Cost of a Mastectomy Visit
in District of Columbia
Reviewed by Momentary Medical Group West PC
The District of Columbia maintains one of the nation's highest concentrations of medical specialists per capita, with over 317 active Mastectomy providers serving the metropolitan region. Patients seeking Mastectomy care in DC can expect negotiated rates ranging from $434 to $1,611, with a median cost of $1,066 based on actual insurer payment data. This competitive provider landscape allows patients to browse multiple Mastectomy specialists throughout District of Columbia to find the best combination of expertise and affordability.
Average
$1,037
Median
$1,066
Lowest
$434
Highest
$1,611
Providers
317
5% above national average
Compare Similar Procedures
How does mastectomy compare to related procedures in District of Columbia?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $1,061 | $2,323 | $3,475 | 309 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $1,045 | $2,286 | $3,311 | 318 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $414 | $887 | $1,311 | 318 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $443 | $927 | $1,591 | 314 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $511 | $1,109 | $1,618 | 326 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $413 | $1,016 | $1,405 | 334 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $647 | $1,525 | $3,201 | 348 |
| Septoplasty Nasal septum repair | 30520 | $461 | $1,057 | $1,588 | 311 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $220 | $479 | $681 | 315 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $381 | $901 | $1,221 | 308 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $328 | $739 | $1,686 | 310 |
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.
Why Mastectomy Visit Costs Vary Across District of Columbia
District of Columbia's healthcare costs run approximately 20% above the national average, reflecting the region's high cost of living and concentration of academic medical centers. The District's compact geography creates intense competition among surgical practices within a relatively small area.
Urban vs. Rural Provider Availability
As a fully urban jurisdiction, DC concentrates all surgical specialists within the metropolitan core, eliminating rural access disparities but creating parking and transportation challenges. Patients benefit from multiple practice options within a 10-mile radius, though downtown traffic can affect appointment scheduling.
Facility Type and Overhead Costs
Hospital-owned surgical practices dominate DC's landscape, with major systems like MedStar and George Washington University Hospital commanding premium rates due to their academic affiliations. Independent surgical groups typically offer 20-30% lower consultation fees but may have limited on-site imaging capabilities.
Insurance Market Competition in District of Columbia
CareFirst BlueCross BlueShield maintains the largest market share, followed by United Healthcare and Aetna, creating moderate insurer competition that prevents extreme rate variations. This concentrated but competitive market results in relatively standardized negotiated rates across major surgical practices.
Physician Supply and Demand in District of Columbia
With 317 active Mastectomy providers serving a population of approximately 700,000, DC maintains an excellent surgeon-to-population ratio that typically allows appointment scheduling within 2-3 weeks. This strong provider supply helps moderate pricing while maintaining quality, as patients have multiple options for seeking second opinions.
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 District of Columbia
What is the average cost of a Mastectomy visit in District of Columbia without insurance?
Does District of Columbia Medicaid cover Mastectomy visits?
How do I find an affordable Mastectomy near me in District of Columbia?
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 District of Columbia?
How does telemedicine affect the cost of seeing a Mastectomy in District of Columbia?
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 |