Cost of a Mastectomy Visit
in Colorado
Reviewed by Momentary Medical Group West PC
Colorado's healthcare costs run approximately 7% above the national average, influenced by the state's mix of urban centers and rural mountain communities. For mastectomy procedures, patients can expect negotiated rates ranging from $85 to $1,561, with a median cost of $877 based on insurance company agreements with over 1,290 active providers across the state. Colorado patients have access to numerous qualified surgeons throughout the Denver metro area, Colorado Springs, and regional medical centers.
Average
$841
Median
$877
Lowest
$85
Highest
$1,561
Providers
1,292
15% below national average
Compare Similar Procedures
How does mastectomy compare to related procedures in Colorado?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $1,136 | $2,049 | $3,475 | 1,282 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $940 | $1,978 | $3,328 | 1,345 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $85 | $808 | $2,114 | 1,468 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $452 | $805 | $1,326 | 1,321 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $90 | $940 | $1,635 | 1,256 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $85 | $789 | $1,421 | 1,461 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $85 | $1,202 | $2,204 | 1,315 |
| Septoplasty Nasal septum repair | 30520 | $526 | $855 | $1,567 | 1,308 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $85 | $385 | $694 | 1,441 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $441 | $712 | $1,242 | 1,269 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $364 | $629 | $1,110 | 1,293 |
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 Colorado
These hospitals in Colorado are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
DURANGO, CO
FRISCO, CO
LAKEWOOD, CO
GRAND JUNCTION, CO
CORTEZ, CO
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 Colorado
Colorado's healthcare costs reflect the state's unique geography, from high-cost Denver and Boulder markets to underserved rural areas in the Eastern Plains and Western Slope. The state's overall costs run 7% above national averages, driven primarily by urban provider concentration and limited rural access.
Urban vs. Rural Provider Availability
Denver and Colorado Springs concentrate most of Colorado's breast surgeons, while rural counties often have no local options. Patients from Alamosa, Sterling, or Craig frequently travel 2-3 hours for mastectomy procedures, adding transportation costs to medical expenses.
Facility Type and Overhead Costs
Large health systems like UCHealth, Presbyterian/Saint Joseph, and SCL Health dominate Colorado's surgical market, often charging higher facility fees than independent practices. Ambulatory surgical centers in suburban Denver typically offer lower overhead costs than hospital-based outpatient departments.
Insurance Market Competition in Colorado
UnitedHealthcare, Anthem, and Kaiser Permanente create a competitive insurance environment that helps moderate negotiated rates for surgical procedures. The state's robust individual marketplace also provides options for patients seeking better surgical coverage.
Physician Supply and Demand in Colorado
With over 1,290 providers handling mastectomy procedures statewide, Colorado maintains adequate surgical capacity in urban areas but faces shortages in rural regions. This supply imbalance drives higher costs in mountain and plains communities where patients have fewer options.
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 Colorado
What is the average cost of a Mastectomy visit in Colorado without insurance?
Does Colorado Medicaid cover Mastectomy visits?
How do I find an affordable Mastectomy near me in Colorado?
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 Colorado?
How does telemedicine affect the cost of seeing a Mastectomy in Colorado?
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 |