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New Hampshire

Cost of a Mastectomy Visit
in New Hampshire

Reviewed by Momentary Medical Group West PC

New Hampshire's concentrated healthcare market, dominated by just a few major health systems, creates unique pricing dynamics for surgical consultations across the state. Mastectomy consultations in New Hampshire typically range widely in cost, with patients paying anywhere from the 5th percentile rate of $536.50 to the 95th percentile of $1,657.64, and a median cost of $1,232.52 based on actual insurer negotiated rates. With over 3,600 active Mastectomy providers throughout New Hampshire, patients have numerous options to compare costs and find quality care that fits their budget.

Average

$1,142

Median

$1,233

Lowest

$537

Highest

$1,658

Providers

3,659

National avg: $984New Hampshire: $1,142

16% above national average

Compare Similar Procedures

How does mastectomy compare to related procedures in New Hampshire?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$1,433$2,439$4,0783,658
Hip Replacement

Total hip replacement (arthroplasty)

27130$1,434$2,442$4,0833,670
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$528$993$1,5483,663
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$573$1,014$1,6313,662
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$634$1,240$1,9213,676
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$558$1,131$1,7523,682
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$887$1,611$2,1433,663
Septoplasty

Nasal septum repair

30520$563$1,251$1,7193,662
Tonsillectomy

Tonsillectomy, primary or secondary

42820$290$545$8313,657
Inguinal Hernia Repair

Inguinal hernia repair

49505$504$981$1,5213,656
Carpal Tunnel Surgery

Open carpal tunnel release

64721$429$818$1,2673,658

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 New Hampshire

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

5/5
79% would recommend211 patient surveys
4/5
92% would recommend208 patient surveys
4/5
83% would recommend646 patient surveys
4/5
80% would recommend1,885 patient surveys
NEW LONDON HOSPITAL

NEW LONDON, NH

4/5
78% would recommend191 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 New Hampshire

Healthcare costs in New Hampshire run approximately 11% above the national average, reflecting the state's limited provider competition and higher operational costs in a state with no major metropolitan areas. The concentration of advanced surgical services around Dartmouth-Hitchcock Medical Center and a few other health systems creates pricing power that affects costs statewide.

Urban vs. Rural Provider Availability

New Hampshire's surgical specialists cluster primarily in Manchester, Nashua, and the Dartmouth-Hitchcock corridor, leaving rural areas of the North Country and western regions with limited local options. Patients in rural areas often face longer travel times to reach specialized breast surgeons, sometimes driving over an hour for consultations. This geographic concentration allows urban providers to maintain higher pricing due to limited competition.

Facility Type and Overhead Costs

Hospital-owned surgical practices dominate New Hampshire's healthcare landscape, with systems like Dartmouth-Hitchcock, Catholic Medical Center, and Elliot Health System operating most specialty clinics. These hospital-affiliated practices typically charge facility fees in addition to physician fees, increasing total consultation costs compared to the few remaining independent surgical offices. Academic medical center affiliations also tend to command premium pricing for subspecialty surgical consultations.

Insurance Market Competition in New Hampshire

The New Hampshire insurance market lacks robust competition, with Anthem BCBS, Harvard Pilgrim, and Cigna controlling the vast majority of covered lives, reducing their incentive to negotiate aggressively on rates. This limited competition particularly affects surgical specialist reimbursement, as providers have fewer alternative payer contracts to leverage in negotiations. The result is higher negotiated rates that translate to increased patient cost-sharing.

Physician Supply and Demand in New Hampshire

With over 3,600 mastectomy-capable providers reported in transparency data, New Hampshire appears to have adequate surgical capacity, though this likely includes many general surgeons who perform occasional breast procedures rather than dedicated breast surgical specialists. The actual number of high-volume breast surgeons is much smaller, concentrated at major medical centers, creating demand pressure that supports higher consultation fees. Wait times for initial consultations typically range from 1-3 weeks at most practices.

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 New Hampshire

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

Uninsured patients in New Hampshire can expect to pay between $536.50 and $1,657.64 for a mastectomy consultation, with a typical cost around $1,232.52 based on actual negotiated rates between insurers and providers. Many surgical practices offer self-pay discounts of 30-50% for uninsured patients, potentially reducing these costs significantly. Payment plans are commonly available to help manage the expense of both consultation and any subsequent surgical procedures.

Does New Hampshire Medicaid cover Mastectomy visits?

Yes, New Hampshire's expanded Medicaid program covers medically necessary mastectomy consultations with minimal patient cost-sharing, typically just a small copay or no out-of-pocket cost. Coverage includes both cancer-related surgical consultations and consultations for high-risk patients considering prophylactic surgery. However, the network of participating breast surgeons may be more limited than commercial insurance options, so patients should verify provider participation before scheduling.

How do I find an affordable Mastectomy near me in New Hampshire?

Compare costs between hospital-affiliated practices and independent surgical offices, as independent practices often charge significantly less without facility fees. Ask about self-pay discounts if you're uninsured, and consider consulting with surgeons in smaller New Hampshire communities rather than major medical centers if travel is feasible. Community health centers and federally qualified health centers may also provide referrals to affordable surgical specialists.

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

Initial mastectomy consultations typically cost between $536.50 and $1,657.64 based on the complexity and length of the evaluation, while follow-up visits are generally less expensive as they require less time and fewer services. Follow-up appointments may focus on surgical planning, results review, or post-operative care, usually costing 30-50% less than comprehensive initial consultations. The exact difference depends on your insurance coverage and whether you've met your annual deductible.

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

Yes, mastectomy consultations qualify as eligible medical expenses for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) since they involve the diagnosis and treatment of medical conditions. This includes consultations for both cancer treatment and prophylactic surgery for high-risk patients. You can use your HSA or FSA debit card directly at most practices, or save receipts for reimbursement if paying out-of-pocket first.

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

Telemedicine consultations for mastectomy discussions typically cost 20-40% less than in-person visits, though physical examination limitations mean most surgeons prefer initial consultations to be conducted in person. Some New Hampshire practices offer hybrid approaches with virtual pre-consultations followed by shorter in-person visits, potentially reducing overall costs. Insurance coverage for telehealth surgical consultations varies, so verify benefits before scheduling virtual appointments.

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