Cost of a Mastectomy Visit
in Nebraska
Reviewed by Momentary Medical Group West PC
Nebraska's healthcare system serves a predominantly rural population across 93 counties, with Mastectomy services concentrated in Omaha and Lincoln metropolitan areas. Patients typically face varying costs for mastectomy procedures, with negotiated insurance rates ranging from $760 to $1,529 based on recent transparency data from over 2,100 active providers statewide. The state's Medicaid expansion and competitive insurance market with BCBS Nebraska, UHC, and Aetna help maintain costs approximately 1% below national averages, making Nebraska an accessible option for patients seeking specialized breast surgery care.
Average
$1,227
Median
$1,392
Lowest
$760
Highest
$1,529
Providers
2,177
25% above national average
Compare Similar Procedures
How does mastectomy compare to related procedures in Nebraska?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $1,637 | $2,935 | $3,009 | 2,178 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $1,627 | $2,938 | $3,012 | 2,188 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $641 | $1,209 | $1,313 | 2,182 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $655 | $1,174 | $1,294 | 2,183 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $796 | $1,428 | $1,526 | 2,193 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $726 | $1,304 | $1,396 | 2,202 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $1,076 | $1,972 | $2,164 | 2,184 |
| Septoplasty Nasal septum repair | 30520 | $765 | $1,426 | $1,627 | 2,181 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $347 | $640 | $705 | 2,176 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $637 | $1,131 | $1,214 | 2,174 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $513 | $939 | $1,068 | 2,178 |
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 Nebraska
These hospitals in Nebraska are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
OMAHA, NE
OMAHA, NE
SUPERIOR, NE
OMAHA, NE
HOLDREGE, NE
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 Nebraska
Nebraska's healthcare costs run approximately 1% below national averages, reflecting the state's lower cost of living and moderate provider competition. The concentration of specialized surgical services in Omaha and Lincoln creates a hub-and-spoke model that influences pricing patterns across the state.
Urban vs. Rural Provider Availability
Mastectomy services are primarily concentrated in the Omaha-Lincoln corridor, where major health systems like Nebraska Medicine and CHI Health maintain specialized breast surgery programs. Rural Nebraskans often travel significant distances for specialized surgical care, though some regional centers in cities like Grand Island and North Platte offer basic surgical services. This geographic concentration can drive up costs in urban areas while limiting options for rural residents.
Facility Type and Overhead Costs
Hospital-based outpatient surgery departments typically charge higher facility fees than independent ambulatory surgery centers, reflecting different overhead structures and staffing models. Major health systems like Nebraska Medicine and CHI Health operate comprehensive breast centers with integrated services, which can increase per-procedure costs but may offer better care coordination. Free-standing surgery centers often provide more competitive pricing for routine mastectomy procedures.
Insurance Market Competition in Nebraska
The insurance landscape features BCBS Nebraska as the dominant player alongside national carriers UHC and Aetna, creating moderate competition that helps control rate increases. Rural areas may have fewer insurer options, potentially limiting negotiating leverage with providers. The state's relatively small population and concentrated provider network can lead to more standardized pricing agreements between insurers and major health systems.
Physician Supply and Demand in Nebraska
With over 2,100 providers in the transparency database performing mastectomy-related procedures, Nebraska maintains adequate surgical capacity in urban areas but faces shortages in rural regions. The concentration of specialized breast surgeons in Omaha and Lincoln creates some pricing power for these providers while maintaining competitive rates due to sufficient volume. Wait times for non-urgent procedures are generally reasonable in metropolitan areas but may be longer in rural regions.
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 Nebraska
What is the average cost of a Mastectomy visit in Nebraska without insurance?
Does Nebraska Medicaid cover Mastectomy visits?
How do I find an affordable Mastectomy near me in Nebraska?
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 Nebraska?
How does telemedicine affect the cost of seeing a Mastectomy in Nebraska?
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 |