Cost of a Mastectomy Visit
in North Carolina
Reviewed by Momentary Medical Group West PC
North Carolina's healthcare landscape features over 100 hospitals and a growing ambulatory surgery center market that keeps mastectomy costs approximately 2% below national averages. Mastectomy patients in the state typically pay between $346 and $1,713 for their procedure, with a median cost of $831 based on negotiated insurance rates. With 2,257 active mastectomy providers across North Carolina's diverse geographic regions, patients can browse all providers statewide to find quality care that fits their budget.
Average
$963
Median
$831
Lowest
$346
Highest
$1,713
Providers
2,257
2% below national average
Compare Similar Procedures
How does mastectomy compare to related procedures in North Carolina?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $1,136 | $2,013 | $3,785 | 2,164 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $90 | $1,880 | $3,786 | 2,366 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $390 | $821 | $1,609 | 2,276 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $450 | $795 | $1,504 | 2,192 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $488 | $940 | $1,839 | 2,261 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $80 | $776 | $1,655 | 2,518 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $85 | $1,325 | $2,597 | 2,276 |
| Septoplasty Nasal septum repair | 30520 | $500 | $827 | $1,710 | 2,178 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $217 | $396 | $820 | 2,252 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $426 | $698 | $1,453 | 2,159 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $349 | $592 | $1,241 | 2,171 |
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 North Carolina
These hospitals in North Carolina are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
ASHEVILLE, NC
WINSTON-SALEM, NC
SILER CITY, NC
HENDERSONVILLE, NC
DURHAM, NC
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 North Carolina
North Carolina's mastectomy costs run approximately 2% below national averages, reflecting the state's balanced mix of academic medical centers and community hospitals. The state's geography spans from the Appalachian Mountains to the Atlantic Coast, creating distinct cost variations between urban centers like Charlotte-Mecklenburg and rural eastern counties.
Urban vs. Rural Provider Availability
The Triangle and Charlotte metro areas concentrate most specialized breast surgeons, while rural counties in eastern and western North Carolina often require patients to travel for mastectomy procedures. This geographic disparity can increase total costs when factoring in travel and lodging, though rural facilities typically have lower base procedure costs.
Facility Type and Overhead Costs
Academic medical centers like Duke and UNC Hospitals command premium rates due to their research and teaching missions, while community hospitals and ambulatory surgery centers offer more competitive pricing. North Carolina's growing ASC market provides cost-effective alternatives for outpatient mastectomy procedures.
Insurance Market Competition in North Carolina
Blue Cross Blue Shield of North Carolina maintains the largest market share, followed by UnitedHealthcare and Aetna, creating moderate insurer competition that helps control negotiated rates. The state's insurance market concentration varies by region, with rural areas having fewer plan options than urban centers.
Physician Supply and Demand in North Carolina
With 2,257 active mastectomy providers statewide, North Carolina maintains adequate surgical capacity relative to its population of 10.5 million residents. This healthy provider supply helps prevent artificial price inflation due to scarcity, though wait times can be longer at prestigious academic centers compared to community-based surgeons.
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 North Carolina
What is the average cost of a Mastectomy visit in North Carolina without insurance?
Does North Carolina Medicaid cover Mastectomy visits?
How do I find an affordable Mastectomy near me in North Carolina?
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 North Carolina?
How does telemedicine affect the cost of seeing a Mastectomy in North Carolina?
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 |