Cost of a Mastectomy Visit
in Iowa
Reviewed by Momentary Medical Group West PC
Iowa's healthcare system benefits from Medicaid expansion and relatively lower costs, running approximately 9% below national averages for most procedures. Mastectomy patients typically pay between $85 and $3,020, with a median out-of-pocket cost of $1,392 based on negotiated insurance rates across 333 active providers statewide. Iowa residents can browse all available Mastectomy providers to compare costs and find quality care within their network.
Average
$1,499
Median
$1,392
Lowest
$85
Highest
$3,021
Providers
333
52% above national average
Compare Similar Procedures
How does mastectomy compare to related procedures in Iowa?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $95 | $2,935 | $4,753 | 309 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $91 | $2,938 | $3,950 | 320 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $85 | $1,186 | $1,313 | 296 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $452 | $1,174 | $1,680 | 311 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $90 | $1,428 | $3,082 | 337 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $85 | $1,304 | $2,810 | 369 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $85 | $1,912 | $3,576 | 341 |
| Septoplasty Nasal septum repair | 30520 | $549 | $1,426 | $1,627 | 255 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $95 | $640 | $705 | 270 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $457 | $1,131 | $2,449 | 317 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $361 | $933 | $1,068 | 260 |
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 Iowa
These hospitals in Iowa are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
ORANGE CITY, IA
BELMOND, IA
CLARION, IA
MARENGO, IA
ALGONA, IA
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 Iowa
Iowa's healthcare costs run approximately 9% below national averages due to lower overhead expenses and less market consolidation compared to coastal states. The state's balanced mix of urban medical centers and rural practices creates varied pricing structures across different regions.
Urban vs. Rural Provider Availability
Des Moines, Cedar Rapids, and Iowa City concentrate most surgical specialists, while rural counties often require travel for Mastectomy procedures. Urban areas typically have higher facility costs but more insurance competition, while rural providers may offer lower base rates but fewer options. Travel distances can add indirect costs for patients in western and northern Iowa counties.
Facility Type and Overhead Costs
Hospital-owned surgical practices at UnityPoint Health, Mercy Medical Centers, and University of Iowa Hospitals charge facility fees that independent surgeons do not. Academic medical centers command premium rates for complex cases but may offer clinical trials and cutting-edge techniques. Ambulatory surgery centers provide a cost-effective middle ground between hospital and office-based procedures.
Insurance Market Competition in Iowa
Wellmark Blue Cross Blue Shield dominates the individual market while UnitedHealthcare and Aetna compete primarily for employer groups. Limited insurer competition means fewer negotiated rate variations but more stable provider networks. Most Iowa health systems participate in all major plans, reducing network adequacy issues common in other states.
Physician Supply and Demand in Iowa
With 333 active Mastectomy providers serving 3.2 million residents, Iowa maintains adequate surgical capacity in urban areas but faces shortages in rural counties. This supply-demand balance keeps costs reasonable in metro areas while potentially increasing rates in underserved regions. Shorter wait times for non-emergency procedures reflect good provider availability compared to national averages.
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 Iowa
What is the average cost of a Mastectomy visit in Iowa without insurance?
Does Iowa Medicaid cover Mastectomy visits?
How do I find an affordable Mastectomy near me in Iowa?
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 Iowa?
How does telemedicine affect the cost of seeing a Mastectomy in Iowa?
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 |