Cost of a Mastectomy Visit
in Maine
Reviewed by Momentary Medical Group West PC
Maine's rural geography creates unique challenges for breast cancer care access, with many patients traveling significant distances to reach specialized providers. Mastectomy procedures in Maine show considerable price variation, with negotiated rates ranging from $749 to $1,274 across the state's healthcare facilities. With over 1,500 active providers offering mastectomy services, Maine patients have substantial options for finding quality care within their insurance networks.
Average
$1,093
Median
$1,255
Lowest
$749
Highest
$1,274
Providers
1,523
11% above national average
Compare Similar Procedures
How does mastectomy compare to related procedures in Maine?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $1,713 | $2,488 | $2,689 | 1,522 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $1,585 | $2,491 | $2,639 | 1,529 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $643 | $1,068 | $1,123 | 1,524 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $634 | $1,054 | $1,087 | 1,528 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $746 | $1,250 | $1,286 | 1,541 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $682 | $1,144 | $1,177 | 1,551 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $1,043 | $1,716 | $1,776 | 1,529 |
| Septoplasty Nasal septum repair | 30520 | $811 | $1,310 | $1,346 | 1,526 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $342 | $573 | $578 | 1,524 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $630 | $998 | $1,022 | 1,521 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $519 | $850 | $888 | 1,519 |
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 Maine
These hospitals in Maine are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
AUGUSTA, ME
HOULTON, ME
BANGOR, ME
PORTLAND, ME
BAR HARBOR, ME
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 Maine
Healthcare costs in Maine run approximately 12% above the national average, driven by the state's rural geography and lower population density. The Pine Tree State's healthcare infrastructure is concentrated in southern Maine, creating cost and access disparities for patients in northern and eastern regions.
Urban vs. Rural Provider Availability
Portland and Bangor serve as the primary hubs for specialized breast cancer surgery in Maine, with limited options in rural counties like Aroostook and Washington. Patients from rural areas often face travel costs and time away from work when accessing mastectomy services in urban centers. This geographic concentration allows Portland-area providers to command premium rates while rural patients have fewer cost comparison options.
Facility Type and Overhead Costs
Maine Medical Center and Eastern Maine Medical Center operate the state's largest surgical programs, with higher overhead costs reflected in their facility fees. Independent surgery centers offer lower-cost alternatives but may have limited reconstruction capabilities. Community hospitals like Mid Coast Hospital provide middle-tier pricing options between academic centers and outpatient facilities.
Insurance Market Competition in Maine
Anthem Blue Cross Blue Shield dominates Maine's individual insurance market, while Harvard Pilgrim and UnitedHealthcare compete primarily in the employer-sponsored segment. This moderate concentration gives larger insurers significant negotiating power with providers, though smaller regional plans sometimes secure competitive rates. The limited competition means patients have fewer insurance options for cost optimization compared to larger states.
Physician Supply and Demand in Maine
With over 1,500 providers offering mastectomy-related services, Maine has adequate surgical capacity relative to its population of 1.4 million residents. However, subspecialty services like oncoplastic surgery remain concentrated in Portland and Bangor, creating longer wait times and higher costs for advanced procedures. The state's aging population is increasing demand for breast cancer services, putting upward pressure on surgical fees.
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 Maine
What is the average cost of a Mastectomy visit in Maine without insurance?
Does Maine Medicaid cover Mastectomy visits?
How do I find an affordable Mastectomy near me in Maine?
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 Maine?
How does telemedicine affect the cost of seeing a Mastectomy in Maine?
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 |