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Nevada

Cost of a Mastectomy Visit
in Nevada

Reviewed by Momentary Medical Group West PC

Nevada's healthcare costs run approximately 8% above national averages, driven by rapid population growth in Las Vegas and Reno metro areas outpacing provider expansion. Mastectomy patients typically pay between $299.90 and $1,021.62 for surgical procedures, with a median negotiated rate of $507.67 based on transparency data from major insurers like UHC, Anthem, and Aetna. Nevada maintains over 2,400 active providers offering mastectomy services across the state's urban centers and rural communities.

Average

$610

Median

$508

Lowest

$300

Highest

$1,022

Providers

2,445

National avg: $984Nevada: $610

38% below national average

Compare Similar Procedures

How does mastectomy compare to related procedures in Nevada?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$1,136$1,791$2,6322,510
Hip Replacement

Total hip replacement (arthroplasty)

27130$1,115$1,675$2,3602,552
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$415$808$1,4532,588
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$452$648$1,0512,525
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$536$706$1,0812,469
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$464$571$9832,562
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$649$825$1,5002,555
Septoplasty

Nasal septum repair

30520$463$628$1,1032,534
Tonsillectomy

Tonsillectomy, primary or secondary

42820$228$284$4812,577
Inguinal Hernia Repair

Inguinal hernia repair

49505$423$506$8592,511
Carpal Tunnel Surgery

Open carpal tunnel release

64721$352$439$7462,527

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 Nevada

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

4/5
83% would recommend534 patient surveys
4/5
80% would recommend426 patient surveys
CARSON VALLEY HEALTH

GARDNERVILLE, NV

4/5
79% would recommend231 patient surveys
4/5
76% would recommend325 patient surveys
4/5
76% would recommend420 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 Nevada

Nevada's healthcare costs run approximately 8% above national averages, reflecting the state's rapid population growth and concentration of residents in Las Vegas and Reno metropolitan areas. The state's unique geographic challenges include vast rural counties with limited specialist access and urban areas experiencing physician shortages relative to population growth.

Urban vs. Rural Provider Availability

Las Vegas and Reno metropolitan areas house 85% of Nevada's population and surgical specialists, while rural counties like Nye, Elko, and White Pine rely on telemedicine consultations and patient travel for mastectomy procedures. This geographic concentration creates cost disparities where rural patients may pay additional travel expenses but potentially access lower facility fees at smaller regional hospitals. Urban areas offer more provider choice but typically command higher rates due to increased overhead costs and market demand.

Facility Type and Overhead Costs

Hospital-owned surgical centers affiliated with major Nevada health systems like Sunrise Health, Renown Health, and Saint Mary's typically charge higher facility fees than independent ambulatory surgery centers. Las Vegas's growing ASC market creates competitive pricing pressure, while smaller communities may have limited facility options. Academic medical centers like UMC in Las Vegas may offer research protocols but often carry premium pricing for routine procedures.

Insurance Market Competition in Nevada

Nevada's insurance marketplace features moderate competition among UHC, Anthem, and Aetna, creating negotiated rate variations for mastectomy procedures across different plans. The state's lack of an all-payer claims database limits price transparency, though individual insurers have increased their transparency reporting. Rural areas may have fewer in-network options, potentially leading to higher out-of-pocket costs for patients in remote counties.

Physician Supply and Demand in Nevada

Nevada's 2,400+ active mastectomy providers represent adequate supply in urban areas but potential shortages in rural regions relative to national benchmarks. The state's rapid population growth has outpaced physician recruitment, contributing to longer wait times and higher prices in popular metropolitan markets. Recent expansion of residency programs and telemedicine services aims to address supply constraints, though geographic maldistribution remains a persistent challenge.

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 Nevada

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

Mastectomy procedures in Nevada range from $299.90 to $1,021.62 based on negotiated rates, with a median cost of $507.67. Uninsured patients may pay significantly more than these insurer-negotiated rates, often $8,000-15,000 for the complete procedure including surgeon fees, facility costs, and anesthesia. Many Nevada providers offer self-pay discounts of 20-40% and payment plans to make procedures more affordable for uninsured patients.

Does Nevada Medicaid cover Mastectomy visits?

Yes, Nevada expanded Medicaid covers medically necessary mastectomy procedures for eligible residents earning up to 138% of federal poverty level. Coverage includes both therapeutic mastectomies for cancer treatment and prophylactic mastectomies for high-risk patients with documented genetic mutations or strong family histories. Prior authorization is typically required for elective prophylactic procedures, and patients may need referrals from primary care physicians depending on their managed care plan.

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

Compare costs across different facility types, as independent ambulatory surgery centers often charge less than hospital-owned facilities in Nevada. Ask about self-pay discounts, payment plans, and sliding scale fees if you're uninsured or underinsured. Community health centers in Las Vegas, Reno, and rural areas may offer referral services at reduced costs, while some providers participate in medical tourism programs offering bundled pricing for out-of-state patients.

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

Initial mastectomy consultations typically involve comprehensive evaluation including physical examination, imaging review, and treatment planning discussions, while follow-up visits focus on surgical planning, post-operative care, or surveillance monitoring. The consultation itself represents a small fraction of total mastectomy costs, with the surgical procedure accounting for the $299.90 to $1,021.62 range shown in Nevada pricing data. Most surgeons include several follow-up visits within their surgical fee, though additional consultations for complications or reconstruction planning may incur separate charges.

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

Yes, mastectomy procedures qualify as eligible medical expenses for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). You can use these pre-tax dollars for surgeon fees, facility costs, anesthesia, and related expenses like compression garments or post-surgical supplies. Keep detailed records of all mastectomy-related expenses, as reconstruction procedures and follow-up care also qualify for HSA/FSA reimbursement under IRS guidelines.

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

Telemedicine consultations for mastectomy planning typically cost $100-200 less than in-person visits and are increasingly used for initial consultations, genetic counseling, and post-operative follow-ups. Nevada's telemedicine infrastructure expanded significantly during the pandemic, with many surgeons now offering virtual consultations for out-of-state patients or those in rural areas. However, physical examination and pre-operative planning still require in-person visits, so telemedicine primarily reduces travel costs and consultation fees rather than surgical expenses.

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