Cost of a Mastectomy Visit
in Michigan
Reviewed by Momentary Medical Group West PC
Michigan's expanded Medicaid coverage and competitive insurance market have helped make Mastectomy visits more accessible across the state's diverse urban and rural communities. Based on negotiated insurance rates, patients typically pay between $429 and $1,470 for a mastectomy consultation, with a median cost of $654. With over 1,700 active Mastectomy providers throughout Michigan, patients can browse all qualified specialists in their area to find the most affordable option.
Average
$851
Median
$654
Lowest
$429
Highest
$1,470
Providers
1,712
14% below national average
Compare Similar Procedures
How does mastectomy compare to related procedures in Michigan?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $1,136 | $1,872 | $3,355 | 1,660 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $80 | $1,749 | $2,869 | 2,018 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $85 | $776 | $1,073 | 1,788 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $452 | $753 | $1,294 | 1,677 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $430 | $1,039 | $1,565 | 1,749 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $80 | $833 | $2,021 | 2,239 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $93 | $1,316 | $1,926 | 1,724 |
| Septoplasty Nasal septum repair | 30520 | $532 | $635 | $1,072 | 1,631 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $238 | $409 | $559 | 1,670 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $440 | $736 | $1,216 | 1,658 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $359 | $457 | $1,068 | 1,634 |
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 Michigan
These hospitals in Michigan are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
ANN ARBOR, MI
CARSON CITY, MI
PAW PAW, MI
HANCOCK, MI
SHELBY, MI
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 Michigan
Michigan's healthcare costs run approximately 3% below the national average, benefiting from competitive insurance markets and diverse provider options. The state's mix of major metropolitan areas and rural regions creates significant cost variations for surgical specialties.
Urban vs. Rural Provider Availability
Detroit, Grand Rapids, and Ann Arbor concentrate most of Michigan's mastectomy specialists, while rural counties in the Upper Peninsula and northern Lower Michigan have limited options. This geographic disparity often forces rural patients to travel significant distances, sometimes adding lodging costs to their care expenses.
Facility Type and Overhead Costs
Michigan's dominant health systems like Beaumont, Spectrum Health, and University of Michigan operate hospital-based surgical practices with higher overhead costs than independent centers. These academic and large health system facilities typically charge premium rates but may offer more comprehensive reconstruction options and clinical trials.
Insurance Market Competition in Michigan
BCBS Michigan, UHC, and Aetna maintain competitive market presence, preventing any single insurer from dominating negotiated rates. This competition has kept Michigan's surgical consultation costs below national averages while maintaining good provider network access across most regions.
Physician Supply and Demand in Michigan
With over 1,700 active mastectomy providers, Michigan maintains adequate specialist supply in urban areas but faces shortages in rural regions. This balanced supply in metropolitan areas helps control pricing and reduces wait times for non-urgent consultations to typically 2-4 weeks.
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 Michigan
What is the average cost of a Mastectomy visit in Michigan without insurance?
Does Michigan Medicaid cover Mastectomy visits?
How do I find an affordable Mastectomy near me in Michigan?
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 Michigan?
How does telemedicine affect the cost of seeing a Mastectomy in Michigan?
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 |