Cost of a Mastectomy Visit
in New York
Reviewed by Momentary Medical Group West PC
New York's complex healthcare landscape spans from Manhattan's world-renowned medical centers to rural upstate communities, creating significant variation in mastectomy procedure costs. Patients typically pay between $451 and $2,642 for mastectomy procedures, with a median cost of $609 across New York's 30,775 active providers. With thousands of qualified surgeons practicing throughout the state's diverse regions, patients can browse all providers in New York to find the right match for their needs.
Average
$1,234
Median
$609
Lowest
$452
Highest
$2,642
Providers
30,775
25% above national average
Compare Similar Procedures
How does mastectomy compare to related procedures in New York?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $898 | $1,288 | $6,051 | 30,852 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $900 | $1,289 | $6,060 | 30,927 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $364 | $515 | $2,135 | 30,876 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $384 | $538 | $2,410 | 30,865 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $452 | $638 | $1,820 | 30,954 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $412 | $577 | $1,655 | 31,025 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $627 | $890 | $3,201 | 30,796 |
| Septoplasty Nasal septum repair | 30520 | $466 | $625 | $2,160 | 30,844 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $203 | $276 | $742 | 30,860 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $364 | $504 | $1,435 | 30,842 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $320 | $622 | $1,963 | 30,846 |
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 York
These hospitals in New York are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
ELIZABETHTOWN, NY
SARANAC LAKE, NY
NEW YORK, NY
WALTON, NY
ROSLYN, NY
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 York
New York's healthcare costs run approximately 22% above the national average, driven by the state's high cost of living, extensive regulatory requirements, and concentration of academic medical centers. The dramatic differences between Manhattan's premium facilities and rural upstate providers create one of the nation's widest cost ranges for surgical procedures.
Urban vs. Rural Provider Availability
The New York City metropolitan area concentrates the majority of the state's breast surgery specialists, creating intense competition but also higher facility costs due to Manhattan real estate and staffing expenses. Upstate regions like the North Country and Southern Tier have fewer specialists, sometimes requiring patients to travel significant distances but often offering lower baseline costs. This geographic disparity means rural patients may face trade-offs between convenience and cost savings.
Facility Type and Overhead Costs
Hospital-based outpatient surgical centers in New York typically charge 40-60% more than ambulatory surgery centers due to higher overhead and facility fees. Major health systems like NewYork-Presbyterian, Mount Sinai, and NYU Langone command premium pricing but offer comprehensive support services and immediate access to complex care if complications arise. Independent surgical centers often provide significant cost savings while maintaining quality outcomes for routine cases.
Insurance Market Competition in New York
The competitive landscape between Empire BCBS, UnitedHealthcare, Aetna, and Cigna has created relatively robust provider networks, giving patients more choices than in less competitive states. However, this competition hasn't translated to lower prices due to high baseline costs and strong provider negotiating power, particularly among prestigious medical centers. The state's regulatory environment also limits how much insurers can vary rates based on geography or provider tier.
Physician Supply and Demand in New York
With over 30,775 providers available for mastectomy procedures, New York has one of the highest specialist-to-population ratios in the country, particularly in the metropolitan areas. This abundant supply should theoretically moderate prices, but demand from both local patients and medical tourists seeking top-tier care keeps utilization high. Wait times are generally shorter than in provider-shortage states, giving patients more flexibility to shop for cost-effective options.
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 York
What is the average cost of a Mastectomy visit in New York without insurance?
Does New York Medicaid cover Mastectomy visits?
How do I find an affordable Mastectomy near me in New York?
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 York?
How does telemedicine affect the cost of seeing a Mastectomy in New York?
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 |