Appendectomy Cost in Vermont (2026): Average Prices & What You'll Pay
What does a appendectomy cost in Vermont?
For a commercially insured patient, an appendectomy in Vermont typically runs $2,477–$7,725 once facility and physician fees are combined. The median reported facility price across 9 hospitals is $1,281. The figures draw on CMS fee schedules and hospital price transparency data published under federal law.
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Where appendectomy costs vary in Vermont
Pins show hospitals with price-transparency data (colored by vs. state average) and nearby ambulatory surgery centers, imaging centers, and other facilities (colored by type). Click any pin for facility name and estimated cost range.
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Appendix surgery is usually an emergency - and the ER visit, scans, surgeon, and anesthesia each bill separately.
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Cheapest Appendectomy Providers in Vermont
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs Median |
|---|---|---|---|---|
| 1 | Northwestern Medical Center | VT | $1,094 | -$187 |
| 2 | Copley Hospital | VT | $1,190 | -$91 |
| 3 | Southwestern Vermont Medical Center | Bennington, VT | $1,273 | -$8 |
| 4 | North Country Hospital | VT | $1,281 | +$0 |
| 5 | University of Vermont Medical Center | Burlington, VT | $4,190 | +$2,909 |
| 6 | Brattleboro Memorial Hospital | Brattleboro, VT | $4,509 | +$3,228 |
| 7 | Central Vermont Medical Center | Berlin, VT | $5,432 | +$4,151 |
| 8 | Porter Hospital | Middlebury, VT | $5,542 | +$4,261 |
Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.
Quick take
- Northwestern Medical Center is the lowest-cost option at $1,094 - $187 below the state median, just by choosing where you go.
- Ask for the cash price if your deductible isn't met - the median cash price here is $1,281, and it's often lower than what insurance pays before your deductible is satisfied.
- This dataset covers hospitals only - freestanding ASCs, which routinely run 30-60% cheaper for the same procedure, aren't included, so it's worth asking your doctor whether one is an option.
How where you go changes what you pay for appendectomy
The same appendectomy bundles different services depending on the setting - facility fee, surgeon fee, and anesthesia each arrive as separate bills. Estimated ranges below reflect the typical full bundled cost, including all expected charges.
- Facility fee $1,017–$5,542
- Professional fee $894–$3,448
Estimated from CMS fee schedules + commercial rate multipliers
- Facility fee $1,017–$12,687
- Professional fee $894–$3,448
Estimated from CMS fee schedules + commercial rate multipliers
The University of Vermont Health Network effectively dominates Vermont's hospital market, with limited competitive alternatives statewide. Vermont's all-payer ACO model and its history of near-single-payer reform have created a more price-regulated environment than most states. Prices here are relatively compressed compared to New England neighbors, but not dramatically below the regional average. Appendectomy is largely an emergency procedure, which eliminates most price shopping. The main cost driver is surgical approach and admission status: uncomplicated laparoscopic appendectomies are increasingly performed as same-day outpatient cases at substantially lower total cost than open or complicated inpatient stays. Your primary out-of-pocket exposure is driven by your deductible and whether the facility and surgeon are both in-network.
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Why prices vary - and what it means for your coverage
Setting matters too: the median outpatient price is $1,281 versus $1,017 inpatient, so where a procedure happens often matters more than which hospital you pick. Setting drives most of the spread here: an ambulatory surgical center (ASC) is usually meaningfully cheaper than a hospital operating room for the same procedure, when your case qualifies.
On top of the facility price, your actual bill depends on your deductible, your out-of-pocket maximum, and whether every provider involved - not just the facility - is in-network.
| Your situation | Estimated out-of-pocket |
|---|---|
| Deductible not yet met | ~$3,371 |
| Deductible met - 20% coinsurance | ~$674 |
| Out-of-network provider | $7,416+ |
Frequently asked questions: appendectomy costs in Vermont
How much does an appendectomy cost in Vermont?
The typical insurer-negotiated rate is $4,350, with most facilities between $428 and $5,340 (based on 8 hospitals reporting negotiated rates). Full market pricing - including cash rates, gross charges, and outlier facilities - ranges more widely, from $375 to $18,100 across all 9 Vermont hospitals that publish prices. What you pay depends on the facility, your insurance, and whether you have met your deductible.
Where is the cheapest place to get an appendectomy in Vermont?
Based on declared prices, the lowest-cost facility in our Vermont data is Northeastern Vermont Regional Hospital, Inc. in St. Johnsbury at about $1,017. Freestanding ambulatory surgery and imaging centers are often cheaper still and may not appear in hospital price data - ask your doctor whether one is an option.
Why is an appendectomy so much cheaper at some Vermont hospitals?
Prices vary up to 48.3× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Vermont, the median cash (self-pay) price is $1,281 versus a median negotiated rate of $4,350 - about 0.3× higher. Asking for the cash price or your insurer's negotiated rate is often the single biggest lever on what you pay.
How much will I actually pay out of pocket for an appendectomy in Vermont?
Your out-of-pocket cost depends on your deductible, coinsurance, out-of-pocket maximum, and whether the facility is in-network - not just the sticker price. If you have not met your deductible, you will typically pay the negotiated rate in full until you do. Use the CostKits cost forecaster to estimate your specific out-of-pocket amount before you go.
Before you book
- How to read your medical bill
- How to stop medical bill problems before they start
- How to negotiate your medical bills
- Allowed amount vs negotiated rate: what your EOB is really saying
- How to read a Medicare Summary Notice
Other procedures in Vermont
Appendectomy, elsewhere
What matters before you schedule
ASC vs. hospital
Hospital outpatient departments typically charge 2-4x more than ASCs or independent centers for the same appendectomy - same outcome, very different bill. Call ahead and ask for a self-pay or cash quote at each setting you're considering.
What's on your bill
A appendectomy involves multiple providers who bill separately - typically Facility Fee, Surgeon Professional Fee, Anesthesia. Check each line item against your Explanation of Benefits to catch billing errors.
Cost by type
Which type your doctor orders for this appendectomy changes the billing code, and what you pay. For example: A recognized variation that can change the billing code and what you owe.
What to ask before you book
Get the CPT code from your doctor, confirm every provider involved (not just the facility) is in-network, ask for the cash-pay rate if you're uninsured or haven't met your deductible, and request a written estimate for appendectomy before you schedule.
CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).
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About the Author
John Caruso, FSA, MAAA
Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.
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