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Arizona

Cost of a Mastectomy Visit
in Arizona

Reviewed by Momentary Medical Group West PC

Arizona's healthcare market features competitive pricing for surgical procedures, with over 4,299 active mastectomy providers across the state offering varying rates. Based on transparency data, mastectomy patients typically face costs ranging from $524.72 to $1,107.68, with a median rate of $552.74 for standard procedures. The Grand Canyon State's expanded Medicaid program and strong insurer competition between UHC, BCBS Arizona, and Aetna help keep surgical costs relatively stable, though patients can browse all available providers to find the most cost-effective options.

Average

$728

Median

$553

Lowest

$525

Highest

$1,108

Providers

4,299

National avg: $984Arizona: $728

26% below national average

Compare Similar Procedures

How does mastectomy compare to related procedures in Arizona?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$1,097$1,136$2,2764,502
Hip Replacement

Total hip replacement (arthroplasty)

27130$1,097$1,137$2,2795,350
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$448$496$8985,028
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$452$452$9074,418
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$557$557$1,1155,012
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$90$507$1,0166,248
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$749$752$1,5074,305
Septoplasty

Nasal septum repair

30520$498$535$1,0724,221
Tonsillectomy

Tonsillectomy, primary or secondary

42820$240$240$4804,297
Inguinal Hernia Repair

Inguinal hernia repair

49505$432$440$8824,188
Carpal Tunnel Surgery

Open carpal tunnel release

64721$352$364$7294,203

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 19301Mastectomy, 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 Arizona

These hospitals in Arizona are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.

5/5
94% would recommend1,050 patient surveys
5/5
87% would recommend230 patient surveys
5/5
86% would recommend154 patient surveys
5/5
84% would recommend301 patient surveys
4/5
86% would recommend366 patient surveys

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 Arizona

Arizona's healthcare costs run approximately 5% above national averages, influenced by the state's rapid population growth and concentration of medical facilities in major metropolitan areas. The competitive ambulatory surgery center market helps moderate pricing for many procedures including mastectomy.

Urban vs. Rural Provider Availability

Phoenix and Tucson metro areas concentrate most of Arizona's mastectomy specialists, offering competitive pricing and shorter wait times due to provider density. Rural counties like Cochise and Navajo may require patients to travel to urban centers for specialized breast surgery, potentially increasing overall costs but sometimes offering lower facility fees. The state's vast geography creates significant access disparities between urban and frontier communities.

Facility Type and Overhead Costs

Hospital-based outpatient surgical centers in Arizona typically charge higher facility fees due to overhead costs and emergency preparedness requirements. Independent ambulatory surgery centers often provide the same quality care at 20-40% lower costs for eligible mastectomy procedures. Major health systems like Banner Health and Dignity Health dominate the hospital market, while independent surgical centers offer competitive alternatives.

Insurance Market Competition in Arizona

Arizona's insurance marketplace features strong competition between UHC, BCBS Arizona, and Aetna, with regional insurers also participating in certain markets. This competitive environment generally results in better negotiated rates for surgical procedures compared to more concentrated insurance markets. The state's relatively open insurance regulations allow for diverse plan options and pricing structures.

Physician Supply and Demand in Arizona

With 4,299 active mastectomy providers serving Arizona's growing population, the state maintains adequate surgical capacity in urban areas while facing shortages in rural regions. This supply concentration in Phoenix and Tucson creates competitive pricing pressure in metro areas but may increase costs for patients requiring travel from outlying communities. Wait times for non-urgent procedures remain reasonable in most areas.

JP

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.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — Mastectomy Costs in Arizona

What is the average cost of a Mastectomy visit in Arizona without insurance?

Without insurance, mastectomy consultation and procedure costs in Arizona typically range from $524.72 to $1,107.68, with a median cost of $552.74 based on negotiated rates. However, self-pay patients often receive significant discounts from these rates. Many Arizona surgical practices offer cash-pay discounts of 30-50% and payment plan options to make the procedure more affordable.

Does Arizona Medicaid cover Mastectomy visits?

Yes, Arizona's expanded Medicaid program covers medically necessary mastectomy procedures, including both therapeutic surgeries for cancer treatment and prophylactic surgeries for high-risk patients. Coverage includes pre-operative consultations, the surgery itself, and necessary follow-up care. Prior authorization may be required, and patients should verify that their chosen surgeon accepts Arizona Medicaid.

How do I find an affordable Mastectomy near me in Arizona?

Compare costs between hospital-based surgical centers and independent ambulatory surgery centers, as the latter often charge 20-40% less for the same procedures. Ask about self-pay discounts if you're uninsured, and consider community health centers in Phoenix and Tucson that offer sliding-scale fees. Many Arizona providers offer package pricing that includes consultation, surgery, and follow-up care at reduced rates.

What is the difference in cost between an initial consultation and a follow-up visit?

Initial mastectomy consultations typically cost more than follow-up visits due to the comprehensive evaluation required, including medical history review, physical examination, and treatment planning. Based on Arizona's rate data, the median consultation cost is $552.74, while follow-up visits for surgical planning or post-operative care generally cost significantly less. Many surgeons include several follow-up visits in their surgical package pricing.

Can I use an HSA or FSA to pay for a Mastectomy visit in Arizona?

Yes, both HSA and FSA funds can be used to pay for mastectomy consultations and procedures in Arizona, as they qualify as eligible medical expenses under IRS guidelines. This includes related costs like pre-operative testing, anesthesia, and surgical facility fees. Keep detailed receipts for tax purposes, and consider that HSA funds can be used for qualified medical expenses without expiration.

How does telemedicine affect the cost of seeing a Mastectomy in Arizona?

While initial mastectomy consultations require in-person examination, many Arizona surgeons offer lower-cost telemedicine follow-up visits for surgical planning discussions, lab result reviews, and post-operative check-ins when appropriate. Telemedicine consultations typically cost 20-30% less than in-person visits and can reduce travel costs for patients in rural Arizona. However, physical examination and surgical procedures must be performed in person.

Click a state to compare costs

Average Visit Cost

$610
$1,668

Office visit (CPT 19301)

Compare With Other States

RankStateAverage
1Wisconsin
Range: $73$3,947
$1,668
2Iowa
Range: $85$3,021
$1,499
3Rhode Island
Range: $509$2,642
$1,413
4Wyoming
Range: $747$2,064
$1,305
5Connecticut
Range: $426$2,642
$1,301
6South Dakota
Range: $491$2,423
$1,284
7Alaska
Range: $85$2,902
$1,275
8Georgia
Range: $350$2,473
$1,269
9Minnesota
Range: $445$2,393
$1,264
10Massachusetts
Range: $350$2,408
$1,249
11New York
Range: $452$2,642
$1,234
12Nebraska
Range: $760$1,529
$1,227
13Montana
Range: $85$2,902
$1,221
14Pennsylvania
Range: $250$2,642
$1,199
15Delaware
Range: $95$2,642
$1,147
16New Hampshire
Range: $537$1,658
$1,142
17Washington
Range: $585$1,804
$1,112
18Maine
Range: $749$1,274
$1,093
19North Dakota
Range: $478$1,820
$1,061
20District of Columbia
Range: $434$1,611
$1,037
21New Mexico
Range: $560$1,525
$1,008
22California
Range: $85$1,972
$1,006
23Utah
Range: $85$1,449
$966
24North Carolina
Range: $346$1,713
$963
25West Virginia
Range: $366$1,695
$946
26Vermont
Range: $491$1,593
$944
27Oregon
Range: $85$1,746
$922
28Indiana
Range: $85$1,818
$892
29Illinois
Range: $90$1,846
$892
30Michigan
Range: $429$1,470
$851
31Colorado
Range: $85$1,561
$841
32Hawaii
Range: $85$1,475
$827
33Oklahoma
Range: $510$1,257
$807
34Idaho
Range: $85$1,484
$803
35Kentucky
Range: $85$1,529
$783
36Tennessee
Range: $371$1,198
$777
37South Carolina
Range: $318$1,315
$776
38New Jersey
Range: $314$1,446
$773
39Florida
Range: $85$1,536
$770
40Kansas
Range: $571$995
$763
41Missouri
Range: $516$946
$762
42Alabama
Range: $366$1,251
$756
43Maryland
Range: $346$1,292
$755
44Virginia
Range: $346$1,292
$755
45Louisiana
Range: $331$1,229
$732
46Arizona
Range: $525$1,108
$728
47Texas
Range: $85$1,341
$716
48Mississippi
Range: $447$1,086
$715
49Ohio
Range: $303$1,175
$692
50Arkansas
Range: $85$1,107
$675
51Nevada
Range: $300$1,022
$610
Mastectomy in Other States