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Open Drainage Of An Appendix Abscess

Pennsylvania rates for HCPCS 44900

A pocket of pus that has formed around an inflamed or burst appendix is opened and drained through an incision in the abdomen. The cavity is washed out and a drain is usually left so it keeps emptying while the infection settles.

Rates data updated July 2026.

How much does Open Drainage Of An Appendix Abscess cost?

$5,825

Typical total for the visit. In Pennsylvania, July 2026.

Insurers have agreed to pay about $5,825 for this procedure. That total is two separate charges: $813 to the doctor who performs it, and $5,012 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$813$741 to $933
Facility feeThe hospital or surgery center$5,012$1,514 to $7,762

How much rates vary

Facilitymedian $5,012 · 10th to 90th $832 to $8,511Professionalmedian $813 · 10th to 90th $692 to $1,175
$500$1K$2K$5K$10K$20Kfacility $5,012professional $813

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$5,370.32
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$812.83
Typical High
$1,148.15
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$20,417.38
Median
$21,379.62
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,202.26
Typical High
$1,202.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$1,318.26
Typical High
$36,307.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$870.96
Typical High
$1,548.82
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,096.48
Typical High
$1,513.56
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$812.83
Typical High
$1,318.26
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$4,786.30
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$831.76
Typical High
$1,584.89
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$691.83
Typical High
$1,737.80
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$776.25
Typical High
$1,698.24
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$776.25
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$2,290.87
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$851.14
Typical High
$1,513.56

Where Pennsylvania sits

The same service costs 7.9 times more in California than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

Pennsylvania· 8th of 50

$5,825

$813 physician + $5,012 facility

CA $9,971MD $1,268

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.