Cost of a Mastectomy Visit
in California
Reviewed by Momentary Medical Group West PC
California leads the nation in comprehensive breast cancer treatment centers, with specialized Mastectomy providers distributed across major medical hubs from Los Angeles to San Francisco. Based on Transparency in Coverage data, Mastectomy procedures in California typically range from $85 to $1,972, with a median cost of $961. The state maintains over 1,786 active Mastectomy providers across its diverse healthcare network, offering patients extensive options when selecting care. California residents can browse all qualified providers through verified networks to compare costs and credentials before scheduling their procedure.
Average
$1,006
Median
$961
Lowest
$85
Highest
$1,972
Providers
1,786
2% above national average
Compare Similar Procedures
How does mastectomy compare to related procedures in California?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Endometrial Ablation Cost of endometrial ablation procedures including NovaSure (hysteroscopic), thermal balloon, and cryoablation, with state-by-state pricing. | 58563 | $245 | $1,904 | $6,978 | 778 |
| Chin Liposuction Cost of chin (submental) liposuction across the US, with state-by-state pricing for both office-based and ambulatory surgery center settings. | 15876 | $304 | $510 | $972 | 39 |
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $75 | $2,228 | $3,286 | 3,142 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $80 | $2,021 | $3,012 | 3,930 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $85 | $1,210 | $1,401 | 2,015 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $80 | $80 | $8,767 | 4,867 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $75 | $1,094 | $1,714 | 6,358 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $80 | $933 | $1,375 | 7,138 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $85 | $1,135 | $2,758 | 1,473 |
| Septoplasty Nasal septum repair | 30520 | $80 | $820 | $2,160 | 897 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $80 | $265 | $705 | 1,717 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $423 | $975 | $1,216 | 2,424 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $80 | $261 | $1,930 | 2,261 |
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 California
These hospitals in California are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
SANTA CRUZ, CA
IRVINE, CA
FRESNO, CA
MAMMOTH LAKES, CA
TRUCKEE, CA
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 California
California's healthcare costs run approximately 18% above national averages, reflecting the state's high cost of living, strict regulatory environment, and concentration of academic medical centers. The state's vast geography creates distinct cost variations between expensive coastal markets like San Francisco and more affordable inland regions like the Central Valley.
Urban vs. Rural Provider Availability
California's major metropolitan areas including Los Angeles, San Francisco, and San Diego have high concentrations of specialized breast surgeons, while rural counties in the far north and eastern regions may have limited local options. Patients in underserved areas often travel to regional medical centers for mastectomy procedures, potentially increasing overall treatment costs due to travel and lodging expenses.
Facility Type and Overhead Costs
Large health systems like Kaiser Permanente, Sutter Health, and Cedars-Sinai operate numerous facilities across California with standardized pricing structures, while independent surgical practices may offer more flexible pricing. Hospital-based outpatient surgery centers typically charge facility fees in addition to surgeon fees, whereas ambulatory surgery centers often provide more transparent, bundled pricing options.
Insurance Market Competition in California
California's competitive insurance market with major carriers Anthem, Kaiser, and UnitedHealthcare creates varied negotiated rates for mastectomy procedures across different plans. The state's active insurance marketplace and strong regulatory oversight help maintain competitive pricing pressures, though premium plans often have better negotiated rates with top-tier surgical centers.
Physician Supply and Demand in California
With 1,786 active Mastectomy providers, California maintains a relatively robust supply of qualified surgeons, particularly concentrated in major metropolitan areas and academic medical centers. This adequate provider supply helps moderate pricing in competitive markets, though high demand for specialized breast cancer surgeons can create longer wait times at premier institutions, potentially influencing patients to seek faster access at higher-cost facilities.
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 California
What is the average cost of a Mastectomy visit in California without insurance?
Does California Medicaid cover Mastectomy visits?
How do I find an affordable Mastectomy near me in California?
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 California?
How does telemedicine affect the cost of seeing a Mastectomy in California?
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 |