Cost of a Mastectomy Visit
in Indiana
Reviewed by Momentary Medical Group West PC
Indiana's healthcare landscape features a mix of urban medical centers and rural facilities, with costs typically running 6% below national averages. Mastectomy patients in Indiana typically pay between $85 and $1,818, with a median out-of-pocket cost of $775 depending on their insurance coverage and chosen provider. The state maintains 273 active Mastectomy providers across metro Indianapolis, Fort Wayne, Evansville, and smaller communities, giving patients multiple options to compare costs and find quality care.
Average
$892
Median
$775
Lowest
$85
Highest
$1,818
Providers
273
9% below national average
Compare Similar Procedures
How does mastectomy compare to related procedures in Indiana?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $90 | $1,720 | $4,087 | 257 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $85 | $1,619 | $3,549 | 291 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $70 | $669 | $1,385 | 294 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $90 | $663 | $1,642 | 260 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $80 | $827 | $1,834 | 351 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $80 | $757 | $1,804 | 411 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $85 | $1,104 | $2,719 | 294 |
| Septoplasty Nasal septum repair | 30520 | $90 | $683 | $1,472 | 250 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $85 | $347 | $649 | 274 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $90 | $627 | $1,448 | 250 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $291 | $559 | $1,070 | 246 |
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 Indiana
These hospitals in Indiana are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
INDIANAPOLIS, IN
MISHAWAKA, IN
CROWN POINT, IN
BREMEN, IN
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 Indiana
Indiana's healthcare costs run approximately 6% below national averages, reflecting the state's lower cost of living and competitive insurance market. The state's mix of urban medical centers in Indianapolis, Fort Wayne, and Evansville alongside rural hospitals creates distinct pricing tiers across different regions.
Urban vs. Rural Provider Availability
Indianapolis and its suburbs concentrate the majority of Indiana's mastectomy specialists, offering patients multiple options for comparison shopping. Rural counties in southern and eastern Indiana often have limited local surgical options, requiring patients to travel to regional medical centers. This geographic divide can impact both access and pricing, with urban areas typically having more competitive rates due to provider density.
Facility Type and Overhead Costs
Indiana University Health, Community Health Network, and Ascension St. Vincent dominate the hospital market, with their surgery centers typically charging higher facility fees than independent practices. Ambulatory surgery centers have grown throughout central Indiana, often providing the same procedures at lower costs than hospital-based facilities. Academic medical centers like IU Health Methodist may charge premium rates but offer specialized reconstructive options not available elsewhere.
Insurance Market Competition in Indiana
Anthem holds significant market share as the state's Blue Cross Blue Shield affiliate, while UnitedHealthCare and regional player MDwise provide competition in most counties. This three-way competition has helped keep negotiated rates reasonable compared to states with less insurer choice. Rural areas may have fewer in-network options, potentially driving up out-of-pocket costs for patients living outside metro areas.
Physician Supply and Demand in Indiana
With 273 active mastectomy providers serving approximately 6.8 million residents, Indiana maintains adequate surgical capacity in urban areas but faces shortages in rural counties. This supply-demand balance keeps wait times reasonable in cities like Indianapolis and Fort Wayne while potentially creating longer delays in smaller communities. The concentration of providers in central Indiana helps maintain competitive pricing through market competition.
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 Indiana
What is the average cost of a Mastectomy visit in Indiana without insurance?
Does Indiana Medicaid cover Mastectomy visits?
How do I find an affordable Mastectomy near me in Indiana?
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 Indiana?
How does telemedicine affect the cost of seeing a Mastectomy in Indiana?
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 |