Cost of a Mastectomy Visit
in Idaho
Reviewed by Momentary Medical Group West PC
Idaho's rural geography creates significant cost variation for mastectomy procedures, with negotiated rates ranging from $85 to $1,484 depending on facility type and location. Patients across the state's 93 active providers typically experience substantial price differences between hospital-based surgical centers and independent practices. Browse all mastectomy providers in Idaho to compare costs and find the right surgeon for your needs.
Average
$803
Median
$839
Lowest
$85
Highest
$1,484
Providers
93
19% below national average
Compare Similar Procedures
How does mastectomy compare to related procedures in Idaho?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $1,061 | $1,894 | $3,049 | 78 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $90 | $1,843 | $3,023 | 93 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $85 | $797 | $1,348 | 101 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $80 | $838 | $4,173 | 201 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $80 | $738 | $1,480 | 145 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $80 | $719 | $1,349 | 182 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $85 | $1,196 | $2,021 | 96 |
| Septoplasty Nasal septum repair | 30520 | $80 | $785 | $1,422 | 122 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $85 | $388 | $679 | 96 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $438 | $690 | $1,197 | 76 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $90 | $581 | $1,031 | 80 |
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 Idaho
These hospitals in Idaho are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
BOISE, ID
MCCALL, ID
BOISE, ID
MOSCOW, ID
POST FALLS, ID
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 Idaho
Idaho's healthcare costs run approximately 3% below national averages, reflecting the state's lower cost of living and reduced provider density in rural regions. The concentration of surgical specialists in Boise, Coeur d'Alene, and Idaho Falls creates price competition in these metro areas while limiting options for rural patients.
Urban vs. Rural Provider Availability
Boise and northern Idaho near Spokane offer the highest concentration of mastectomy surgeons, while eastern and central Idaho counties often require travel of 100+ miles for specialized care. Rural patients frequently face higher total costs due to travel expenses and limited local surgical facilities. Telemedicine consultations help bridge geographic gaps but surgical procedures still require in-person care at urban centers.
Facility Type and Overhead Costs
Saint Alphonsus Health System and Kootenai Health operate the largest hospital-based surgical programs with higher facility fees but comprehensive support services. Independent surgical centers like those affiliated with Treasure Valley Hospital typically offer lower base rates. Ambulatory surgery centers provide cost-effective options for outpatient mastectomy procedures without hospital overhead.
Insurance Market Competition in Idaho
Limited insurer competition between Regence BlueCross, PacificSource, and smaller regional carriers reduces negotiating leverage for lower provider rates. The state's concentrated insurance market means fewer plan options and less aggressive rate competition compared to larger states. Rural areas often have even fewer insurer choices, further limiting cost competition among providers.
Physician Supply and Demand in Idaho
With 93 active mastectomy providers serving Idaho's growing population, surgical capacity remains adequate in urban areas but stretched in rural regions. The state's physician shortage in specialized surgery creates longer wait times and potentially higher costs in underserved areas. Boise's medical training programs help retain surgeons locally, but rural recruitment remains challenging for complex surgical specialties.
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 Idaho
What is the average cost of a Mastectomy visit in Idaho without insurance?
Does Idaho Medicaid cover Mastectomy visits?
How do I find an affordable Mastectomy near me in Idaho?
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 Idaho?
How does telemedicine affect the cost of seeing a Mastectomy in Idaho?
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 |