Cost of a Mastectomy Visit
in Massachusetts
Reviewed by Momentary Medical Group West PC
Massachusetts leads the nation with the highest rate of insured residents at 97.5%, yet Mastectomy costs remain approximately 20% above national averages due to the state's concentrated healthcare market. Patients typically pay between $349.88 and $2,407.50 for a Mastectomy procedure, with a median cost of $988.15 based on negotiated insurance rates. With over 1,009 active Mastectomy providers across the Commonwealth, patients have substantial options when browsing all providers in Massachusetts.
Average
$1,249
Median
$988
Lowest
$350
Highest
$2,408
Providers
1,009
27% above national average
Compare Similar Procedures
How does mastectomy compare to related procedures in Massachusetts?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $1,061 | $2,196 | $6,051 | 1,004 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $80 | $2,012 | $6,060 | 1,302 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $403 | $935 | $2,078 | 1,014 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $438 | $892 | $2,410 | 1,023 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $476 | $1,057 | $2,717 | 1,072 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $80 | $834 | $2,485 | 1,368 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $710 | $1,297 | $3,890 | 1,012 |
| Septoplasty Nasal septum repair | 30520 | $456 | $1,001 | $2,788 | 1,010 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $219 | $455 | $1,237 | 1,012 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $397 | $834 | $2,168 | 1,003 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $338 | $721 | $1,957 | 1,008 |
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 Massachusetts
These hospitals in Massachusetts are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
GREAT BARRINGTON, MA
BOSTON, MA
OAK BLUFFS, MA
BOSTON, MA
BOSTON, MA
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 Massachusetts
Massachusetts healthcare costs run approximately 20% above national averages, driven by the concentration of prestigious academic medical centers and the state's highly educated physician workforce commanding premium rates. The Commonwealth's geography creates a stark contrast between the resource-rich Boston metropolitan area and more rural regions in Western Massachusetts and Cape Cod, leading to significant cost and access variations.
Urban vs. Rural Provider Availability
Greater Boston hosts over 70% of the state's surgical specialists, including mastectomy surgeons affiliated with world-renowned institutions like Brigham and Women's and Mass General. Rural counties in Western Massachusetts face surgeon shortages, with patients often traveling 60+ miles to Worcester or Springfield for specialized breast surgery. This geographic concentration drives higher costs in urban areas while creating access challenges in rural regions.
Facility Type and Overhead Costs
Academic medical centers like those in the Partners HealthCare system charge premium rates reflecting their research missions and teaching hospital overhead, with facility fees often exceeding $1,000 per procedure. Independent surgical centers and community hospitals throughout Massachusetts typically offer 30-50% lower costs while maintaining quality outcomes. Hospital consolidation has reduced competition in many markets, with large systems like Mass General Brigham controlling pricing in their service areas.
Insurance Market Competition in Massachusetts
The dominance of BCBS MA, Tufts Health Plan, and Harvard Pilgrim creates limited insurer competition, with these three plans covering most commercially insured residents. Massachusetts's strict insurance regulations standardize many benefits but can limit price competition, contributing to higher premiums that ultimately affect negotiated provider rates. The state's small market size relative to national insurers reduces leverage in rate negotiations with major health systems.
Physician Supply and Demand in Massachusetts
With over 1,009 active Mastectomy providers, Massachusetts maintains one of the highest surgeon-to-population ratios nationally, yet demand from the aging population and medical tourism creates wait times of 2-4 weeks for consultations. The concentration of top-tier medical schools produces highly trained specialists who command higher fees, while the state's reputation attracts patients from across New England. This robust supply in urban areas contrasts sharply with shortages in rural regions, creating pricing disparities across the state.
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 Massachusetts
What is the average cost of a Mastectomy visit in Massachusetts without insurance?
Does Massachusetts Medicaid cover Mastectomy visits?
How do I find an affordable Mastectomy near me in Massachusetts?
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 Massachusetts?
How does telemedicine affect the cost of seeing a Mastectomy in Massachusetts?
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 |