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Louisiana

Cost of a Mastectomy Visit
in Louisiana

Reviewed by Momentary Medical Group West PC

Louisiana's healthcare landscape reflects significant regional disparities, with rural parishes often lacking specialized surgical services while urban centers like New Orleans and Baton Rouge maintain comprehensive cancer treatment facilities. Mastectomy patients typically pay between $331 and $1,229, with a median out-of-pocket cost of $636 based on negotiated insurance rates. Louisiana maintains 905 active Mastectomy providers across the state, allowing patients to browse all providers in Louisiana for the most suitable care option.

Average

$732

Median

$636

Lowest

$331

Highest

$1,229

Providers

905

National avg: $984Louisiana: $732

26% below national average

Compare Similar Procedures

How does mastectomy compare to related procedures in Louisiana?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$989$1,619$2,664863
Hip Replacement

Total hip replacement (arthroplasty)

27130$960$1,557$2,505877
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$226$617$1,345916
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$394$594$1,089867
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$473$822$1,416895
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$368$694$1,236947
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$85$997$1,658904
Septoplasty

Nasal septum repair

30520$399$637$1,133864
Tonsillectomy

Tonsillectomy, primary or secondary

42820$189$346$530904
Inguinal Hernia Repair

Inguinal hernia repair

49505$383$608$1,052861
Carpal Tunnel Surgery

Open carpal tunnel release

64721$294$504$979865

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 Louisiana

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

5/5
93% would recommend118 patient surveys
AVALA

COVINGTON, LA

5/5
93% would recommend340 patient surveys
5/5
91% would recommend117 patient surveys
5/5
91% would recommend111 patient surveys
5/5
89% would recommend334 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 Louisiana

Louisiana's mastectomy costs run approximately 1% above national averages, reflecting the state's moderate healthcare market with concentrated urban providers and limited rural access. The dominance of major health systems like Ochsner and LSU Health creates pricing power in metropolitan areas while rural parishes struggle with provider shortages.

Urban vs. Rural Provider Availability

New Orleans, Baton Rouge, and Shreveport concentrate most specialized breast surgeons, forcing rural patients to travel significant distances for care. This geographic clustering creates higher costs in urban markets due to limited competition, while rural areas lack local options entirely. Travel costs and time away from work add substantial indirect expenses for rural Louisiana patients.

Facility Type and Overhead Costs

Hospital-owned practices in Louisiana typically charge 30-50% more than independent surgical groups due to facility fees and higher overhead. Ochsner Health System and LSU Health dominate the market with premium pricing, while smaller independent practices offer more competitive rates. Academic medical centers justify higher costs through research programs and complex case expertise.

Insurance Market Competition in Louisiana

BCBS Louisiana, UHC, and Aetna control most of the commercial insurance market, with limited competition allowing higher negotiated rates. Rural parishes often have only one or two insurer options, reducing competitive pressure on pricing. The absence of a robust insurance marketplace limits consumer choice and keeps negotiated rates elevated compared to more competitive states.

Physician Supply and Demand in Louisiana

Louisiana's 905 active mastectomy providers create adequate supply in urban areas but significant shortages in rural regions. The concentration of specialists in major metropolitan areas leads to longer wait times and higher costs in these markets. Medical school graduates often leave Louisiana for higher-paying markets, creating ongoing recruitment challenges for healthcare systems.

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 Louisiana

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

Uninsured patients in Louisiana typically pay between $331 and $1,229 for mastectomy consultations, with a median cost of $636. Many providers offer cash-pay discounts of 20-40% for upfront payment, potentially reducing costs to $380-$760 for the median visit. Independent surgical practices often provide more competitive self-pay rates than hospital-owned clinics.

Does Louisiana Medicaid cover Mastectomy visits?

Louisiana Medicaid covers medically necessary mastectomy consultations and procedures for enrolled members. However, Louisiana did not expand Medicaid, so coverage is limited to very low-income individuals, pregnant women, children, and disabled adults. Many working-age adults fall into a coverage gap where they earn too much for Medicaid but cannot afford marketplace insurance.

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

Compare costs across different facility types, as independent practices often charge less than hospital-owned clinics. Ask about cash-pay discounts if uninsured, and consider community health centers that offer sliding-scale fees. Federally Qualified Health Centers in Louisiana can provide referrals to affordable specialists and may have partnerships with reduced-cost surgical providers.

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

Initial mastectomy consultations typically cost $331-$1,229 with a median of $636, involving comprehensive evaluation, imaging review, and treatment planning. Follow-up visits generally cost significantly less, usually 40-60% of the initial consultation fee, as they focus on specific issues rather than comprehensive assessment. The exact cost difference depends on the complexity of care and whether additional procedures or tests are performed.

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

Yes, mastectomy consultations and procedures qualify as medical expenses eligible for HSA and FSA reimbursement. Both preventive consultations for high-risk patients and cancer-related visits are covered under IRS guidelines for qualified medical expenses. Keep detailed receipts and documentation, as some employers may require additional verification for surgical consultations.

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

Telemedicine consultations for mastectomy typically cost 60-80% less than in-person visits, ranging from $150-$400 for initial virtual consultations. However, physical examination is usually required for surgical planning, making telehealth most useful for follow-up appointments or second opinions. Louisiana expanded telehealth coverage during COVID-19, with many insurers continuing to cover virtual specialist visits at similar rates to in-person 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