Cost of a Mastectomy Visit
in Kentucky
Reviewed by Momentary Medical Group West PC
Kentucky's healthcare infrastructure spans from Louisville's academic medical centers to rural Appalachian communities, creating diverse pricing structures for specialist care. Mastectomy patients typically pay between $85 and $1,529, with a median out-of-pocket cost of $737 based on negotiated insurance rates. Kentucky maintains 182 active Mastectomy providers across the state, offering patients multiple options for accessing surgical consultation and care.
Average
$783
Median
$737
Lowest
$85
Highest
$1,529
Providers
182
20% below national average
Compare Similar Procedures
How does mastectomy compare to related procedures in Kentucky?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $977 | $1,837 | $3,564 | 148 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $386 | $1,784 | $3,244 | 179 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $85 | $676 | $1,313 | 184 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $394 | $717 | $1,419 | 153 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $90 | $837 | $1,539 | 233 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $85 | $776 | $1,415 | 246 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $85 | $995 | $2,038 | 191 |
| Septoplasty Nasal septum repair | 30520 | $435 | $792 | $1,627 | 149 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $85 | $357 | $679 | 178 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $396 | $673 | $1,220 | 146 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $340 | $565 | $1,957 | 145 |
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 Kentucky
These hospitals in Kentucky are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
BEREA, KY
FLEMINGSBURG, KY
LOUISA, KY
LEXINGTON, KY
CYNTHIANA, KY
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 Kentucky
Kentucky's healthcare costs run approximately 5% below national averages, reflecting the state's lower cost of living and competitive provider market. The Commonwealth's geographic diversity creates pricing disparities between Louisville-Lexington urban corridors and rural Appalachian communities with limited specialist access.
Urban vs. Rural Provider Availability
Louisville and Lexington concentrate most of Kentucky's mastectomy surgeons, while eastern and western rural counties often require patients to travel 60+ miles for specialist care. Urban areas offer multiple practice options that encourage competitive pricing, whereas rural regions may have limited choices driving higher costs. Transport costs and time off work add hidden expenses for rural patients accessing mastectomy care in metropolitan areas.
Facility Type and Overhead Costs
Hospital-owned practices affiliated with Norton Healthcare, Baptist Health, or UK HealthCare typically charge higher facility fees than independent surgical centers. Academic medical centers in Louisville and Lexington often have premium pricing due to teaching hospital overhead and advanced technology investments. Community hospitals throughout Kentucky may offer more affordable mastectomy consultations while maintaining quality care standards.
Insurance Market Competition in Kentucky
Anthem dominates Kentucky's individual marketplace while UHC and Humana compete strongly in employer group plans, creating moderate negotiating leverage for providers. Rural counties often have fewer insurer options, potentially leading to higher negotiated rates due to limited competition. The state's three major insurers generally maintain similar mastectomy coverage policies, though prior authorization requirements and network restrictions vary significantly.
Physician Supply and Demand in Kentucky
Kentucky's 182 active mastectomy providers serve a population of 4.5 million, indicating adequate surgical capacity in urban areas but potential shortages in rural regions. Most specialists cluster around Louisville, Lexington, and Bowling Green, creating geographic access challenges for eastern Kentucky residents. Limited surgeon availability in rural areas can drive up consultation costs and extend wait times for non-urgent mastectomy procedures.
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 Kentucky
What is the average cost of a Mastectomy visit in Kentucky without insurance?
Does Kentucky Medicaid cover Mastectomy visits?
How do I find an affordable Mastectomy near me in Kentucky?
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 Kentucky?
How does telemedicine affect the cost of seeing a Mastectomy in Kentucky?
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 |