Cost of a Mastectomy Visit
in Maryland
Reviewed by Momentary Medical Group West PC
Maryland's rate-setting system for hospitals creates unique pricing transparency compared to most states, yet mastectomy costs still vary significantly across the state's diverse healthcare landscape. Patients typically pay between $346 and $1,292 for mastectomy procedures, with a median cost of $626 based on negotiated insurance rates. With nearly 4,000 active mastectomy providers throughout Maryland, patients can browse extensive options from Baltimore's renowned medical centers to community hospitals in rural counties.
Average
$755
Median
$626
Lowest
$346
Highest
$1,292
Providers
3,976
23% below national average
Compare Similar Procedures
How does mastectomy compare to related procedures in Maryland?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $1,204 | $1,365 | $3,475 | 3,921 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $1,124 | $1,289 | $2,667 | 3,950 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $477 | $581 | $1,083 | 3,982 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $485 | $559 | $1,591 | 3,923 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $545 | $633 | $1,355 | 3,993 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $437 | $573 | $1,238 | 4,028 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $754 | $892 | $1,779 | 4,051 |
| Septoplasty Nasal septum repair | 30520 | $461 | $617 | $1,395 | 3,925 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $226 | $271 | $607 | 3,971 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $381 | $498 | $1,079 | 3,919 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $318 | $419 | $920 | 3,931 |
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.
Why Mastectomy Visit Costs Vary Across Maryland
Maryland's healthcare costs run approximately 13% above the national average, driven by the state's proximity to high-cost Washington DC markets and Baltimore's concentration of specialized medical centers. The state's unique hospital rate-setting system creates more predictable pricing compared to neighboring states with fully market-driven healthcare costs.
Urban vs. Rural Provider Availability
Baltimore-Washington corridor facilities command premium rates due to high overhead costs and specialist concentration, while Eastern Shore and Western Maryland regions offer more affordable mastectomy options. Rural Maryland counties often require patients to travel to urban centers for specialized breast surgery, adding transportation costs but potentially offering lower procedure fees.
Facility Type and Overhead Costs
Hospital-based outpatient surgical centers affiliated with Johns Hopkins, University of Maryland, and MedStar Health systems typically charge higher facility fees than independent surgery centers. Maryland's certificate-of-need regulations limit new facility construction, reducing competition and maintaining higher overhead costs across the state's surgical markets.
Insurance Market Competition in Maryland
CareFirst Blue Cross Blue Shield dominates Maryland's individual and small group markets, while UnitedHealthcare and Aetna compete primarily in employer-sponsored plans. This concentrated market structure gives major insurers significant negotiating power with providers, generally resulting in lower negotiated rates than in more fragmented insurance markets.
Physician Supply and Demand in Maryland
With nearly 4,000 active mastectomy providers, Maryland enjoys robust surgical capacity relative to its population, particularly in the Baltimore-Washington metropolitan area. This healthy provider supply helps moderate pricing and reduces wait times, though rural counties still experience some access challenges requiring travel to urban surgical centers.
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 Maryland
What is the average cost of a Mastectomy visit in Maryland without insurance?
Does Maryland Medicaid cover Mastectomy visits?
How do I find an affordable Mastectomy near me in Maryland?
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 Maryland?
How does telemedicine affect the cost of seeing a Mastectomy in Maryland?
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 |