Cost of a Mastectomy Visit
in Florida
Reviewed by Momentary Medical Group West PC
Florida's position as the largest ambulatory surgery center market in the US creates unique pricing dynamics for mastectomy procedures across the state. Mastectomy patients typically pay between $85 and $1,536, with a median negotiated rate of $688 among Florida's 3,378 active providers. With such a substantial provider network spanning from Miami's hospital systems to rural Panhandle facilities, patients can browse all mastectomy providers in Florida to find the most cost-effective option for their specific situation.
Average
$770
Median
$688
Lowest
$85
Highest
$1,536
Providers
3,378
22% below national average
Compare Similar Procedures
How does mastectomy compare to related procedures in Florida?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $35 | $55 | $2,438 | 4,375 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $35 | $55 | $2,391 | 4,789 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $35 | $55 | $964 | 4,841 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $35 | $55 | $980 | 4,406 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $35 | $55 | $1,191 | 4,594 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $35 | $55 | $1,064 | 5,363 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $85 | $976 | $2,265 | 3,427 |
| Septoplasty Nasal septum repair | 30520 | $35 | $55 | $938 | 4,395 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $35 | $55 | $505 | 4,801 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $35 | $55 | $920 | 4,365 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $35 | $55 | $733 | 4,392 |
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 Florida
These hospitals in Florida are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
JACKSONVILLE, FL
NORTH VENICE, FL
NICEVILLE, FL
WESLEY CHAPEL, FL
GULF BREEZE, FL
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 Florida
Florida's healthcare costs run approximately 2% above national averages, driven by the state's large population of Medicare beneficiaries and competitive urban markets. The state's position as the largest ambulatory surgery center market creates both opportunities for cost savings and pricing complexity for patients comparing options.
Urban vs. Rural Provider Availability
South Florida's Miami-Dade and Broward counties have concentrated specialist networks with premium pricing, while rural areas in the Panhandle and Central Florida often require patients to travel significant distances for specialized surgical care. This geographic disparity creates both access challenges and potential cost savings for patients willing to travel.
Facility Type and Overhead Costs
Hospital-based outpatient surgical centers typically charge 20-40% more than independent ambulatory surgery centers due to higher overhead costs and facility fees. Florida's major health systems like HCA Healthcare, AdventHealth, and Baptist Health operate numerous hospital-based facilities with higher cost structures than independent surgical centers.
Insurance Market Competition in Florida
The dominance of UnitedHealthCare, Blue Cross Blue Shield of Florida, and Aetna creates relatively competitive negotiated rates in major metropolitan areas. However, rural markets often have limited insurer options, potentially leading to less favorable negotiated rates and higher patient costs in smaller communities.
Physician Supply and Demand in Florida
With 3,378 active mastectomy providers, Florida maintains a robust surgical workforce relative to its population, particularly in metropolitan areas. This healthy provider supply helps moderate costs in competitive markets, though demand from the state's growing and aging population continues to put upward pressure on pricing.
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 Florida
What is the average cost of a Mastectomy visit in Florida without insurance?
Does Florida Medicaid cover Mastectomy visits?
How do I find an affordable Mastectomy near me in Florida?
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 Florida?
How does telemedicine affect the cost of seeing a Mastectomy in Florida?
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 |
