Cost of a Mastectomy Visit
in Montana
Reviewed by Momentary Medical Group West PC
Montana's vast rural geography creates unique challenges in accessing specialized surgical care, with many patients traveling significant distances to reach qualified providers. Mastectomy procedures in Montana show considerable price variation, with negotiated rates ranging from $85 to $2,902 based on facility type and location. Montana has 39 active Mastectomy providers serving the state's 1.1 million residents, and patients can browse all available specialists to find the right match for their needs.
Average
$1,221
Median
$675
Lowest
$85
Highest
$2,902
Providers
39
24% above national average
Compare Similar Procedures
How does mastectomy compare to related procedures in Montana?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $92 | $1,667 | $6,877 | 35 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $80 | $1,395 | $6,442 | 49 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $85 | $554 | $2,744 | 48 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $80 | $80 | $985 | 300 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $80 | $80 | $1,124 | 315 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $80 | $80 | $1,231 | 321 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $82 | $983 | $4,679 | 42 |
| Septoplasty Nasal septum repair | 30520 | $80 | $80 | $920 | 298 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $85 | $313 | $581 | 38 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $378 | $656 | $2,328 | 32 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $90 | $469 | $979 | 37 |
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 Montana
These hospitals in Montana are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
FORT HARRISON, MT
WHITEFISH, MT
MISSOULA, MT
ANACONDA, MT
GREAT FALLS, MT
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 Montana
Montana's healthcare costs run approximately 4% above the national average, reflecting the challenges of providing specialized surgical care across the nation's fourth-largest state. The state's low population density and rural geography create unique cost pressures, particularly for complex procedures requiring specialized facilities and staff.
Urban vs. Rural Provider Availability
Most mastectomy procedures in Montana are performed in Billings, Missoula, Great Falls, and Bozeman, forcing many rural patients to travel hundreds of miles for care. This geographic concentration allows urban providers to maintain higher volumes and potentially lower per-case costs, while rural facilities face higher overhead costs due to lower patient volumes. Travel and lodging costs for rural patients can add significantly to the total cost of care.
Facility Type and Overhead Costs
Hospital-based outpatient surgical departments typically charge higher facility fees than independent surgery centers due to their higher overhead and 24/7 staffing requirements. Major health systems like Billings Clinic and Providence St. Joseph operate most specialized surgical facilities in Montana, allowing them to influence pricing through market position. Smaller critical access hospitals may refer complex cases to larger facilities, affecting both access and cost patterns.
Insurance Market Competition in Montana
Blue Cross Blue Shield of Montana holds the largest market share, followed by PacificSource and UnitedHealthcare, creating moderate insurer competition in most regions. Rural areas often have fewer insurance options, potentially leading to higher negotiated rates due to limited competition. The state's relatively small population and geographic challenges can limit insurers' negotiating power with the few available specialist providers.
Physician Supply and Demand in Montana
With 39 active mastectomy providers serving over one million residents, Montana has adequate surgical capacity in urban areas but significant gaps in rural regions. This uneven distribution can create longer wait times and higher costs in underserved areas, while urban providers face more competition. The state's physician recruitment challenges, particularly in rural areas, can impact both availability and pricing for specialized surgical procedures.
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 Montana
What is the average cost of a Mastectomy visit in Montana without insurance?
Does Montana Medicaid cover Mastectomy visits?
How do I find an affordable Mastectomy near me in Montana?
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 Montana?
How does telemedicine affect the cost of seeing a Mastectomy in Montana?
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 |