Cost of a Mastectomy Visit
in North Dakota
Reviewed by Momentary Medical Group West PC
North Dakota's rural geography creates unique challenges for accessing specialized surgical care, with many patients traveling significant distances for mastectomy procedures. Patients typically pay between $478 and $1,820 for mastectomy services, with a median cost of $885 based on negotiated insurance rates. The state maintains 40 active mastectomy providers across its healthcare network, allowing patients to browse all available options throughout North Dakota.
Average
$1,061
Median
$885
Lowest
$478
Highest
$1,820
Providers
40
8% above national average
Compare Similar Procedures
How does mastectomy compare to related procedures in North Dakota?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $1,198 | $1,894 | $3,475 | 37 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $91 | $91 | $2,019 | 455 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $80 | $746 | $1,609 | 41 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $331 | $752 | $1,591 | 43 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $691 | $6,146 | $6,146 | 470 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $80 | $800 | $1,767 | 55 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $610 | $1,240 | $2,597 | 40 |
| Septoplasty Nasal septum repair | 30520 | $381 | $849 | $1,627 | 42 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $237 | $399 | $820 | 38 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $437 | $709 | $1,537 | 39 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $319 | $596 | $2,591 | 38 |
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.
Why Mastectomy Visit Costs Vary Across North Dakota
North Dakota's mastectomy costs run approximately 4% above national averages, reflecting the state's rural healthcare delivery challenges and concentrated provider networks. The Peace Garden State's vast geography creates unique cost pressures as patients often travel long distances for specialized surgical care.
Urban vs. Rural Provider Availability
Fargo and Bismarck house most of North Dakota's mastectomy-capable surgeons, while rural counties often lack local surgical specialists entirely. This geographic concentration forces many patients to travel significant distances, adding indirect costs like lodging and transportation to their surgical expenses.
Facility Type and Overhead Costs
Sanford Health and Essentia Health operate major medical centers that dominate North Dakota's surgical landscape, with hospital-based outpatient surgery typically costing more than independent surgical centers. These large health systems maintain expensive infrastructure to serve the state's scattered population, contributing to higher overhead costs.
Insurance Market Competition in North Dakota
The limited number of major insurers (BCBS ND, Sanford Health Plan, UHC) creates a concentrated market with established negotiated rates. This concentration can benefit patients through predictable pricing but may limit competitive pressure that could drive costs lower.
Physician Supply and Demand in North Dakota
With 40 active mastectomy providers serving the entire state's population, North Dakota maintains adequate surgical capacity relative to demand. This reasonable supply helps prevent the extreme pricing premiums seen in physician-shortage areas, though geographic distribution remains uneven across the state's rural counties.
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 Dakota
What is the average cost of a Mastectomy visit in North Dakota without insurance?
Does North Dakota Medicaid cover Mastectomy visits?
How do I find an affordable Mastectomy near me in North Dakota?
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 Dakota?
How does telemedicine affect the cost of seeing a Mastectomy in North Dakota?
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 |