiladelphia PA$7,5891.3×52026-09-15
UCHealth University of Colorado HospitalDenver CO$7,5971.2×32025-11-01
Park Nicollet Methodist HospitalMinneapolis-St. Paul MN$7,6341.2×32026-03-31
M Health Fairview Southdale HospitalMinneapolis-St. Paul MN$7,6411.2×42026-02-06
Scripps Green HospitalSan Diego CA$7,7761.0×12026-03-30
Scripps Mercy HospitalSan Diego CA$7,7761.0×12026-03-30
Scripps Memorial Hospital La JollaSan Diego CA$7,7761.0×12026-03-30
Scripps Memorial Hospital - EncinitasSan Diego CA$7,7761.0×12026-03-30
Providence Cedars Sinai Tarzana Medical CenterLos Angeles CA$7,7991.0×42026-04-01
Providence Saint Joseph Medical CtrLos Angeles CA$7,8041.0×42026-04-01
Providence Holy Cross Medical CenterLos Angeles CA$7,9061.0×42026-04-01
New England Baptist HospitalBoston MA$7,9071.1×32026-04-01
Mercy Hospital JeffersonSt. Louis MO$7,9081.3×32026-06-10
Maimonides Medical CenterNew York City$7,9451.1×52026-04-01
St. Luke's Health The Woodlands HospitalHouston TX$7,9611.3×52026-02-28
St. Luke's Health Sugar Land HospitalHouston TX$7,9611.3×52026-02-28
Emory Houston Hospital Warner RobinsGeorgia (statewide)$7,9731.5×32026-04-01
M Health Fairview Ridges HospitalMinneapolis-St. Paul MN$7,9771.3×42026-02-06
M Health Fairview Lakes Medical CenterMinneapolis-St. Paul MN$8,1101.3×42026-02-05
M Health Fairview Northland Medical CenterMinneapolis-St. Paul MN$8,1101.3×42026-01-29
M Health Fairview University of Minnesota Medical CenterMinneapolis-St. Paul MN$8,1111.3×42026-02-06
Temple University HospitalPhiladelphia PA$8,1511.3×62026-04-13
Endeavor Health Edward HospitalChicago IL$8,1761.3×22026-04-01
Lutheran Medical CenterDenver CO$8,1921.3×62026-03-22
Intermountain Health Saint Joseph HospitalDenver CO$8,1921.3×62026-03-22
Trinity Health Livingston HospitalDetroit MI$8,2791.4×152026-03-31
Endeavor Health Northwest Community HospitalChicago IL$8,2811.3×22026-04-01
Mercy Hospital St LouisSt. Louis MO$8,2811.4×22026-06-04
Mercy Hospital SouthSt. Louis MO$8,2811.4×22026-06-10
Mercy Hospital WashingtonSt. Louis MO$8,2811.4×22026-06-10
Northwestern Memorial HospitalChicago IL$8,3821.3×12026-04-01
Doctors Hospital at RenaissanceRio Grande Valley TX$8,5831.4×22026-04-01
Houston Methodist HospitalHouston TX$8,5881.4×42026-04-01
Henry Ford Health HospitalDetroit MI$8,5881.4×32026-06-28
Houston Methodist Baytown HospitalHouston TX$8,5881.4×42026-04-01
Houston Methodist Sugar Land HospitalHouston TX$8,5881.4×42026-04-01
Houston Methodist West HospitalHouston TX$8,5881.4×42026-04-01
Houston Methodist The Woodlands HospitalHouston TX$8,5881.4×42026-04-01
Cleveland Clinic (main campus)Cleveland OH$8,7021.5×42026-06-16
Hca Houston Healthcare Clear LakeHouston TX$8,7491.4×52026-09-01
Beth Israel Deaconess Hospital - PlymouthBoston MA$8,8141.2×12026-04-01
Spotsylvania Regional Medical CenterWashington DC$8,8141.4×42026-09-01
Beth Israel Deaconess Hospital - NeedhamBoston MA$8,8501.2×12026-04-01
Orthopaedic Hospital Of WisconsinWisconsin (statewide)$8,8861.5×32026-01-01
Cleveland Clinic HospitalMiami-Fort Lauderdale FL$8,8971.4×22026-06-15
Endeavor Health Elmhurst HospitalChicago IL$8,9691.4×22026-04-01
Mount Auburn HospitalBoston MA$8,9771.2×12026-04-01
Jefferson Stratford HospitalPhiladelphia PA$9,0711.3×32026-09-15
Stony Brook University HospitalNew York (statewide)$9,1231.2×52026-06-10
Denver Health Medical CenterDenver CO$9,1241.4×42026-04-30
Baylor University Medical CenterDallas-Fort Worth TX$9,1261.5×32026-06-29
Baylor Scott & White Medical Center - GrapevineDallas-Fort Worth TX$9,1261.5×32026-06-29
Baylor Scott & White Medical Center - Lake PointeDallas-Fort Worth TX$9,1261.5×32026-06-29
Baylor Scott & White Medical Center - McKinneyDallas-Fort Worth TX$9,1261.5×32026-06-29
Hennepin County Medical CenterMinneapolis-St. Paul MN$9,1321.4×22025-12-17
Providence Little Co Of Mary Med Ctr San PedroLos Angeles CA$9,1481.2×42026-04-01
Providence Little Company Of Mary Med Ctr TorranceLos Angeles CA$9,1541.2×42026-04-01
Thomas Jefferson University HospitalPhiladelphia PA$9,1721.5×32026-09-15
Scott & White Hospital-Round RockAustin TX$9,2741.5×42026-06-13
Baylor Scott & White Medical Center ? PflugervilleAustin TX$9,2741.5×42026-06-13
Baylor Scott & White Medical Center- AustinAustin TX$9,2741.5×42026-06-13
Valley Regional Medical CenterRio Grande Valley TX$9,3281.5×52026-09-01
Rio Grande Regional HospitalRio Grande Valley TX$9,3281.5×52026-09-01
Harper University HospitalDetroit MI$9,4071.6×12026-09-02
Huron Valley-Sinai HospitalDetroit MI$9,4071.6×12026-05-20
Providence Mission HospitalLos Angeles CA$9,4461.2×52026-04-01
Anna Jaques HospitalBoston MA$9,4501.3×22026-04-01
Hca Houston Healthcare SoutheastHouston TX$9,4741.6×52026-09-01
Hca Houston Healthcare ConroeHouston TX$9,4741.6×52026-09-01
Hca Houston Healthcare NorthwestHouston TX$9,4741.6×52026-09-01
Hca Houston Healthcare TomballHouston TX$9,4741.6×52026-09-01
Hca Houston Healthcare KingwoodHouston TX$9,4741.6×52026-09-01
Stanford Health Care Tri-ValleySan Francisco Bay Area CA$9,5181.1×42026-04-01
Hca Houston Healthcare Medical CenterHouston TX$9,5371.6×52026-09-01
Cleveland Clinic Hillcrest HospitalCleveland OH$9,6081.7×32026-06-15
Cleveland Clinic Fairview HospitalCleveland OH$9,6081.7×32026-06-15
Tampa General HospitalTampa FL$9,7611.6×22026-04-01
North Memorial HealthMinneapolis-St. Paul MN$9,7711.5×62026-09-25
Reston Hospital CenterWashington DC$9,7791.6×52026-09-01
Stonesprings Hospital CenterWashington DC$9,7791.6×52026-09-01
Upmc Presbyterian ShadysidePittsburgh PA$9,8071.7×12026-03-06
Bethesda NorthOhio (statewide)$9,9151.7×42026-04-01
Inova Alexandria HospitalWashington DC$9,9271.6×52026-04-01
Inova Loudoun HospitalWashington DC$9,9271.6×52026-04-01
Inova Fairfax HospitalWashington DC$9,9271.6×52026-04-01
Inova Fair Oaks HospitalWashington DC$9,9271.6×52026-04-01
Inova Mount Vernon HospitalWashington DC$9,9271.6×52026-04-01
Santa Monica - Ucla Med Ctr & Orthopaedic HospitalLos Angeles CA$9,9371.3×22026-03-29
Upmc WashingtonPittsburgh PA$10,1531.7×22026-03-06
Montefiore Medical CenterNew York City$10,1651.4×82026-04-01
Good Samaritan HospitalSan Francisco Bay Area CA$10,2171.1×52026-09-01
Methodist HospitalSan Antonio TX$10,3121.7×52026-09-01
Methodist Hospital Stone OakSan Antonio TX$10,3121.7×52026-09-01
Wellstar Kennestone HospitalAtlanta GA$10,4181.7×42026-04-01
Wellstar North Fulton HospitalAtlanta GA$10,4181.7×42026-04-01
Uchealth Broomfield HospitalDenver CO$10,4561.6×42025-11-01
Menorah Medical CenterKansas (statewide)$10,4611.8×52026-09-01
Providence St. Joseph HospitalLos Angeles CA$10,5081.4×52026-04-01
CJW Medical Center (Chippenham + Johnston-Willis)Richmond VA$10,6951.8×52026-09-01
Henrico Doctors' HospitalRichmond VA$10,6951.8×52026-09-01
Tricities HospitalRichmond VA$10,6951.8×52026-09-01
Hoag Memorial Hospital PresbyterianLos Angeles CA$10,7031.4×42026-04-01
St David's Medical CenterAustin TX$10,9221.8×52026-09-01
St David's South Austin Medical CenterAustin TX$10,9221.8×52026-09-01
Round Rock Medical CenterAustin TX$10,9221.8×52026-09-01
North Austin Medical CenterAustin TX$10,9221.8×52026-09-01
Beth Israel Deaconess Medical CenterBoston MA$11,0161.5×12026-04-01
Inspira Medical Center Mullica HillPhiladelphia PA$11,2081.6×12026-03-24
Swedish IssaquahSeattle-Tacoma WA$11,2101.6×52026-04-01
Providence St. Jude Medical CenterLos Angeles CA$11,4031.5×52026-04-01
Adventhealth PorterDenver CO$11,4281.8×22026-04-01
Adventhealth ParkerDenver CO$11,4281.8×22026-04-01
Adventhealth LittletonDenver CO$11,4281.8×22026-04-01
Adventhealth Castle RockDenver CO$11,4281.8×22026-04-01
Medical City WeatherfordDallas-Fort Worth TX$11,4561.9×52026-09-01
Memorialcare Orange Coast Medical CenterLos Angeles CA$12,1781.6×42026-04-01
Medical City PlanoDallas-Fort Worth TX$12,3262.0×52026-09-01
Medical City DallasDallas-Fort Worth TX$12,3262.0×52026-09-01
Medical City MckinneyDallas-Fort Worth TX$12,3702.0×52026-09-01
Medical City DentonDallas-Fort Worth TX$12,3702.0×52026-09-01
Medical City Fort WorthDallas-Fort Worth TX$12,3702.0×52026-09-01
Intermountain Health Platte Valley HospitalDenver CO$12,3731.9×32026-03-22
Ucla West Valley Medical CenterLos Angeles CA$12,9211.7×32026-03-29
Morton Plant HospitalTampa FL$12,9752.1×22026-01-01
Mease Dunedin HospitalTampa FL$12,9752.1×22026-01-01
South Florida Baptist HospitalTampa FL$12,9752.1×22026-01-01
Mease Countryside HospitalTampa FL$12,9752.1×22026-01-01
Swedish Edmonds HospitalSeattle-Tacoma WA$13,2142.0×42026-04-01
Los Robles Hospital & Medical CenterCalifornia (statewide)$13,2971.7×52026-09-01
St Mary's Medical CenterSan Francisco Bay Area CA$13,5571.6×52026-04-01
Jefferson HospitalPittsburgh PA$13,6732.3×52026-04-14
Memorialcare Long Beach Medical CenterLos Angeles CA$14,1321.8×42026-04-01
Allegheny Valley HospitalPittsburgh PA$14,1672.4×52026-04-14
Uc San Diego Health Hillcrest - Hillcrest Med CtrSan Diego CA$14,4501.9×42026-04-01
Legacy Emanuel Medical CenterPortland OR$14,4702.1×52026-04-01
Legacy Good Samaritan Medical CenterPortland OR$14,4702.1×52026-04-01
Legacy Mount Hood Medical CenterPortland OR$14,4702.1×52026-04-01
Legacy Meridian Park Medical CenterPortland OR$14,4702.1×52026-04-01
Legacy Salmon Creek Medical CenterPortland OR$14,4702.1×52026-04-01
Advocate Christ Medical CenterChicago IL$14,7162.3×12025-11-04
Advocate Lutheran General HospitalChicago IL$14,7162.3×12025-11-04
Overlake Hospital Medical CenterSeattle-Tacoma WA$15,8862.3×52026-04-01
Forbes HospitalPittsburgh PA$15,9962.7×52026-04-14
University of Chicago Medical CenterChicago IL$16,1052.5×22026-04-01
Keck Hospital Of UscLos Angeles CA$16,8832.2×52026-04-01
Ahn Wexford HospitalPittsburgh PA$17,0632.9×52026-04-14
St Anne HospitalSeattle-Tacoma WA$17,4962.5×52026-02-28
St Clare HospitalSeattle-Tacoma WA$17,8302.5×62026-02-28
St Joseph Medical CenterSeattle-Tacoma WA$17,8302.5×62026-02-28
St Francis Community HospitalSeattle-Tacoma WA$17,8302.5×62026-02-28
St Anthony HospitalSeattle-Tacoma WA$18,1452.6×62026-02-28
NYU Langone Hospitals (Orthopedic Hospital + Tisch files)New York City$18,6172.5×72026-01-01
Allegheny General HospitalPittsburgh PA$18,6233.2×52026-04-14
Lehigh Valley HospitalPennsylvania (statewide)$19,8223.2×72026-07-01
Swedish Medical Center / Cherry HillSeattle-Tacoma WA$20,4242.9×52026-04-01
Swedish Medical CenterSeattle-Tacoma WA$20,6162.9×52026-04-01
Tacoma General Allenmore HospitalSeattle-Tacoma WA$21,5563.0×72026-08-27
Multicare Auburn Medical CenterSeattle-Tacoma WA$21,5563.1×72026-08-27
Multicare Covington Medical CenterSeattle-Tacoma WA$21,5563.1×72026-08-27
Texas Health Presbyterian Hospital DallasDallas-Fort Worth TX$21,7443.6×22026-04-21
Texas Health Presbyterian Hospital PlanoDallas-Fort Worth TX$21,7443.6×22026-04-21
Mount Carmel EastColumbus OH$21,7453.7×192026-03-31
Providence St Vincent Medical CenterPortland OR$21,9313.3×32026-04-01
Providence Portland Medical CenterPortland OR$21,9313.3×32026-04-01
Providence Milwaukie HospitalPortland OR$21,9313.3×32026-04-01
Multicare Good Samaritan HospitalSeattle-Tacoma WA$22,8443.2×62026-08-27
Tampa General Hospital BrooksvilleTampa FL$23,1683.7×32026-04-01
John Muir Medical Center - Walnut Creek CampusSan Francisco Bay Area CA$24,0602.8×62026-03-23
UT Southwestern William P. Clements Jr. University HospitalDallas-Fort Worth TX$24,2564.0×22026-03-10
Cedars-Sinai Medical CenterLos Angeles CA$28,6323.7×32025-11-26
Stanford Health CareSan Francisco Bay Area CA$37,2734.2×42026-04-01
John Muir Medical Center - Concord CampusSan Francisco Bay Area CA$38,8754.5×62026-03-23

MS-DRG 399: Appendix Procedures Without Cc/McC

126 hospitals in 39 markets. National Medicare rate $8,330.

MarketHospitals25th pctMedian75th pctLow–high
Atlanta GA4———$20,286–$22,755
Austin TX2———$7,453–$9,795
Boston MA7$10,174$10,588$11,800$8,599–$16,684
California (statewide)1———$14,545–$14,545
Charlotte NC2———$18,640–$22,378
Chicago IL7$12,995$15,690$17,082$10,676–$21,291
Cleveland OH5$13,710$16,030$17,370$12,886–$18,150
Columbus OH1———$25,389–$25,389
Dallas-Fort Worth TX4———$12,020–$24,310
Denver CO7$8,261$10,631$20,288$7,345–$24,095
Detroit MI8$16,035$20,229$24,070$16,035–$25,432
Florida (statewide)1———$32,607–$32,607
Georgia (statewide)1———$22,284–$22,284
Houston TX1———$19,322–$19,322
Illinois (statewide)1———$9,120–$9,120
Indianapolis IN3———$15,520–$16,626
Kansas (statewide)1———$12,454–$12,454
Las Vegas NV1———$12,438–$12,438
Los Angeles CA2———$21,467–$37,782
Miami-Fort Lauderdale FL2———$13,982–$18,303
Minneapolis-St. Paul MN6$17,434$18,378$19,142$13,897–$21,593
Nashville TN4———$13,162–$23,824
New York (statewide)1———$33,011–$33,011
New York City2———$11,051–$36,737
Ohio (statewide)1———$20,023–$20,023
Pennsylvania (statewide)1———$23,180–$23,180
Philadelphia PA5$20,660$21,469$28,055$19,940–$30,191
Phoenix AZ3———$19,054–$20,267
Pittsburgh PA1———$24,219–$24,219
Portland OR6$24,720$25,440$28,458$24,136–$29,269
Research Triangle NC5$12,648$14,473$15,151$11,812–$16,441
Richmond VA4———$17,925–$27,542
Salt Lake City UT3———$19,208–$19,976
San Antonio TX1———$10,179–$10,179
San Diego CA1———$18,692–$18,692
Seattle-Tacoma WA6$25,446$25,447$25,448$22,344–$31,408
St. Louis MO5$17,841$17,841$17,841$5,849–$22,380
Tampa FL4———$22,993–$27,208
Washington DC6$15,409$21,423$23,586$13,608–$27,104
HospitalMarketMedian across insurers× MedicareInsurersFile date
Mercy Hospital SouthSt. Louis MO$5,8490.7×12026-06-10
HCA HealthONE SwedishDenver CO$7,3450.8×52026-09-01
Ascension Seton Medical Center AustinAustin TX$7,4530.9×12026-01-01
Hca Healthone RoseDenver CO$8,2140.9×52026-09-01
HCA HealthONE Sky RidgeDenver CO$8,3081.0×52026-09-01
Anna Jaques HospitalBoston MA$8,5990.9×12026-04-01
Sarah Bush Lincoln Health CenterIllinois (statewide)$9,1201.0×12026-06-03
Beth Israel Deaconess Hospital - PlymouthBoston MA$9,7601.0×12026-04-01
St David's Medical CenterAustin TX$9,7951.2×52026-09-01
Methodist HospitalSan Antonio TX$10,1791.2×42026-09-01
Beverly Hospital CorporationBoston MA$10,5881.1×12026-04-01
Winchester HospitalBoston MA$10,5881.1×12026-04-01
HCA HealthONE Presbyterian/St. Luke'sDenver CO$10,6311.2×52026-09-01
Endeavor Health Northwest Community HospitalChicago IL$10,6761.2×32026-04-01
Montefiore Medical CenterNew York City$11,0511.1×12026-04-01
Beth Israel Deaconess Medical CenterBoston MA$11,3991.1×22026-04-01
Duke Regional HospitalResearch Triangle NC$11,8121.5×42026-04-01
Medical City MckinneyDallas-Fort Worth TX$12,0201.5×62026-09-01
New England Baptist HospitalBoston MA$12,2021.2×32026-04-01
Endeavor Health Edward HospitalChicago IL$12,3241.4×32026-04-01
Medical City PlanoDallas-Fort Worth TX$12,3461.5×62026-09-01
University Medical Center of Southern NevadaLas Vegas NV$12,4381.4×22026-07-01
Menorah Medical CenterKansas (statewide)$12,4541.6×52026-09-01
North Carolina Specialty HospitalResearch Triangle NC$12,6481.6×12026-02-25
University Hospitals - Elyria Medical CenterCleveland OH$12,8861.7×32026-07-14
TriStar StoneCrest Medical CenterNashville TN$13,1621.7×72026-09-01
Reston Hospital CenterWashington DC$13,6081.6×52026-09-01
Stonesprings Hospital CenterWashington DC$13,6081.6×52026-09-01
Endeavor Health Elmhurst HospitalChicago IL$13,6661.6×32026-04-01
Cleveland Clinic Hillcrest HospitalCleveland OH$13,7101.8×42026-06-15
Lakeview Memorial HospitalMinneapolis-St. Paul MN$13,8971.6×32026-03-31
Ascension Saint Thomas Hospital (Midtown + West)Nashville TN$13,9401.8×72026-01-01
Cleveland Clinic HospitalMiami-Fort Lauderdale FL$13,9821.6×42026-06-15
Ascension Saint Thomas RutherfordNashville TN$14,3381.8×62026-01-01
UNC Rex HospitalResearch Triangle NC$14,4731.8×32026-04-01
Los Robles Hospital & Medical CenterCalifornia (statewide)$14,5451.4×32026-09-01
Duke University HospitalResearch Triangle NC$15,1511.9×42026-04-01
Baylor University Medical CenterDallas-Fort Worth TX$15,4881.9×42026-06-29
Ascension St Vincent CarmelIndianapolis IN$15,5201.8×52026-01-01
Endeavor Health Evanston HospitalChicago IL$15,6901.8×32026-04-01
Ascension St Vincent AndersonIndianapolis IN$15,8941.8×52026-01-01
Cleveland Clinic Lutheran HospitalCleveland OH$16,0302.1×52026-06-15
Corewell Health Beaumont Grosse Pointe HospitalDetroit MI$16,0352.0×32026-05-01
Corewell Health William Beaumont University HospitDetroit MI$16,0352.0×32026-05-01
Corewell Health Beaumont Troy HospitalDetroit MI$16,0352.0×32026-05-01
UNC Hospitals (Chapel Hill)Research Triangle NC$16,4412.0×32026-04-01
Hendricks Regional HealthIndianapolis IN$16,6261.9×32026-05-20
Loyola University Medical CenterChicago IL$16,6341.9×42026-03-31
Lahey Hospital & Medical Center, BurlingtonBoston MA$16,6841.7×42026-04-01
Park Nicollet Methodist HospitalMinneapolis-St. Paul MN$17,1202.0×32026-03-31
Medina HospitalCleveland OH$17,3702.3×42026-06-15
Rush University Medical CenterChicago IL$17,5292.0×42026-09-25
Missouri Baptist Medical CenterSt. Louis MO$17,8412.2×52025-12-15
Barnes-Jewish West County HospitalSt. Louis MO$17,8412.2×52025-12-15
Barnes-Jewish St Peters HospitalSt. Louis MO$17,8412.2×52025-12-15
CJW Medical Center (Chippenham + Johnston-Willis)Richmond VA$17,9252.3×52026-09-01
Henrico Doctors' HospitalRichmond VA$17,9252.3×52026-09-01
Cleveland Clinic (main campus)Cleveland OH$18,1502.4×52026-06-16
Mount Sinai Medical Center Of Florida, IncMiami-Fort Lauderdale FL$18,3032.1×32026-03-13
Mercy Hospital (Allina, Coon Rapids)Minneapolis-St. Paul MN$18,3782.1×42026-06-17
United Hospital (Allina)Minneapolis-St. Paul MN$18,3782.1×42026-06-16
Atrium Health PinevilleCharlotte NC$18,6402.4×22025-12-05
Scripps Green HospitalSan Diego CA$18,6921.8×62026-03-30
HonorHealth Scottsdale Osborn Medical CenterPhoenix AZ$19,0542.2×52026-04-01
HonorHealth Scottsdale Shea Medical CenterPhoenix AZ$19,0542.2×52026-04-01
Mckay-Dee HospitalSalt Lake City UT$19,2082.3×12026-08-05
Houston Methodist HospitalHouston TX$19,3222.4×22026-04-01
Corewell Health Dearborn HospitalDetroit MI$19,3712.4×22026-05-01
Buffalo HospitalMinneapolis-St. Paul MN$19,3962.3×32026-06-16
Riddle Memorial HospitalPhiladelphia PA$19,9402.4×42026-04-01
Intermountain Health Utah Valley HospitalSalt Lake City UT$19,9762.4×12026-08-05
Lds HospitalSalt Lake City UT$19,9762.4×12026-08-05
Bethesda NorthOhio (statewide)$20,0232.5×52026-04-01
HonorHealth Scottsdale Thompson Peak Medical CenterPhoenix AZ$20,2672.3×42026-04-01
Emory University HospitalAtlanta GA$20,2862.5×52026-04-01
Adventhealth PorterDenver CO$20,2882.4×22026-04-01
Adventhealth ParkerDenver CO$20,2882.4×22026-04-01
Bryn Mawr HospitalPhiladelphia PA$20,6602.5×42026-04-01
George Washington Univ HospitalWashington DC$20,8132.1×32026-09-01
Mclaren Port HuronDetroit MI$21,0872.6×12025-12-31
University of Chicago Medical CenterChicago IL$21,2912.4×52026-04-01
Cedars-Sinai Medical CenterLos Angeles CA$21,4672.0×12025-11-26
Jefferson Stratford HospitalPhiladelphia PA$21,4692.3×52026-09-15
Abbott Northwestern HospitalMinneapolis-St. Paul MN$21,5932.5×52026-06-16
Piedmont Atlanta HospitalAtlanta GA$21,6172.6×52026-07-01
VCU Medical CenterRichmond VA$21,9402.8×32026-01-02
Inova Alexandria HospitalWashington DC$22,0332.6×52026-04-01
Piedmont Fayette HospitalAtlanta GA$22,1932.7×52026-07-01
Emory Houston Hospital Warner RobinsGeorgia (statewide)$22,2843.1×42026-04-01
Overlake Hospital Medical CenterSeattle-Tacoma WA$22,3442.3×52026-04-01
Novant Health Matthews Medical CenterCharlotte NC$22,3782.8×32026-03-30
Barnes Jewish HospitalSt. Louis MO$22,3802.7×32025-12-15
Piedmont Newnan HospitalAtlanta GA$22,7552.8×52026-07-01
Morton Plant HospitalTampa FL$22,9932.7×52026-01-01
Lehigh Valley HospitalPennsylvania (statewide)$23,1802.8×62026-07-01
Tampa General HospitalTampa FL$23,4262.8×42026-04-01
Vanderbilt University Medical CenterNashville TN$23,8243.0×62025-10-01
Trinity Health Oakland HospitalDetroit MI$24,0313.0×172026-03-31
UCHealth University of Colorado HospitalDenver CO$24,0952.8×62025-11-01
Medstar Washington Hospital CenterWashington DC$24,1032.5×52026-04-01
Legacy Meridian Park Medical CenterPortland OR$24,1362.6×42026-04-01
Harper University HospitalDetroit MI$24,1883.0×22026-09-02
Upmc Presbyterian ShadysidePittsburgh PA$24,2193.1×12026-03-06
Texas Health Presbyterian Hospital DallasDallas-Fort Worth TX$24,3103.0×42026-04-21
Legacy Mount Hood Medical CenterPortland OR$24,6762.7×42026-04-01
Adventhealth TampaTampa FL$24,7442.9×42026-04-01
Legacy Good Samaritan Medical CenterPortland OR$24,8542.7×42026-04-01
Ohio State University HospitalsColumbus OH$25,3893.2×32026-07-01
Henry Ford Health Rochester HospitalDetroit MI$25,4323.1×12026-01-01
Multicare Good Samaritan HospitalSeattle-Tacoma WA$25,4462.6×62026-08-27
Tacoma General Allenmore HospitalSeattle-Tacoma WA$25,4462.6×62026-08-27
St Clare HospitalSeattle-Tacoma WA$25,4482.6×62026-02-28
St Anthony HospitalSeattle-Tacoma WA$25,4482.6×62026-02-28
Legacy Emanuel Medical CenterPortland OR$26,0252.9×42026-04-01
Medstar Georgetown University HospitalWashington DC$27,1042.8×42026-04-01
Adventhealth CarrollwoodTampa FL$27,2083.2×42026-04-01
Bon Secours St. Mary's HospitalRichmond VA$27,5423.5×52026-04-01
Thomas Jefferson University HospitalPhiladelphia PA$28,0553.4×52026-09-15
Providence St Vincent Medical CenterPortland OR$29,2693.2×32026-04-01
Providence Portland Medical CenterPortland OR$29,2693.2×32026-04-01
Inspira Medical Center Mullica HillPhiladelphia PA$30,1913.3×32026-03-24
Swedish Medical CenterSeattle-Tacoma WA$31,4083.3×52026-04-01
Orlando Health Orlando Regional Medical CenterFlorida (statewide)$32,6073.8×42026-04-01
Stony Brook University HospitalNew York (statewide)$33,0113.2×12026-06-10
NYU Langone Hospitals (Orthopedic Hospital + Tisch files)New York City$36,7373.5×72026-01-01
Keck Hospital Of UscLos Angeles CA$37,7823.5×62026-04-01

MS-DRG 398: Appendix Procedures With Cc

126 hospitals in 39 markets. National Medicare rate $11,014.

MarketHospitals25th pctMedian75th pctLow–high
Atlanta GA4———$27,309–$30,088
Austin TX2———$9,855–$12,462
Boston MA7$13,453$14,001$15,604$11,370–$22,061
California (statewide)1———$17,092–$17,092
Charlotte NC2———$25,099–$29,589
Chicago IL7$17,494$21,123$22,788$14,373–$28,153
Cleveland OH5$18,484$22,263$23,387$17,039–$23,500
Columbus OH1———$33,572–$33,572
Dallas-Fort Worth TX4———$15,137–$32,730
Denver CO7$9,940$14,057$26,826$9,712–$31,860
Detroit MI8$21,203$24,574$28,928$21,203–$30,113
Florida (statewide)1———$43,896–$43,896
Georgia (statewide)1———$30,000–$30,000
Houston TX1———$26,148–$26,148
Illinois (statewide)1———$12,059–$12,059
Indianapolis IN3———$15,520–$21,984
Kansas (statewide)1———$16,468–$16,468
Las Vegas NV1———$16,748–$16,748
Los Angeles CA2———$28,385–$49,802
Miami-Fort Lauderdale FL2———$18,488–$24,202
Minneapolis-St. Paul MN6$23,053$24,300$25,310$18,375–$28,552
Nashville TN4———$14,993–$31,502
New York (statewide)1———$33,011–$33,011
New York City2———$14,878–$48,576
Ohio (statewide)1———$26,476–$26,476
Pennsylvania (statewide)1———$30,651–$30,651
Philadelphia PA5$28,388$28,422$37,096$26,502–$39,921
Phoenix AZ3———$25,194–$26,798
Pittsburgh PA1———$33,710–$33,710
Portland OR6$32,242$32,980$37,938$32,184–$39,403
Research Triangle NC5$17,031$19,119$19,488$13,900–$22,138
Richmond VA4———$23,701–$37,424
Salt Lake City UT3———$25,833–$26,865
San Antonio TX1———$12,790–$12,790
San Diego CA1———$24,716–$24,716
Seattle-Tacoma WA6$34,120$34,193$34,266$29,810–$42,282
St. Louis MO5$21,998$21,998$21,998$7,734–$30,426
Tampa FL4———$30,960–$35,976
Washington DC6$20,376$28,594$31,320$17,994–$35,839
HospitalMarketMedian across insurers× MedicareInsurersFile date
Mercy Hospital SouthSt. Louis MO$7,7340.7×12026-06-10
Hca Healthone RoseDenver CO$9,7120.8×52026-09-01
HCA HealthONE Sky RidgeDenver CO$9,7120.8×52026-09-01
Ascension Seton Medical Center AustinAustin TX$9,8550.9×12026-01-01
HCA HealthONE SwedishDenver CO$10,1680.9×52026-09-01
Anna Jaques HospitalBoston MA$11,3700.9×12026-04-01
Sarah Bush Lincoln Health CenterIllinois (statewide)$12,0591.0×12026-06-03
St David's Medical CenterAustin TX$12,4621.1×52026-09-01
Methodist HospitalSan Antonio TX$12,7901.2×42026-09-01
Beth Israel Deaconess Hospital - PlymouthBoston MA$12,9051.0×12026-04-01
Duke Regional HospitalResearch Triangle NC$13,9001.3×42026-04-01
Beverly Hospital CorporationBoston MA$14,0011.1×12026-04-01
Winchester HospitalBoston MA$14,0011.1×12026-04-01
HCA HealthONE Presbyterian/St. Luke'sDenver CO$14,0571.2×52026-09-01
Endeavor Health Northwest Community HospitalChicago IL$14,3731.2×32026-04-01
Montefiore Medical CenterNew York City$14,8781.1×12026-04-01
TriStar StoneCrest Medical CenterNashville TN$14,9931.4×72026-09-01
Beth Israel Deaconess Medical CenterBoston MA$15,0721.1×22026-04-01
Medical City PlanoDallas-Fort Worth TX$15,1371.4×62026-09-01
Medical City MckinneyDallas-Fort Worth TX$15,1381.4×62026-09-01
Ascension Saint Thomas RutherfordNashville TN$15,3661.5×62026-01-01
Ascension Saint Thomas Hospital (Midtown + West)Nashville TN$15,3661.5×72026-01-01
Ascension St Vincent CarmelIndianapolis IN$15,5201.4×52026-01-01
Ascension St Vincent AndersonIndianapolis IN$15,8941.4×52026-01-01
New England Baptist HospitalBoston MA$16,1351.2×32026-04-01
Menorah Medical CenterKansas (statewide)$16,4681.6×52026-09-01
Endeavor Health Edward HospitalChicago IL$16,5901.4×32026-04-01
University Medical Center of Southern NevadaLas Vegas NV$16,7481.5×22026-07-01
North Carolina Specialty HospitalResearch Triangle NC$17,0311.6×12026-02-25
University Hospitals - Elyria Medical CenterCleveland OH$17,0391.7×32026-07-14
Los Robles Hospital & Medical CenterCalifornia (statewide)$17,0921.2×32026-09-01
Reston Hospital CenterWashington DC$17,9941.6×52026-09-01
Stonesprings Hospital CenterWashington DC$17,9941.6×52026-09-01
Lakeview Memorial HospitalMinneapolis-St. Paul MN$18,3751.6×32026-03-31
Endeavor Health Elmhurst HospitalChicago IL$18,3981.6×32026-04-01
Cleveland Clinic Hillcrest HospitalCleveland OH$18,4841.8×42026-06-15
Cleveland Clinic HospitalMiami-Fort Lauderdale FL$18,4881.6×42026-06-15
Duke University HospitalResearch Triangle NC$19,1191.8×42026-04-01
UNC Rex HospitalResearch Triangle NC$19,4881.8×32026-04-01
Baylor University Medical CenterDallas-Fort Worth TX$20,6741.9×42026-06-29
Endeavor Health Evanston HospitalChicago IL$21,1231.8×32026-04-01
Corewell Health Beaumont Grosse Pointe HospitalDetroit MI$21,2032.0×32026-05-01
Corewell Health William Beaumont University HospitDetroit MI$21,2032.0×32026-05-01
Corewell Health Beaumont Troy HospitalDetroit MI$21,2032.0×32026-05-01
Hendricks Regional HealthIndianapolis IN$21,9841.9×32026-05-20
Missouri Baptist Medical CenterSt. Louis MO$21,9982.0×52025-12-15
Barnes-Jewish West County HospitalSt. Louis MO$21,9982.0×52025-12-15
Barnes-Jewish St Peters HospitalSt. Louis MO$21,9982.0×52025-12-15
Lahey Hospital & Medical Center, BurlingtonBoston MA$22,0611.7×42026-04-01
UNC Hospitals (Chapel Hill)Research Triangle NC$22,1382.1×32026-04-01
Cleveland Clinic Lutheran HospitalCleveland OH$22,2632.2×52026-06-15
Loyola University Medical CenterChicago IL$22,3981.9×42026-03-31
Park Nicollet Methodist HospitalMinneapolis-St. Paul MN$22,6372.0×32026-03-31
Rush University Medical CenterChicago IL$23,1782.0×42026-09-25
Cleveland Clinic (main campus)Cleveland OH$23,3872.3×52026-06-16
Medina HospitalCleveland OH$23,5002.3×42026-06-15
CJW Medical Center (Chippenham + Johnston-Willis)Richmond VA$23,7012.3×52026-09-01
Henrico Doctors' HospitalRichmond VA$23,7012.3×52026-09-01
Corewell Health Dearborn HospitalDetroit MI$24,0922.3×22026-05-01
Mount Sinai Medical Center Of Florida, IncMiami-Fort Lauderdale FL$24,2022.1×32026-03-13
Mercy Hospital (Allina, Coon Rapids)Minneapolis-St. Paul MN$24,3002.1×42026-06-17
United Hospital (Allina)Minneapolis-St. Paul MN$24,3002.1×42026-06-16
Scripps Green HospitalSan Diego CA$24,7161.8×62026-03-30
Mclaren Port HuronDetroit MI$25,0562.3×12025-12-31
Atrium Health PinevilleCharlotte NC$25,0992.4×22025-12-05
HonorHealth Scottsdale Osborn Medical CenterPhoenix AZ$25,1942.2×52026-04-01
HonorHealth Scottsdale Shea Medical CenterPhoenix AZ$25,1942.2×52026-04-01
Buffalo HospitalMinneapolis-St. Paul MN$25,6462.3×32026-06-16
Mckay-Dee HospitalSalt Lake City UT$25,8332.4×12026-08-05
Houston Methodist HospitalHouston TX$26,1482.4×22026-04-01
Bethesda NorthOhio (statewide)$26,4762.5×52026-04-01
Riddle Memorial HospitalPhiladelphia PA$26,5022.4×42026-04-01
HonorHealth Scottsdale Thompson Peak Medical CenterPhoenix AZ$26,7982.3×42026-04-01
Adventhealth PorterDenver CO$26,8262.4×22026-04-01
Adventhealth ParkerDenver CO$26,8262.4×22026-04-01
Intermountain Health Utah Valley HospitalSalt Lake City UT$26,8652.5×12026-08-05
Lds HospitalSalt Lake City UT$26,8652.5×12026-08-05
Emory University HospitalAtlanta GA$27,3092.5×52026-04-01
George Washington Univ HospitalWashington DC$27,5202.1×32026-09-01
University of Chicago Medical CenterChicago IL$28,1532.4×52026-04-01
Cedars-Sinai Medical CenterLos Angeles CA$28,3852.0×12025-11-26
Jefferson Stratford HospitalPhiladelphia PA$28,3882.3×52026-09-15
Bryn Mawr HospitalPhiladelphia PA$28,4222.6×42026-04-01
Abbott Northwestern HospitalMinneapolis-St. Paul MN$28,5522.5×52026-06-16
Trinity Health Oakland HospitalDetroit MI$28,5542.7×172026-03-31
Piedmont Atlanta HospitalAtlanta GA$28,5842.6×52026-07-01
Piedmont Fayette HospitalAtlanta GA$29,3462.7×52026-07-01
Novant Health Matthews Medical CenterCharlotte NC$29,5892.8×32026-03-30
Inova Alexandria HospitalWashington DC$29,6682.7×52026-04-01
Overlake Hospital Medical CenterSeattle-Tacoma WA$29,8102.4×52026-04-01
Emory Houston Hospital Warner RobinsGeorgia (statewide)$30,0003.2×42026-04-01
Harper University HospitalDetroit MI$30,0522.8×22026-09-02
Piedmont Newnan HospitalAtlanta GA$30,0882.8×52026-07-01
Henry Ford Health Rochester HospitalDetroit MI$30,1132.8×12026-01-01
Barnes Jewish HospitalSt. Louis MO$30,4262.8×32025-12-15
Lehigh Valley HospitalPennsylvania (statewide)$30,6512.8×42026-07-01
Morton Plant HospitalTampa FL$30,9602.7×52026-01-01
Vanderbilt University Medical CenterNashville TN$31,5023.0×62025-10-01
Tampa General HospitalTampa FL$31,5362.8×42026-04-01
UCHealth University of Colorado HospitalDenver CO$31,8602.8×62025-11-01
Medstar Washington Hospital CenterWashington DC$31,8702.5×52026-04-01
Legacy Mount Hood Medical CenterPortland OR$32,1842.7×42026-04-01
Legacy Meridian Park Medical CenterPortland OR$32,1842.7×42026-04-01
Legacy Good Samaritan Medical CenterPortland OR$32,4182.7×42026-04-01
Adventhealth TampaTampa FL$32,7192.9×42026-04-01
Texas Health Presbyterian Hospital DallasDallas-Fort Worth TX$32,7303.0×42026-04-21
Stony Brook University HospitalNew York (statewide)$33,0112.4×12026-06-10
Legacy Emanuel Medical CenterPortland OR$33,5422.8×42026-04-01
Ohio State University HospitalsColumbus OH$33,5723.2×32026-07-01
Upmc Presbyterian ShadysidePittsburgh PA$33,7103.2×12026-03-06
Multicare Good Samaritan HospitalSeattle-Tacoma WA$34,1202.7×62026-08-27
Tacoma General Allenmore HospitalSeattle-Tacoma WA$34,1202.7×62026-08-27
St Clare HospitalSeattle-Tacoma WA$34,2662.7×62026-02-28
St Anthony HospitalSeattle-Tacoma WA$34,2662.7×62026-02-28
Medstar Georgetown University HospitalWashington DC$35,8392.8×42026-04-01
Adventhealth CarrollwoodTampa FL$35,9763.2×42026-04-01
Bon Secours St. Mary's HospitalRichmond VA$36,4183.5×52026-04-01
Thomas Jefferson University HospitalPhiladelphia PA$37,0963.4×52026-09-15
VCU Medical CenterRichmond VA$37,4243.6×32026-01-02
Providence St Vincent Medical CenterPortland OR$39,4033.3×32026-04-01
Providence Portland Medical CenterPortland OR$39,4033.3×32026-04-01
Inspira Medical Center Mullica HillPhiladelphia PA$39,9213.3×32026-03-24
Swedish Medical CenterSeattle-Tacoma WA$42,2823.3×52026-04-01
Orlando Health Orlando Regional Medical CenterFlorida (statewide)$43,8963.9×42026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files)New York City$48,5763.5×72026-01-01
Keck Hospital Of UscLos Angeles CA$49,8023.5×62026-04-01

MS-DRG 397: Appendix Procedures With McC

122 hospitals in 37 markets. National Medicare rate $17,427.

MarketHospitals25th pctMedian75th pctLow–high
Atlanta GA4———$44,711–$47,607
Austin TX2———$15,594–$19,019
Boston MA7$21,286$22,153$24,689$17,990–$34,906
California (statewide)1———$24,856–$24,856
Charlotte NC2———$41,098–$46,818
Chicago IL7$28,642$34,583$36,674$23,531–$44,545
Cleveland OH5$27,944$34,386$36,764$26,959–$37,004
Columbus OH1———$53,119–$53,119
Dallas-Fort Worth TX4———$23,392–$53,590
Denver CO7$20,424$22,241$42,445$19,591–$50,410
Detroit MI8$32,522$32,806$33,208$28,635–$40,034
Florida (statewide)1———$71,868–$71,868
Georgia (statewide)1———$49,116–$49,116
Houston TX1———$40,727–$40,727
Indianapolis IN3———$15,520–$34,784
Kansas (statewide)1———$26,057–$26,057
Las Vegas NV1———$27,424–$27,424
Los Angeles CA2———$44,913–$78,515
Miami-Fort Lauderdale FL2———$29,252–$38,293
Minneapolis-St. Paul MN5$38,450$38,450$40,579$37,058–$45,176
Nashville TN4———$16,675–$49,844
New York (statewide)1———$33,011–$33,011
New York City2———$24,358–$76,860
Ohio (statewide)1———$41,892–$41,892
Pennsylvania (statewide)1———$43,538–$43,538
Philadelphia PA5$44,916$45,512$58,695$42,454–$63,165
Phoenix AZ3———$39,863–$40,403
Pittsburgh PA1———$37,910–$37,910
Portland OR6$51,760$51,760$61,324$51,760–$64,512
Research Triangle NC5$27,888$31,912$32,729$27,115–$36,250
Richmond VA4———$28,998–$62,835
Salt Lake City UT3———$42,414–$44,110
San Antonio TX1———$19,274–$19,274
Seattle-Tacoma WA6$53,692$54,642$55,921$47,990–$69,225
St. Louis MO4———$12,238–$45,170
Tampa FL4———$50,696–$56,923
Washington DC6$32,239$46,062$49,965$28,471–$56,706
HospitalMarketMedian across insurers× MedicareInsurersFile date
Mercy Hospital SouthSt. Louis MO$12,2380.7×12026-06-10
Ascension St Vincent CarmelIndianapolis IN$15,5200.9×52026-01-01
Ascension Seton Medical Center AustinAustin TX$15,5940.9×12026-01-01
Ascension St Vincent AndersonIndianapolis IN$15,8940.9×52026-01-01
Ascension Saint Thomas RutherfordNashville TN$16,6751.0×52026-01-01
Anna Jaques HospitalBoston MA$17,9900.9×12026-04-01
St David's Medical CenterAustin TX$19,0191.1×52026-09-01
TriStar StoneCrest Medical CenterNashville TN$19,2561.2×72026-09-01
Methodist HospitalSan Antonio TX$19,2741.1×42026-09-01
Hca Healthone RoseDenver CO$19,5911.1×52026-09-01
Ascension Saint Thomas Hospital (Midtown + West)Nashville TN$19,9701.2×62026-01-01
HCA HealthONE Sky RidgeDenver CO$20,3181.1×52026-09-01
Beth Israel Deaconess Hospital - PlymouthBoston MA$20,4191.0×12026-04-01
HCA HealthONE SwedishDenver CO$20,5291.1×52026-09-01
Beverly Hospital CorporationBoston MA$22,1531.1×12026-04-01
Winchester HospitalBoston MA$22,1531.1×12026-04-01
HCA HealthONE Presbyterian/St. Luke'sDenver CO$22,2411.2×52026-09-01
Medical City MckinneyDallas-Fort Worth TX$23,3921.4×62026-09-01
Medical City PlanoDallas-Fort Worth TX$23,4041.4×62026-09-01
Endeavor Health Northwest Community HospitalChicago IL$23,5311.3×32026-04-01
Beth Israel Deaconess Medical CenterBoston MA$23,8481.1×22026-04-01
Missouri Baptist Medical CenterSt. Louis MO$24,1761.4×52025-12-15
Barnes-Jewish St Peters HospitalSt. Louis MO$24,1761.4×52025-12-15
Montefiore Medical CenterNew York City$24,3581.1×12026-04-01
Los Robles Hospital & Medical CenterCalifornia (statewide)$24,8561.1×32026-09-01
New England Baptist HospitalBoston MA$25,5301.2×32026-04-01
Menorah Medical CenterKansas (statewide)$26,0571.6×52026-09-01
University Hospitals - Elyria Medical CenterCleveland OH$26,9591.7×32026-07-14
Duke Regional HospitalResearch Triangle NC$27,1151.6×32026-04-01
Endeavor Health Edward HospitalChicago IL$27,1621.5×32026-04-01
University Medical Center of Southern NevadaLas Vegas NV$27,4241.5×22026-07-01
North Carolina Specialty HospitalResearch Triangle NC$27,8881.6×12026-02-25
Cleveland Clinic Hillcrest HospitalCleveland OH$27,9441.7×42026-06-15
Reston Hospital CenterWashington DC$28,4711.6×52026-09-01
Stonesprings Hospital CenterWashington DC$28,4711.6×52026-09-01
Mclaren Port HuronDetroit MI$28,6351.7×12025-12-31
CJW Medical Center (Chippenham + Johnston-Willis)Richmond VA$28,9981.8×52026-09-01
Henrico Doctors' HospitalRichmond VA$28,9981.8×52026-09-01
Cleveland Clinic HospitalMiami-Fort Lauderdale FL$29,2521.6×42026-06-15
Endeavor Health Elmhurst HospitalChicago IL$30,1211.6×32026-04-01
UNC Rex HospitalResearch Triangle NC$31,9121.9×32026-04-01
Corewell Health Dearborn HospitalDetroit MI$32,1911.9×22026-05-01
Trinity Health Oakland HospitalDetroit MI$32,6321.9×172026-03-31
Duke University HospitalResearch Triangle NC$32,7291.9×32026-04-01
Corewell Health Beaumont Grosse Pointe HospitalDetroit MI$32,8061.9×32026-05-01
Corewell Health William Beaumont University HospitDetroit MI$32,8061.9×32026-05-01
Corewell Health Beaumont Troy HospitalDetroit MI$32,8061.9×32026-05-01
Stony Brook University HospitalNew York (statewide)$33,0111.5×12026-06-10
Baylor University Medical CenterDallas-Fort Worth TX$33,3101.9×42026-06-29
Cleveland Clinic Lutheran HospitalCleveland OH$34,3862.1×52026-06-15
Henry Ford Health Rochester HospitalDetroit MI$34,4142.0×12026-01-01
Endeavor Health Evanston HospitalChicago IL$34,5831.9×32026-04-01
Hendricks Regional HealthIndianapolis IN$34,7841.9×32026-05-20
Lahey Hospital & Medical Center, BurlingtonBoston MA$34,9061.7×42026-04-01
UNC Hospitals (Chapel Hill)Research Triangle NC$36,2502.1×32026-04-01
Rush University Medical CenterChicago IL$36,6742.0×42026-09-25
Loyola University Medical CenterChicago IL$36,6752.0×42026-03-31
Medina HospitalCleveland OH$36,7642.3×42026-06-15
Cleveland Clinic (main campus)Cleveland OH$37,0042.3×52026-06-16
Park Nicollet Methodist HospitalMinneapolis-St. Paul MN$37,0582.1×32026-03-31
Upmc Presbyterian ShadysidePittsburgh PA$37,9102.3×12026-03-06
Mount Sinai Medical Center Of Florida, IncMiami-Fort Lauderdale FL$38,2932.1×32026-03-13
Mercy Hospital (Allina, Coon Rapids)Minneapolis-St. Paul MN$38,4502.1×42026-06-17
United Hospital (Allina)Minneapolis-St. Paul MN$38,4502.1×42026-06-16
HonorHealth Scottsdale Osborn Medical CenterPhoenix AZ$39,8632.2×52026-04-01
HonorHealth Scottsdale Shea Medical CenterPhoenix AZ$39,8632.2×52026-04-01
Harper University HospitalDetroit MI$40,0342.4×22026-09-02
HonorHealth Scottsdale Thompson Peak Medical CenterPhoenix AZ$40,4032.2×42026-04-01
Buffalo HospitalMinneapolis-St. Paul MN$40,5792.3×32026-06-16
Houston Methodist HospitalHouston TX$40,7272.4×22026-04-01
Atrium Health PinevilleCharlotte NC$41,0982.5×22025-12-05
Bethesda NorthOhio (statewide)$41,8922.5×52026-04-01
Mckay-Dee HospitalSalt Lake City UT$42,4142.5×12026-08-05
Adventhealth PorterDenver CO$42,4452.4×22026-04-01
Adventhealth ParkerDenver CO$42,4452.4×22026-04-01
Riddle Memorial HospitalPhiladelphia PA$42,4542.4×42026-04-01
Lehigh Valley HospitalPennsylvania (statewide)$43,5382.5×62026-07-01
George Washington Univ HospitalWashington DC$43,5442.1×32026-09-01
Intermountain Health Utah Valley HospitalSalt Lake City UT$44,1102.5×12026-08-05
Lds HospitalSalt Lake City UT$44,1102.5×12026-08-05
University of Chicago Medical CenterChicago IL$44,5452.4×52026-04-01
Emory University HospitalAtlanta GA$44,7112.6×52026-04-01
Cedars-Sinai Medical CenterLos Angeles CA$44,9132.0×12025-11-26
Jefferson Stratford HospitalPhiladelphia PA$44,9162.3×52026-09-15
Barnes Jewish HospitalSt. Louis MO$45,1702.6×32025-12-15
Abbott Northwestern HospitalMinneapolis-St. Paul MN$45,1762.5×52026-06-16
Piedmont Atlanta HospitalAtlanta GA$45,2262.6×52026-07-01
Bryn Mawr HospitalPhiladelphia PA$45,5122.6×42026-04-01
Piedmont Fayette HospitalAtlanta GA$46,4322.7×52026-07-01
Novant Health Matthews Medical CenterCharlotte NC$46,8182.8×32026-03-30
Piedmont Newnan HospitalAtlanta GA$47,6072.8×52026-07-01
Overlake Hospital Medical CenterSeattle-Tacoma WA$47,9902.4×52026-04-01
Inova Alexandria HospitalWashington DC$48,5802.8×52026-04-01
Emory Houston Hospital Warner RobinsGeorgia (statewide)$49,1163.3×42026-04-01
Vanderbilt University Medical CenterNashville TN$49,8443.0×62025-10-01
UCHealth University of Colorado HospitalDenver CO$50,4102.8×62025-11-01
Medstar Washington Hospital CenterWashington DC$50,4272.5×52026-04-01
Morton Plant HospitalTampa FL$50,6962.8×52026-01-01
Tampa General HospitalTampa FL$51,6322.9×42026-04-01
Legacy Emanuel Medical CenterPortland OR$51,7602.7×42026-04-01
Legacy Good Samaritan Medical CenterPortland OR$51,7602.7×42026-04-01
Legacy Mount Hood Medical CenterPortland OR$51,7602.7×42026-04-01
Legacy Meridian Park Medical CenterPortland OR$51,7602.7×42026-04-01
Adventhealth TampaTampa FL$51,7692.9×42026-04-01
Ohio State University HospitalsColumbus OH$53,1193.2×32026-07-01
Texas Health Presbyterian Hospital DallasDallas-Fort Worth TX$53,5903.1×42026-04-21
Tacoma General Allenmore HospitalSeattle-Tacoma WA$53,6122.7×62026-08-27
Multicare Good Samaritan HospitalSeattle-Tacoma WA$53,9302.7×62026-08-27
St Clare HospitalSeattle-Tacoma WA$55,3552.8×62026-02-28
St Anthony HospitalSeattle-Tacoma WA$56,1102.8×62026-02-28
Medstar Georgetown University HospitalWashington DC$56,7062.8×42026-04-01
Adventhealth CarrollwoodTampa FL$56,9233.2×42026-04-01
Bon Secours St. Mary's HospitalRichmond VA$57,6223.5×52026-04-01
Thomas Jefferson University HospitalPhiladelphia PA$58,6953.4×52026-09-15
VCU Medical CenterRichmond VA$62,8353.8×32026-01-02
Inspira Medical Center Mullica HillPhiladelphia PA$63,1653.3×32026-03-24
Providence St Vincent Medical CenterPortland OR$64,5123.4×32026-04-01
Providence Portland Medical CenterPortland OR$64,5123.4×32026-04-01
Swedish Medical CenterSeattle-Tacoma WA$69,2253.5×52026-04-01
Orlando Health Orlando Regional Medical CenterFlorida (statewide)$71,8684.0×42026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files)New York City$76,8603.5×72026-01-01
Keck Hospital Of UscLos Angeles CA$78,5153.5×62026-04-01

Questions

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

Across 256 hospitals in 37 metro areas that post a usable dollar rate, the median commercial rate for CPT 44970, hospital outpatient is $8,892, 1.4× the same hospital's local Medicare base rate. The middle half of hospitals runs $6,626 to $11,209. 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: Henry Ford Health -St John Hospital ($3,155), Ascension Saint Thomas Hospital (Midtown + West) ($3,942), University Hospitals Ahuja Medical Center ($3,942). Highest: John Muir Medical Center - Concord Campus ($38,875), Stanford Health Care ($37,273), Cedars-Sinai Medical Center ($28,632). Coverage is limited to the markets listed on this page.