Cost of a Mastectomy Visit
in New Jersey
Reviewed by Momentary Medical Group West PC
New Jersey ranks among the top states for breast cancer survival rates, supported by over 6,500 active Mastectomy providers across the state's diverse healthcare network. Patients seeking Mastectomy services typically pay between $313 and $1,445, with a median out-of-pocket cost of $558 based on negotiated insurance rates. From Newark's major medical centers to suburban practices in Princeton and coastal facilities in Atlantic City, New Jersey offers extensive access to specialized breast surgery care for patients throughout the Garden State.
Average
$773
Median
$558
Lowest
$314
Highest
$1,446
Providers
6,513
22% below national average
Compare Similar Procedures
How does mastectomy compare to related procedures in New Jersey?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $952 | $1,422 | $4,588 | 6,486 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $953 | $1,424 | $4,590 | 6,528 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $364 | $625 | $1,380 | 6,526 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $412 | $578 | $1,845 | 6,494 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $388 | $664 | $1,827 | 6,521 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $340 | $546 | $1,669 | 6,585 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $627 | $1,045 | $2,093 | 6,519 |
| Septoplasty Nasal septum repair | 30520 | $406 | $566 | $1,411 | 6,484 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $170 | $273 | $833 | 6,523 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $309 | $475 | $1,435 | 6,484 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $265 | $519 | $2,119 | 6,490 |
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 New Jersey
These hospitals in New Jersey are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
BROWNS MILLS, NJ
MORRISTOWN, NJ
ENGLEWOOD, NJ
PLAINSBORO, NJ
PARAMUS, NJ
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 Jersey
New Jersey's healthcare costs run approximately 17% above the national average, reflecting the state's proximity to expensive New York metropolitan markets and high overall cost of living. The state's dense population and concentration of academic medical centers create a competitive yet premium-priced specialist market.
Urban vs. Rural Provider Availability
New Jersey's small geographic size means most residents live within 30 minutes of specialized breast surgery care, though costs vary significantly between North Jersey's expensive metropolitan markets and more affordable South Jersey regions. The concentration of major medical centers in Newark, New Brunswick, and Camden creates excellent access but premium pricing, while smaller communities may have fewer options but more competitive rates.
Facility Type and Overhead Costs
Hospital-owned surgical practices affiliated with systems like RWJBarnabas Health, Hackensack Meridian, and Atlantic Health typically charge 40-60% more than independent breast surgery practices due to higher overhead costs. New Jersey's numerous academic medical centers, including Rutgers Cancer Institute and Fox Chase Cancer Center, often command premium rates but provide access to cutting-edge treatments and clinical trials.
Insurance Market Competition in New Jersey
While Horizon Blue Cross Blue Shield, Aetna, and UnitedHealthcare dominate New Jersey's insurance market, the state maintains moderate competition that prevents excessive rate concentration. Horizon BCBS's strong local presence often results in broader provider networks and better negotiated rates for New Jersey patients. The state's proximity to New York and Pennsylvania also creates cross-border insurance competition in some markets.
Physician Supply and Demand in New Jersey
With over 6,500 active Mastectomy providers, New Jersey maintains excellent specialist availability relative to its population, though distribution favors northern counties near New York City. This robust supply helps control wait times and provides patients with multiple options for both consultation and surgical care. The concentration of medical schools and residency programs in New Jersey also attracts high-quality surgeons to practice in the state.
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 New Jersey
What is the average cost of a Mastectomy visit in New Jersey without insurance?
Does New Jersey Medicaid cover Mastectomy visits?
How do I find an affordable Mastectomy near me in New Jersey?
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 New Jersey?
How does telemedicine affect the cost of seeing a Mastectomy in New Jersey?
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 |