Cost of a Mastectomy Visit
in New Mexico
Reviewed by Momentary Medical Group West PC
New Mexico ranks among states with lower healthcare costs overall, yet mastectomy procedures still represent a significant financial consideration for patients across the Land of Enchantment. Based on transparency data from insurance negotiated rates, patients typically pay between $560 and $1,525 for mastectomy services, with a median cost of $940. With over 1,100 active mastectomy providers throughout New Mexico's diverse healthcare landscape, patients can browse all available specialists to find quality care that fits their budget and location preferences.
Average
$1,008
Median
$940
Lowest
$560
Highest
$1,525
Providers
1,198
2% above national average
Compare Similar Procedures
How does mastectomy compare to related procedures in New Mexico?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $1,216 | $2,132 | $3,606 | 1,195 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $1,203 | $2,095 | $3,377 | 1,197 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $474 | $921 | $1,551 | 1,206 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $487 | $840 | $1,281 | 1,185 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $589 | $1,036 | $1,628 | 1,248 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $507 | $884 | $1,408 | 1,265 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $752 | $1,446 | $2,453 | 1,205 |
| Septoplasty Nasal septum repair | 30520 | $566 | $927 | $1,494 | 1,188 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $253 | $430 | $694 | 1,200 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $465 | $770 | $1,226 | 1,171 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $385 | $634 | $1,031 | 1,183 |
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 Mexico
These hospitals in New Mexico are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
LAS CRUCES, NM
ALBUQUERQUE, NM
ESPANOLA, NM
SILVER CITY, NM
SANTA FE, NM
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 Mexico
New Mexico's healthcare costs run approximately 3% below national averages, reflecting the state's lower cost of living and rural geography that limits high-end facility development. However, the state's vast rural areas create significant access challenges, with many patients traveling hours to reach specialized surgical centers concentrated in Albuquerque and Santa Fe.
Urban vs. Rural Provider Availability
Albuquerque dominates New Mexico's surgical landscape with multiple hospital systems and independent surgery centers creating competitive pricing for mastectomy procedures. Rural communities from Las Cruces to Farmington often have limited local options, forcing patients to travel to metropolitan areas for specialized breast surgery. This geographic disparity means rural patients face additional costs for travel and lodging that can significantly impact total treatment expenses.
Facility Type and Overhead Costs
Presbyterian Healthcare Services and UNM Health System operate the state's major hospital-based surgical programs, typically carrying higher facility fees due to extensive overhead and comprehensive service offerings. Independent surgery centers and smaller hospital facilities often provide more competitive pricing for straightforward mastectomy procedures. Ambulatory surgery centers in Albuquerque and Santa Fe can offer significant cost savings compared to inpatient hospital facilities for appropriate candidates.
Insurance Market Competition in New Mexico
BCBS New Mexico maintains strong market presence alongside national carriers UHC and Molina, creating moderate competition that benefits consumers through varied network options and negotiated rate structures. The relatively small population spread across vast geography limits insurer competition in rural markets, where provider networks may be restricted to one or two major health systems. Urban areas like Albuquerque feature more robust insurer competition that typically translates to better negotiated rates and broader provider networks for surgical procedures.
Physician Supply and Demand in New Mexico
With over 1,100 active mastectomy providers, New Mexico maintains adequate surgical capacity in metropolitan areas but faces shortages in rural regions where recruitment remains challenging. The concentration of surgeons in Albuquerque and Santa Fe creates competitive pricing in these markets while rural areas may have limited options and longer wait times. This supply distribution affects both pricing and access, with urban patients benefiting from choice and competition while rural patients may face higher costs due to limited alternatives.
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 Mexico
What is the average cost of a Mastectomy visit in New Mexico without insurance?
Does New Mexico Medicaid cover Mastectomy visits?
How do I find an affordable Mastectomy near me in New Mexico?
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 Mexico?
How does telemedicine affect the cost of seeing a Mastectomy in New Mexico?
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 |