Cost of a Mastectomy Visit
in Alabama
Reviewed by Momentary Medical Group West PC
Alabama's healthcare costs run approximately 8% below the national average, reflecting the state's lower cost of living and concentrated provider networks dominated by BCBS Alabama. For Mastectomy procedures, patients typically pay between $366 and $1,251, with a median out-of-pocket cost of $652 based on negotiated insurance rates. With over 2,366 active providers across the state offering these services, Alabama patients can browse all available Mastectomy specialists to find quality care that fits their budget.
Average
$756
Median
$652
Lowest
$366
Highest
$1,251
Providers
2,366
23% below national average
Compare Similar Procedures
How does mastectomy compare to related procedures in Alabama?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $964 | $1,625 | $2,946 | 2,353 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $80 | $1,512 | $2,767 | 2,636 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $418 | $688 | $1,195 | 2,384 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $382 | $619 | $1,165 | 2,356 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $450 | $822 | $1,450 | 2,367 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $80 | $672 | $1,208 | 2,672 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $608 | $1,138 | $1,856 | 2,372 |
| Septoplasty Nasal septum repair | 30520 | $433 | $687 | $1,315 | 2,358 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $195 | $351 | $615 | 2,367 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $356 | $598 | $1,111 | 2,352 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $294 | $566 | $910 | 2,356 |
Important: These are cost estimates only — not a quote and not medical advice.
The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 19301 — Mastectomy, partial / simple complete). They represent what a patient might pay without insurance.
Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.
This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.
Where this data comes from & what CPT 19301 covers
Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 19301 (Mastectomy, partial / simple complete), as mandated by the CMS Price Transparency Rule.
What CPT 19301 covers: the provider's professional fee for mastectomy. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.
How to read this data
Negotiated Rate
The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.
P5, Median, P95
P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.
What this does not tell you
These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.
Top-Rated Hospitals in Alabama
These hospitals in Alabama are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
FAYETTE, AL
DADEVILLE, AL
PHENIX CITY, AL
BIRMINGHAM, AL
TROY, AL
Hospital ratings are based on HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) survey data published by CMS.
Why Mastectomy Visit Costs Vary Across Alabama
Alabama's healthcare costs run approximately 8% below national averages, reflecting lower operational costs and less competitive insurance markets. The state's concentrated population in Birmingham and Mobile creates pricing disparities between urban medical centers and rural community hospitals.
Urban vs. Rural Provider Availability
Birmingham and Mobile metro areas concentrate most of Alabama's specialized surgical oncologists, while rural counties often require patients to travel significant distances for mastectomy procedures. This geographic disparity affects both access and pricing, with urban centers typically charging higher facility fees but offering more advanced reconstruction options. Transportation costs and time off work for rural patients effectively increase the total cost of care.
Facility Type and Overhead Costs
Hospital-based outpatient surgery centers in Alabama typically charge facility fees ranging from hundreds to thousands of dollars beyond the surgeon's professional fee. Major health systems like UAB Medicine and USA Health dominate urban markets, often setting higher price points than independent surgical centers. Ambulatory surgery centers generally offer lower facility costs but may have limitations on complex reconstruction procedures.
Insurance Market Competition in Alabama
BCBS Alabama's market dominance reduces competitive pressure on negotiated rates, potentially keeping prices more stable but limiting patient leverage in cost negotiations. The state's limited insurer options on the ACA marketplace create less price competition among providers seeking contracts. Rural areas often have even fewer insurer choices, further reducing market competition effects on pricing.
Physician Supply and Demand in Alabama
With over 2,366 providers offering mastectomy-related services, Alabama appears to have adequate surgical capacity in urban areas but potential shortages in rural regions. The concentration of breast surgical specialists in academic medical centers creates referral patterns that may drive up costs through facility fees. Wait times for non-urgent cases vary significantly between Birmingham/Mobile metro areas and outlying regions.
Jayant Panwar
CEO, Momentary Labs · San Francisco, CA
Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.
The cost figures on this page reflect his ongoing work to make this data accessible to patients.
Frequently Asked Questions — Mastectomy Costs in Alabama
What is the average cost of a Mastectomy visit in Alabama without insurance?
Does Alabama Medicaid cover Mastectomy visits?
How do I find an affordable Mastectomy near me in Alabama?
What is the difference in cost between an initial consultation and a follow-up visit?
Can I use an HSA or FSA to pay for a Mastectomy visit in Alabama?
How does telemedicine affect the cost of seeing a Mastectomy in Alabama?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 19301)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Wisconsin Range: $73 – $3,947 | $1,668 |
| 2 | Iowa Range: $85 – $3,021 | $1,499 |
| 3 | Rhode Island Range: $509 – $2,642 | $1,413 |
| 4 | Wyoming Range: $747 – $2,064 | $1,305 |
| 5 | Connecticut Range: $426 – $2,642 | $1,301 |
| 6 | South Dakota Range: $491 – $2,423 | $1,284 |
| 7 | Alaska Range: $85 – $2,902 | $1,275 |
| 8 | Georgia Range: $350 – $2,473 | $1,269 |
| 9 | Minnesota Range: $445 – $2,393 | $1,264 |
| 10 | Massachusetts Range: $350 – $2,408 | $1,249 |
| 11 | New York Range: $452 – $2,642 | $1,234 |
| 12 | Nebraska Range: $760 – $1,529 | $1,227 |
| 13 | Montana Range: $85 – $2,902 | $1,221 |
| 14 | Pennsylvania Range: $250 – $2,642 | $1,199 |
| 15 | Delaware Range: $95 – $2,642 | $1,147 |
| 16 | New Hampshire Range: $537 – $1,658 | $1,142 |
| 17 | Washington Range: $585 – $1,804 | $1,112 |
| 18 | Maine Range: $749 – $1,274 | $1,093 |
| 19 | North Dakota Range: $478 – $1,820 | $1,061 |
| 20 | District of Columbia Range: $434 – $1,611 | $1,037 |
| 21 | New Mexico Range: $560 – $1,525 | $1,008 |
| 22 | California Range: $85 – $1,972 | $1,006 |
| 23 | Utah Range: $85 – $1,449 | $966 |
| 24 | North Carolina Range: $346 – $1,713 | $963 |
| 25 | West Virginia Range: $366 – $1,695 | $946 |
| 26 | Vermont Range: $491 – $1,593 | $944 |
| 27 | Oregon Range: $85 – $1,746 | $922 |
| 28 | Indiana Range: $85 – $1,818 | $892 |
| 29 | Illinois Range: $90 – $1,846 | $892 |
| 30 | Michigan Range: $429 – $1,470 | $851 |
| 31 | Colorado Range: $85 – $1,561 | $841 |
| 32 | Hawaii Range: $85 – $1,475 | $827 |
| 33 | Oklahoma Range: $510 – $1,257 | $807 |
| 34 | Idaho Range: $85 – $1,484 | $803 |
| 35 | Kentucky Range: $85 – $1,529 | $783 |
| 36 | Tennessee Range: $371 – $1,198 | $777 |
| 37 | South Carolina Range: $318 – $1,315 | $776 |
| 38 | New Jersey Range: $314 – $1,446 | $773 |
| 39 | Florida Range: $85 – $1,536 | $770 |
| 40 | Kansas Range: $571 – $995 | $763 |
| 41 | Missouri Range: $516 – $946 | $762 |
| 42 | Alabama Range: $366 – $1,251 | $756 |
| 43 | Maryland Range: $346 – $1,292 | $755 |
| 44 | Virginia Range: $346 – $1,292 | $755 |
| 45 | Louisiana Range: $331 – $1,229 | $732 |
| 46 | Arizona Range: $525 – $1,108 | $728 |
| 47 | Texas Range: $85 – $1,341 | $716 |
| 48 | Mississippi Range: $447 – $1,086 | $715 |
| 49 | Ohio Range: $303 – $1,175 | $692 |
| 50 | Arkansas Range: $85 – $1,107 | $675 |
| 51 | Nevada Range: $300 – $1,022 | $610 |