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Minnesota

Cost of a Mastectomy Visit
in Minnesota

Reviewed by Momentary Medical Group West PC

Minnesota's healthcare system combines strong rural provider networks with urban medical centers like Mayo Clinic, creating diverse options for mastectomy care across the state. Mastectomy patients in Minnesota typically pay between $445 and $2,393, with a median cost of $953 based on negotiated insurance rates from 418 active providers statewide. Minnesota residents can browse all mastectomy specialists through our platform to find quality care that fits their budget and location preferences.

Average

$1,264

Median

$953

Lowest

$445

Highest

$2,393

Providers

418

National avg: $984Minnesota: $1,264

28% above national average

Compare Similar Procedures

How does mastectomy compare to related procedures in Minnesota?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$873$2,164$5,078478
Hip Replacement

Total hip replacement (arthroplasty)

27130$91$91$3,2271,859
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$90$763$1,548375
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$338$892$2,258491
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$444$6,146$6,1461,845
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$80$898$2,095511
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$85$1,311$3,576484
Septoplasty

Nasal septum repair

30520$91$808$1,627341
Tonsillectomy

Tonsillectomy, primary or secondary

42820$94$447$705344
Inguinal Hernia Repair

Inguinal hernia repair

49505$344$778$1,787410
Carpal Tunnel Surgery

Open carpal tunnel release

64721$358$722$1,930403

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 Minnesota

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

5/5
89% would recommend537 patient surveys
5/5
86% would recommend196 patient surveys
PERHAM HEALTH

PERHAM, MN

5/5
85% would recommend160 patient surveys
5/5
84% would recommend171 patient surveys
5/5
84% would recommend162 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 Minnesota

Minnesota's healthcare costs run approximately 2% above national averages, driven by the state's high-quality medical infrastructure and strong physician workforce. The Twin Cities metro area anchors much of the state's specialized surgical care, while rural regions rely on critical access hospitals and traveling specialists.

Urban vs. Rural Provider Availability

The Minneapolis-St. Paul metropolitan area concentrates most of Minnesota's breast surgeons and surgical oncologists, while greater Minnesota relies on regional medical centers in Duluth, Rochester, and St. Cloud. Rural patients often travel significant distances for specialized mastectomy procedures, though telemedicine consultations help bridge access gaps. This geographic disparity can create cost variations based on facility overhead and local market competition.

Facility Type and Overhead Costs

Minnesota's healthcare landscape includes major systems like Mayo Clinic Health System, Allina Health, and M Health Fairview, which operate both hospital-based surgical clinics and outpatient centers. Hospital-owned practices typically charge facility fees that can double the cost of consultations compared to independent surgical practices. Academic medical centers often have higher overhead costs but provide access to clinical trials and cutting-edge surgical techniques.

Insurance Market Competition in Minnesota

The state's insurance market features healthy competition among Blue Cross Blue Shield of Minnesota, UnitedHealthcare, and HealthPartners, helping keep negotiated rates reasonable for surgical procedures. Minnesota's state employee health plan also influences pricing across the market, as it covers a significant portion of the workforce. This competitive environment benefits patients through better negotiated rates and more provider choice than in monopolistic insurance markets.

Physician Supply and Demand in Minnesota

With 418 providers offering mastectomy services across Minnesota, the state maintains adequate surgical capacity despite ongoing physician shortages in rural areas. The concentration of surgical specialists in urban areas creates competitive pricing in metro markets while potentially limiting options in rural regions. Strong residency programs at the University of Minnesota and Mayo Clinic help maintain physician supply, though recruitment to rural areas remains challenging.

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 Minnesota

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

Self-pay patients in Minnesota can expect to pay between $445 and $2,393 for mastectomy consultations, with most providers charging around the median rate of $953. Many surgical practices offer cash-pay discounts that can reduce these costs by 20-30% for uninsured patients. Payment plans are commonly available given the significant financial impact of surgical procedures, and some community health centers provide sliding scale fees based on income.

Does Minnesota Medicaid cover Mastectomy visits?

Yes, Minnesota's expanded Medicaid program (Medical Assistance) covers mastectomy consultations and procedures for eligible residents. The program provides comprehensive surgical benefits including pre-operative consultations, the procedure itself, and follow-up care. Most major surgical practices throughout Minnesota accept Medical Assistance, though you may need to verify network participation when scheduling your appointment.

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

Compare costs across Minnesota's 418 mastectomy providers, as prices can vary significantly between hospital-based practices and independent surgical clinics. Many providers offer self-pay discounts for uninsured patients, while community health centers may provide sliding scale fees. Consider traveling to different metro areas if cost is a primary concern, as rural providers sometimes offer more competitive pricing than urban medical centers.

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

Initial mastectomy consultations typically cost between $445 and $2,393 in Minnesota, involving comprehensive evaluation and treatment planning. Follow-up visits are generally less expensive, though costs vary depending on the complexity of post-operative care required. Most insurance plans cover follow-up visits as part of the surgical package, but self-pay patients should ask about bundled pricing options.

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

Yes, both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) can be used to pay for mastectomy consultations and procedures in Minnesota. These accounts provide tax-advantaged ways to pay for qualified medical expenses, including deductibles, copays, and any out-of-network costs. Keep all receipts and documentation for tax purposes, as mastectomy procedures clearly qualify as eligible medical expenses.

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

Telemedicine consultations for mastectomy care are typically less expensive than in-person visits, though physical examination is usually required for initial surgical evaluations. Many Minnesota surgeons use telehealth for follow-up appointments, second opinions, or pre-operative consultations, which can reduce costs and travel time. Insurance coverage for telemedicine varies by plan, but most major Minnesota insurers cover virtual consultations at the same rate as office visits.

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