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Georgia

Cost of a Mastectomy Visit
in Georgia

Reviewed by Momentary Medical Group West PC

Georgia's healthcare market operates at approximately 1% below national averages, with over 3,000 active Mastectomy providers serving patients across the state's diverse urban and rural communities. Mastectomy visits in Georgia typically range from $350 to $2,473, with a median cost of $982 for negotiated insurance rates. The state's concentration of providers in metro Atlanta and other major cities provides patients with numerous options when selecting an in-network Mastectomy specialist throughout Georgia.

Average

$1,269

Median

$982

Lowest

$350

Highest

$2,473

Providers

3,025

National avg: $984Georgia: $1,269

29% above national average

Compare Similar Procedures

How does mastectomy compare to related procedures in Georgia?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$1,131$2,136$5,0822,851
Hip Replacement

Total hip replacement (arthroplasty)

27130$1,115$2,021$5,0882,920
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$93$811$2,0053,287
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$450$854$2,0242,855
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$553$1,141$2,4902,917
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$85$976$2,0383,158
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$85$1,337$2,8553,043
Septoplasty

Nasal septum repair

30520$499$950$2,1902,853
Tonsillectomy

Tonsillectomy, primary or secondary

42820$196$478$9813,030
Inguinal Hernia Repair

Inguinal hernia repair

49505$421$902$1,9692,843
Carpal Tunnel Surgery

Open carpal tunnel release

64721$344$646$1,9302,848

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 Georgia

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

5/5
94% would recommend180 patient surveys
5/5
89% would recommend103 patient surveys
5/5
85% would recommend163 patient surveys
ADVENTHEALTH MURRAY

CHATSWORTH, GA

5/5
80% would recommend122 patient surveys
5/5
80% would recommend491 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 Georgia

Georgia's healthcare costs run approximately 1% below national averages, reflecting the state's mix of competitive urban markets and lower-cost rural areas. The state's growing ambulatory surgery center market provides patients with alternatives to more expensive hospital-based surgical facilities.

Urban vs. Rural Provider Availability

Metro Atlanta concentrates the majority of Georgia's mastectomy specialists, while rural areas in South Georgia and the mountains may have limited local options, requiring patients to travel to regional medical centers. This geographic distribution creates cost disparities, with urban practices often charging premium rates while rural patients face additional travel and lodging expenses. Secondary cities like Augusta, Savannah, and Columbus offer middle-ground options for patients seeking specialized surgical care.

Facility Type and Overhead Costs

Hospital-owned surgical practices in Georgia typically charge higher facility fees than independent surgical centers, reflecting the overhead costs of major health systems like Piedmont Healthcare and Northside Hospital. Freestanding ambulatory surgery centers often provide more competitive pricing for outpatient mastectomy procedures while maintaining high safety standards. Academic medical centers like Emory may have higher baseline costs but offer access to cutting-edge techniques and clinical trials.

Insurance Market Competition in Georgia

The presence of multiple major insurers including Anthem, UnitedHealthcare, and Cigna creates competitive pressure that helps moderate negotiated rates with Georgia providers. Regional insurance plans and self-insured employer plans add additional market dynamics that can affect pricing negotiations. The competitive landscape generally benefits patients through broader network options and cost containment efforts.

Physician Supply and Demand in Georgia

With over 3,000 active Mastectomy providers, Georgia maintains adequate specialist availability in urban areas, though rural regions may experience longer wait times for consultations. This robust provider supply in metro areas helps contain costs through competition while ensuring patients have multiple in-network options. The concentration of providers in Atlanta and other major cities allows patients to compare both credentials and costs when selecting their surgical team.

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 Georgia

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

Uninsured patients in Georgia typically pay between $350 and $2,473 for mastectomy consultations, with a median cost around $982 based on negotiated insurance rates. Many surgical practices offer cash-pay discounts that can reduce these amounts by 10-30% for patients paying out-of-pocket. The final cost depends on the complexity of your case, facility type, and geographic location within Georgia.

Does Georgia Medicaid cover Mastectomy visits?

Georgia has not expanded Medicaid, so coverage is limited to specific qualifying categories including pregnant women, children, and disabled individuals. For those who do qualify, Georgia Medicaid covers medically necessary mastectomy procedures and consultations when appropriate criteria are met. Patients should verify their eligibility and coverage details with Georgia's Department of Community Health or their managed care organization.

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

Compare costs between hospital-affiliated surgical centers and independent practices, as prices can vary significantly across Georgia's provider network. Many practices offer cash-pay discounts or payment plans for uninsured patients, while community health centers in larger cities may provide sliding-scale fees based on income. Consider expanding your search radius to include providers in nearby cities, as travel costs may still result in overall savings.

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

Initial mastectomy consultations typically cost $982 at the median rate in Georgia, representing the comprehensive evaluation and treatment planning required for new patients. Follow-up visits for established patients generally cost less, though the exact amount depends on the complexity of ongoing care and whether additional procedures or imaging are needed. Most insurance plans have different copay structures for new versus established patient visits.

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

Yes, mastectomy consultations and procedures qualify as eligible medical expenses under both Health Savings Account and Flexible Spending Account rules. You can use HSA or FSA funds to pay for deductibles, copays, and any out-of-pocket costs associated with your mastectomy care in Georgia. Keep all receipts and documentation for tax purposes, as these accounts require proper documentation for reimbursement or direct payment.

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

While initial mastectomy consultations typically require in-person examination, some follow-up visits and second opinion consultations may be available via telemedicine at reduced costs. Telehealth visits in Georgia generally range from $100-300, significantly less than in-person consultations, though insurance coverage for telemedicine varies by plan. Many Georgia surgical practices expanded telehealth options and may offer virtual consultations for specific situations like post-operative check-ins or treatment planning discussions.

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