Cost of a Mastectomy Visit
in Missouri
Reviewed by Momentary Medical Group West PC
Missouri's healthcare costs run approximately 5% below the national average, providing residents with more affordable access to specialized surgical care. For Mastectomy procedures, patients can expect significant cost variation based on facility type and location, with negotiated insurance rates ranging from $515.90 to $946.42 according to transparency data from over 5,250 active providers across the state. Missouri patients benefit from a robust network of qualified surgeons spanning from urban medical centers in Kansas City and St. Louis to rural community hospitals throughout the Show-Me State.
Average
$762
Median
$824
Lowest
$516
Highest
$946
Providers
5,250
23% below national average
Compare Similar Procedures
How does mastectomy compare to related procedures in Missouri?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $1,272 | $1,915 | $2,246 | 5,186 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $1,274 | $1,917 | $2,249 | 5,286 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $502 | $728 | $811 | 5,258 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $507 | $761 | $892 | 5,187 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $623 | $1,127 | $1,300 | 5,243 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $551 | $966 | $1,185 | 5,445 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $822 | $1,163 | $1,375 | 5,264 |
| Septoplasty Nasal septum repair | 30520 | $573 | $821 | $954 | 5,176 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $268 | $480 | $559 | 5,242 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $493 | $892 | $1,027 | 5,182 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $402 | $614 | $726 | 5,183 |
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 Missouri
These hospitals in Missouri are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
LAMAR, MO
MONETT, MO
AURORA, MO
LEXINGTON, MO
CHILLICOTHE, MO
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 Missouri
Missouri's healthcare costs run approximately 5% below national averages, benefiting from lower overhead costs in many regions and competitive pricing among the state's diverse provider network. The state's mix of major metropolitan medical centers and rural community hospitals creates distinct pricing tiers across different geographic areas.
Urban vs. Rural Provider Availability
Missouri's major population centers in St. Louis and Kansas City offer numerous Mastectomy specialists and advanced surgical facilities, while rural areas may require patients to travel significant distances for specialized care. This geographic disparity often results in higher costs in metropolitan areas due to increased overhead and facility fees, though rural providers may charge more due to limited competition. Transportation costs for rural patients seeking urban specialists can add substantially to the total cost of care.
Facility Type and Overhead Costs
Large hospital systems like BJC HealthCare and Saint Luke's Health System typically charge higher facility fees than independent surgical centers or physician-owned practices throughout Missouri. Academic medical centers affiliated with Washington University and University of Missouri often carry premium pricing due to their research and teaching missions. Ambulatory surgery centers and outpatient facilities generally offer more competitive rates while maintaining high quality standards.
Insurance Market Competition in Missouri
Missouri's moderate insurance market competition among Anthem, UHC, and Cigna provides some negotiating power for competitive rates, though less populated areas may have fewer carrier options. The state's lack of Medicaid expansion concentrates uninsured patients in certain provider networks, potentially affecting pricing strategies. Regional variations in insurer market share can influence which providers offer the most competitive in-network rates for different zip codes.
Physician Supply and Demand in Missouri
With over 5,250 providers offering Mastectomy-related services, Missouri maintains adequate surgical capacity in most regions, helping moderate pricing through healthy competition. Rural areas face surgeon shortages that can drive up costs and extend wait times, while urban markets benefit from robust provider availability. The state's medical schools and residency programs help maintain a steady pipeline of qualified surgeons, supporting long-term access and cost stability.
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 Missouri
What is the average cost of a Mastectomy visit in Missouri without insurance?
Does Missouri Medicaid cover Mastectomy visits?
How do I find an affordable Mastectomy near me in Missouri?
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 Missouri?
How does telemedicine affect the cost of seeing a Mastectomy in Missouri?
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 |