Cost of a Mastectomy Visit
in Hawaii
Reviewed by Momentary Medical Group West PC
Hawaii's island geography creates unique healthcare delivery challenges, with the state ranking among the highest in the nation for physician shortages per capita. Mastectomy patients typically pay between $85 and $1,475, with a median out-of-pocket cost of $922 based on negotiated insurance rates across 45 active providers statewide. Browse all Mastectomy specialists in Hawaii to compare costs and find in-network options near you.
Average
$827
Median
$922
Lowest
$85
Highest
$1,475
Providers
45
16% below national average
Compare Similar Procedures
How does mastectomy compare to related procedures in Hawaii?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $1,018 | $1,894 | $2,946 | 46 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $90 | $1,896 | $2,947 | 50 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $85 | $746 | $1,386 | 51 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $80 | $752 | $1,287 | 52 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $80 | $929 | $1,507 | 68 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $80 | $846 | $1,376 | 75 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $85 | $1,235 | $1,929 | 46 |
| Septoplasty Nasal septum repair | 30520 | $80 | $858 | $1,376 | 47 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $85 | $399 | $665 | 45 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $426 | $734 | $1,149 | 42 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $358 | $604 | $1,040 | 41 |
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 Hawaii
Healthcare costs in Hawaii run approximately 16% above national averages, driven by the state's isolated location, limited provider supply, and high operational costs. The island geography creates natural monopolies in healthcare delivery, particularly affecting specialist services like surgical oncology.
Urban vs. Rural Provider Availability
Honolulu concentrates most of Hawaii's surgical specialists, while neighbor islands like Maui, Kauai, and the Big Island have limited options. Patients on outer islands often travel to Oahu for specialized care, adding travel costs to medical expenses. This geographic constraint reduces price competition and maintains higher rates statewide.
Facility Type and Overhead Costs
Queen's Health Systems and Kaiser Permanente dominate Hawaii's hospital market, with their employed physicians typically charging higher rates than independent practitioners. Hospital-based surgical clinics carry significant facility overhead costs that get passed to patients. Independent surgical practices remain relatively rare due to the state's challenging business environment.
Insurance Market Competition in Hawaii
HMSA holds approximately 60% market share, with Kaiser Permanente and UnitedHealthcare splitting most remaining coverage. This concentrated market gives insurers significant negotiating power with providers, though the limited specialist supply counterbalances this dynamic. Rate negotiations often favor providers due to essential service status.
Physician Supply and Demand in Hawaii
With 45 active Mastectomy providers serving Hawaii's 1.4 million residents, the state faces a moderate shortage relative to national benchmarks. This supply constraint particularly affects neighbor islands and contributes to longer wait times and premium pricing. Many specialists maintain part-time practices or work locum arrangements rather than full-time island commitments.
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 Hawaii
What is the average cost of a Mastectomy visit in Hawaii without insurance?
Does Hawaii Medicaid cover Mastectomy visits?
How do I find an affordable Mastectomy near me in Hawaii?
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 Hawaii?
How does telemedicine affect the cost of seeing a Mastectomy in Hawaii?
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 |