Medicare's national average for a laparoscopic appendectomy in 2026 is $3,608 at an ambulatory surgery center and $6,754 at a hospital outpatient department — a range of $3,608 to $6,754 for the same procedure code, CPT 44970. Those totals cover the doctor's fee and the facility's fee together. A Medicare patient's own share is $721 at the surgery center and $1,350 at the hospital.
Medicare describes CPT 44970 as “Laparoscopy, surgical, appendectomy” — in plain terms, a laparoscopic appendectomy — keyhole removal of the appendix. The figures below are national averages published by CMS; your own region, and above all your own insurance status, will move them.
| Ambulatory surgery center | Hospital outpatient department | |
|---|---|---|
| Total (Medicare-approved amount) | $3,608 | $6,754 |
| Doctor fee | $578 | $578 |
| Facility fee | $3,030 | $6,176 |
| Medicare pays | $2,886 | $5,403 |
| Patient pays (average) | $721 | $1,350 |
Source: Medicare.gov Procedure Price Lookup, CPT 44970, retrieved July 29, 2026. CMS states these are national averages based on Medicare’s 2026 payments and copayments; the underlying dataset is the CMS 2026 Hospital Outpatient PPS annual policy file. Figures are rounded by CMS and are not intended to reconcile to the dollar.
The most useful thing in that table is what does not change. The doctor’s fee is $578 in both settings. What moves is the facility fee: $3,030 at a surgery center against $6,176 at a hospital outpatient department — 2.0× as much. Because the professional fee is fixed, the whole 1.9× difference in the total is the building.
Medicare.gov's own note on this procedure says the figures include facility and doctor fees, but that “you may need more than one doctor and additional costs may apply.” In practice the extra bill is usually anesthesia, and sometimes pathology. Two things from CMS's National Correct Coding Initiative Policy Manual are worth knowing before you pay any of them:
Anesthesia itself is reported from the CPT anesthesia series; the manual notes that codes 00100–01860 are the “Anesthesia for” codes tied to a surgical intervention, and that 99151–99157 describe moderate (conscious) sedation. Which specific code applies depends on the operation, so ask for the anesthesia claim in writing rather than assuming.
Everything above is what Medicare pays. It is not a cash price, it is not what a commercial insurer has negotiated, and it is certainly not a hospital’s list price. Those three numbers can differ from each other by multiples for the identical procedure code at the identical hospital.
We are deliberately not publishing a national “fair cash price” for a laparoscopic appendectomy. We do not have a current primary-source benchmark for one, and a stale number presented as today’s would be worse than no number. What we can tell you is where the number that actually governs your bill lives: your hospital publishes its own rates for CPT 44970 — the gross charge, the discounted cash price, and the payer-specific negotiated rates — in a machine-readable file. Our hospital price check walks you to it, and this guide shows how to read it once you get there.
If you just want a quick sanity check on the number in front of you, the overcharge estimator compares your charge against typical national ranges. Treat it as a smoke alarm, not a valuation.
The figures above are for the operation itself. If you arrived through the ER, the emergency-department facility level, the ER physician, and any imaging done to make the diagnosis are separate charges. Our guide to common ER coding errors covers how the facility level gets inflated.
The facility figures here ($3,030 at a surgery center, $6,176 at a hospital) are identical to those Medicare publishes for a laparoscopic gallbladder removal; only the surgeon’s fee differs. Facility charges that vary wildly between two comparable keyhole operations at the same hospital are worth questioning.
Medicare prices 44970 as an outpatient procedure. If you were kept overnight, whether that was billed as observation or as an inpatient admission changes the whole bill — see observation vs. inpatient admission.
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