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Kansas

Cost of a Mastectomy Visit
in Kansas

Reviewed by Momentary Medical Group West PC

Kansas ranks among the states with the most affordable healthcare costs nationwide, offering patients seeking mastectomy procedures significant savings compared to coastal regions. Mastectomy visits in the Sunflower State typically range from lower to moderate pricing tiers, with negotiated insurance rates reflecting the state's competitive provider landscape. Kansas maintains an active network of mastectomy specialists across its major metropolitan areas and regional medical centers, giving patients multiple options to browse providers statewide.

Average

$763

Median

$722

Lowest

$571

Highest

$995

Providers

1,739

National avg: $984Kansas: $763

23% below national average

Compare Similar Procedures

How does mastectomy compare to related procedures in Kansas?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$1,272$1,598$2,2231,705
Hip Replacement

Total hip replacement (arthroplasty)

27130$1,274$1,600$2,2261,712
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$502$718$9121,744
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$507$639$8601,703
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$623$804$1,1041,715
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$562$733$1,0061,765
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$824$1,008$1,4751,743
Septoplasty

Nasal septum repair

30520$569$765$9811,700
Tonsillectomy

Tonsillectomy, primary or secondary

42820$268$345$4631,737
Inguinal Hernia Repair

Inguinal hernia repair

49505$493$635$8721,699
Carpal Tunnel Surgery

Open carpal tunnel release

64721$402$506$6701,700

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 Kansas

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

5/5
93% would recommend108 patient surveys
5/5
93% would recommend368 patient surveys
5/5
93% would recommend347 patient surveys
5/5
90% would recommend507 patient surveys
SUMMIT SURGICAL, LLC

HUTCHINSON, KS

5/5
89% would recommend215 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 Kansas

Kansas healthcare costs run approximately 7% below national averages, reflecting lower operational costs and moderate provider competition across the state's mix of urban medical centers and rural hospitals. The state's central location and agricultural economy create unique dynamics where specialized surgical services concentrate in major metropolitan areas while rural residents often travel significant distances for procedures.

Urban vs. Rural Provider Availability

Kansas's population concentration in the Kansas City metro, Wichita, and Topeka creates distinct healthcare markets, with rural counties often lacking specialized surgical services within 50+ mile radius. Breast surgery specialists cluster heavily around major medical centers, requiring many Kansas residents to travel to urban areas for mastectomy procedures. Transportation and lodging costs for rural patients can add substantially to total procedure expenses, though some facilities offer patient housing assistance programs.

Facility Type and Overhead Costs

Major health systems like The University of Kansas Health System and Ascension Via Christi operate hospital-based surgical programs with higher overhead costs reflected in facility fees. Independent surgical centers in Kansas typically offer more competitive pricing for outpatient mastectomy procedures, though complex cases requiring overnight observation may necessitate hospital settings. Academic medical centers provide additional training and research opportunities but often command premium pricing for specialized breast surgical services.

Insurance Market Competition in Kansas

BCBS Kansas maintains the largest market share statewide, with UHC and Aetna providing competitive alternatives primarily in urban markets, creating negotiated rate variations between carriers. Limited insurer participation in rural Kansas counties can reduce competition and limit patient options for in-network surgical providers. The absence of a robust state marketplace following ACA implementation has left many Kansas residents with fewer insurance choices compared to expansion states.

Physician Supply and Demand in Kansas

Kansas faces ongoing challenges with physician recruitment and retention, particularly affecting specialized surgical services in rural areas where patient volume may not support full-time breast surgery practices. The state's medical schools and residency programs help maintain physician supply in urban areas, but rural shortages persist across multiple specialties including surgical oncology. Limited specialist availability in some regions can create longer wait times and may influence pricing due to reduced competition among providers.

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 Kansas

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

Self-pay patients in Kansas can expect mastectomy consultation fees ranging from several hundred to over a thousand dollars, depending on the complexity of the case and facility type. Many surgical practices offer cash discounts of 20-40% for upfront payment, making direct negotiation worthwhile for uninsured patients. Hospital-based consultations typically cost more than independent practice visits due to facility overhead charges.

Does Kansas Medicaid cover Mastectomy visits?

KanCare, Kansas's Medicaid program, covers medically necessary mastectomy procedures and consultations with prior authorization, though the state's non-expansion status creates coverage gaps for some adults. Prophylactic mastectomies for BRCA-positive patients typically receive coverage following genetic counseling and testing documentation. Coverage eligibility in Kansas remains limited to traditional Medicaid categories including pregnant women, children, and disabled adults, excluding many working adults without dependent children.

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

Comparing costs between hospital-based surgical practices and independent surgical centers can reveal significant savings opportunities for Kansas patients. Many providers offer financial counseling services to help patients understand insurance benefits and explore payment plan options before scheduling procedures. Community health centers and federally qualified health centers throughout Kansas may provide referrals to sliding-scale surgical programs for qualifying patients.

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

Initial mastectomy consultations typically cost 50-80% more than follow-up visits due to the comprehensive evaluation, imaging review, and treatment planning involved in new patient encounters. Based on negotiated insurance rates in Kansas, initial consultations often fall in the mid-to-upper hundreds of dollars range, while follow-up visits for surgical planning or post-operative care cost considerably less. The complexity of reconstruction planning and genetic risk assessment can influence initial consultation pricing.

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

Health Savings Account and Flexible Spending Account funds can be used for all qualified mastectomy-related expenses including consultations, procedures, and reconstruction in Kansas. These pre-tax dollars effectively reduce the cost of surgical care by your marginal tax rate, providing substantial savings for patients facing high deductibles. Genetic testing and counseling related to mastectomy decision-making also qualify as eligible HSA/FSA expenses.

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

Telemedicine consultations for surgical planning or second opinions typically cost 30-50% less than in-person visits, though physical examination requirements limit virtual options for initial mastectomy evaluations. Kansas's rural geography makes telehealth particularly valuable for follow-up appointments, reducing travel costs and time for patients living far from surgical centers. Some insurers in Kansas have expanded telemedicine coverage for surgical consultations, making virtual options more accessible for preliminary discussions and post-operative care.

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