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Arkansas

Cost of a Mastectomy Visit
in Arkansas

Reviewed by Momentary Medical Group West PC

Arkansas faces significant healthcare access challenges, with the state ranking among the lowest nationally for physician density at just 201 physicians per 100,000 residents. For patients requiring Mastectomy services, costs typically range from $85 to $1,107, with a median out-of-pocket expense of $833. Arkansas maintains 109 active Mastectomy providers across the state, and patients can browse all available providers to compare pricing and credentials before booking their consultation.

Average

$675

Median

$833

Lowest

$85

Highest

$1,107

Providers

109

National avg: $984Arkansas: $675

31% below national average

Compare Similar Procedures

How does mastectomy compare to related procedures in Arkansas?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$1,138$1,894$2,60399
Hip Replacement

Total hip replacement (arthroplasty)

27130$90$1,839$2,535109
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$85$746$1,042118
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$479$752$1,03499
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$416$929$1,328117
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$85$840$1,236140
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$85$1,180$1,600113
Septoplasty

Nasal septum repair

30520$433$887$1,074102
Tonsillectomy

Tonsillectomy, primary or secondary

42820$85$399$561111
Inguinal Hernia Repair

Inguinal hernia repair

49505$461$734$1,04396
Carpal Tunnel Surgery

Open carpal tunnel release

64721$294$596$790105

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 Arkansas

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

5/5
85% would recommend371 patient surveys
5/5
76% would recommend113 patient surveys
4/5
91% would recommend939 patient surveys
4/5
90% would recommend364 patient surveys
ARKANSAS SURGICAL HOSPITAL

NO LITTLE ROCK, AR

4/5
89% would recommend540 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 Arkansas

Arkansas healthcare costs run approximately 12% below national averages, reflecting the state's lower cost of living and reduced physician overhead expenses. However, this cost advantage comes with trade-offs in provider availability, particularly affecting specialized surgical services outside major metropolitan areas.

Urban vs. Rural Provider Availability

Arkansas's 75 counties create vast rural expanses where surgical specialists remain scarce, forcing many patients to travel to Little Rock, Fayetteville, or Memphis for mastectomy procedures. Urban centers like Pulaski and Washington counties concentrate most specialized providers, creating cost premiums due to limited competition. Rural patients often face additional travel and lodging expenses that offset lower procedural costs.

Facility Type and Overhead Costs

Hospital-based outpatient surgery centers typically charge 30-50% more than independent ambulatory facilities due to higher overhead and facility fees. Major health systems like Baptist Health and CHI St. Vincent dominate Arkansas markets, maintaining higher pricing power than independent surgical practices. Academic medical centers connected to UAMS command premium rates but offer complex case expertise unavailable elsewhere in the state.

Insurance Market Competition in Arkansas

Blue Cross Blue Shield Arkansas's market dominance limits competitive pressure on negotiated rates compared to states with multiple major insurers. The individual marketplace offers few carrier choices, reducing leverage for consumers seeking better coverage terms. This concentrated market structure allows providers to maintain higher prices with less risk of patients switching to competitor networks.

Physician Supply and Demand in Arkansas

With 109 active mastectomy providers serving nearly 3 million residents, Arkansas faces moderate surgeon availability for this specialized procedure. The state's physician shortage, ranking 48th nationally in doctors per capita, creates upward pressure on specialist pricing due to limited supply. Wait times for non-urgent procedures often extend 4-8 weeks, particularly in rural regions served by traveling surgeons.

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 Arkansas

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

Uninsured patients in Arkansas typically pay between $85 and $1,107 for mastectomy consultations, with a median cost of $833. These negotiated rates from insurance transparency files represent what insurers actually pay providers. Many Arkansas surgical practices offer cash-pay discounts of 20-40% for uninsured patients paying upfront, potentially reducing these costs significantly.

Does Arkansas Medicaid cover Mastectomy visits?

Arkansas traditional Medicaid covers medically necessary mastectomy procedures when performed by participating providers, but eligibility remains extremely limited since the state chose not to expand Medicaid. Only pregnant women, children, disabled individuals, and very low-income parents earning less than 17% of federal poverty level qualify. Many working adults fall into the coverage gap, earning too much for Medicaid but too little for marketplace subsidies.

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

Compare costs across hospital-based surgery centers versus independent surgical facilities, as independents often charge 30-50% less than major health systems. Ask about cash-pay discounts and payment plans, which many Arkansas providers offer to uninsured patients. Community health centers and federally qualified health centers throughout Arkansas provide sliding-scale surgical referrals based on income. Consider traveling to different cities within Arkansas, as rural providers sometimes offer more competitive pricing than urban specialists.

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

Initial mastectomy consultations typically cost between $85-$1,107 based on complexity and provider type, while follow-up visits generally run significantly less. New patient appointments involve comprehensive examinations, medical history review, and surgical planning, justifying higher fees. Established patient follow-ups focus on specific concerns or post-operative care, requiring less time and resources from the surgical team.

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

Health Savings Accounts and Flexible Spending Accounts cover mastectomy consultations and procedures as qualified medical expenses under IRS guidelines. These pre-tax dollars can pay for deductibles, copays, and any out-of-pocket costs not covered by insurance. Keep detailed receipts and documentation for tax purposes, and remember that HSA funds roll over year to year while FSA funds typically must be used within the plan year.

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

Telemedicine consultations for mastectomy evaluation typically cost 20-40% less than in-person visits, though physical examinations remain essential for surgical planning. Arkansas expanded telehealth coverage during COVID-19, with most insurers now covering virtual specialist consultations at the same rate as office visits. Initial consultations often require in-person evaluation, but follow-up appointments and second opinion consultations work well via telehealth, particularly valuable for rural Arkansas patients avoiding long-distance travel.

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