Cost of a Mastectomy Visit
in Ohio
Reviewed by Momentary Medical Group West PC
Ohio's expanding network of specialized oncology centers and breast care facilities has improved access to mastectomy procedures across the state's diverse metropolitan and rural communities. Patients typically pay between $303 and $1,175 for mastectomy-related visits, with a median out-of-pocket cost of $598 based on negotiated insurance rates. With over 3,200 active mastectomy providers throughout Ohio, patients have substantial options for finding quality care that fits their budget and location preferences.
Average
$692
Median
$598
Lowest
$303
Highest
$1,175
Providers
3,266
30% below national average
Compare Similar Procedures
How does mastectomy compare to related procedures in Ohio?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $848 | $1,471 | $2,491 | 3,206 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $85 | $1,415 | $2,491 | 3,692 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $335 | $613 | $1,087 | 3,282 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $338 | $585 | $983 | 3,234 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $85 | $667 | $1,185 | 4,653 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $355 | $660 | $1,185 | 4,341 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $85 | $917 | $1,597 | 3,541 |
| Septoplasty Nasal septum repair | 30520 | $357 | $592 | $1,116 | 3,245 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $85 | $297 | $559 | 3,518 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $328 | $547 | $1,039 | 3,201 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $268 | $453 | $797 | 3,211 |
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 Ohio
These hospitals in Ohio are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
AKRON, OH
YOUNGSTOWN, OH
Wright-Patterson AFB, OH
MARIETTA, OH
OBERLIN, OH
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 Ohio
Ohio's surgical costs run approximately 2% below national averages, reflecting the state's moderate cost of living and competitive healthcare market. The state's balanced mix of urban medical centers and rural facilities creates diverse pricing options across different regions.
Urban vs. Rural Provider Availability
Ohio's major metropolitan areas like Columbus, Cleveland, and Cincinnati offer numerous mastectomy specialists and advanced surgical facilities, while rural counties may have limited local options requiring travel to regional medical centers. Urban areas typically feature higher facility fees due to increased overhead costs, but also provide more competitive pricing through greater provider density. Rural patients often find lower surgical fees but may incur additional travel and lodging expenses for specialized care.
Facility Type and Overhead Costs
Hospital-owned surgical centers affiliated with systems like Cleveland Clinic, OhioHealth, and Kettering Health typically charge higher facility fees than independent ambulatory surgical centers. Academic medical centers such as those affiliated with Ohio State University and Case Western Reserve University often have premium pricing but offer access to cutting-edge surgical techniques. Free-standing surgical centers generally provide the most cost-effective option for routine mastectomy procedures.
Insurance Market Competition in Ohio
Strong competition among Medical Mutual, Anthem, and UHC has helped keep negotiated surgical rates relatively reasonable compared to states with less insurer competition. The state's robust insurance marketplace offers multiple plan options, creating leverage for better provider contract terms. Regional insurers like Medical Mutual maintain extensive provider networks that can offer competitive rates for Ohio-based surgical procedures.
Physician Supply and Demand in Ohio
With over 3,200 active mastectomy providers, Ohio maintains adequate surgical capacity to meet patient demand without significant supply-driven price inflation. The state's medical schools and residency programs help maintain steady provider pipeline, preventing the specialist shortages seen in some other states. This healthy provider-to-population ratio contributes to competitive pricing and reasonable wait times for both consultation and surgical scheduling.
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 Ohio
What is the average cost of a Mastectomy visit in Ohio without insurance?
Does Ohio Medicaid cover Mastectomy visits?
How do I find an affordable Mastectomy near me in Ohio?
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 Ohio?
How does telemedicine affect the cost of seeing a Mastectomy in Ohio?
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 |