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Oklahoma

Cost of a Mastectomy Visit
in Oklahoma

Reviewed by Momentary Medical Group West PC

Oklahoma's healthcare costs run approximately 8% below the national average, benefiting patients seeking surgical consultations across the state's diverse medical landscape. Mastectomy consultations in Oklahoma typically range from $509 to $1,257, with most patients experiencing median out-of-pocket costs around $653 based on negotiated insurance rates. With over 1,000 active providers offering these services statewide, Oklahoma patients can browse multiple specialists to find the right fit for their specific needs.

Average

$807

Median

$653

Lowest

$510

Highest

$1,257

Providers

1,022

National avg: $984Oklahoma: $807

18% below national average

Compare Similar Procedures

How does mastectomy compare to related procedures in Oklahoma?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$85$1,314$2,5331,663
Hip Replacement

Total hip replacement (arthroplasty)

27130$85$1,274$2,5361,700
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$85$530$9601,703
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$442$563$1,009993
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$545$677$1,2541,018
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$85$537$1,1421,738
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$655$921$1,6241,023
Septoplasty

Nasal septum repair

30520$500$623$1,200997
Tonsillectomy

Tonsillectomy, primary or secondary

42820$232$289$5401,023
Inguinal Hernia Repair

Inguinal hernia repair

49505$429$520$991990
Carpal Tunnel Surgery

Open carpal tunnel release

64721$345$426$823996

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 19301Mastectomy, 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 Oklahoma

These hospitals in Oklahoma are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.

5/5
92% would recommend745 patient surveys
5/5
92% would recommend1,189 patient surveys
5/5
91% would recommend367 patient surveys
5/5
89% would recommend334 patient surveys
5/5
89% would recommend266 patient surveys

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 Oklahoma

Oklahoma's healthcare costs run approximately 8% below national averages, reflecting the state's lower cost of living and moderate healthcare market competition. The state's geographic spread creates distinct cost variations between metropolitan medical centers and rural surgical practices.

Urban vs. Rural Provider Availability

Oklahoma City and Tulsa concentrate most of the state's breast surgical specialists, while rural areas often require patients to travel significant distances for specialized consultations. This geographic disparity creates cost differences, with urban specialists typically charging higher fees but offering more scheduling flexibility. Rural patients may face additional travel costs but sometimes find more personalized care and competitive pricing at smaller surgical practices.

Facility Type and Overhead Costs

Hospital-based surgical clinics in Oklahoma often charge facility fees in addition to physician consultation fees, particularly at major systems like Integris Health and Saint Francis Health System. Independent surgical practices typically offer more transparent pricing without separate facility charges, though they may have fewer support services. Academic medical centers associated with the University of Oklahoma may charge premium rates but provide access to the latest surgical techniques and research trials.

Insurance Market Competition in Oklahoma

BCBS Oklahoma, UHC, and CommunityCare dominate the state's commercial insurance market, creating moderate competition that helps keep negotiated rates reasonable. The relatively concentrated market means fewer insurer options for consumers but more predictable provider networks. Rural areas often have limited insurer participation, which can reduce competition and affect negotiated rates with local surgical practices.

Physician Supply and Demand in Oklahoma

With over 1,000 active mastectomy providers statewide, Oklahoma maintains adequate surgical capacity relative to its population, helping keep consultation costs competitive. The concentration of specialists in Oklahoma City and Tulsa creates healthy competition in urban markets while potentially limiting options in rural regions. This supply distribution affects both pricing and appointment availability, with urban areas offering more immediate access but potentially higher costs.

JP

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.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — Mastectomy Costs in Oklahoma

What is the average cost of a Mastectomy visit in Oklahoma without insurance?

Uninsured patients in Oklahoma typically pay between $509 and $1,257 for mastectomy consultations, with a median cost around $653 based on negotiated insurance rates. Many surgical practices offer cash-pay discounts of 20-40% off standard rates for uninsured patients. Payment plans and sliding fee scales may be available at some practices, particularly those affiliated with safety-net hospitals or community health centers.

Does Oklahoma Medicaid cover Mastectomy visits?

SoonerCare (Oklahoma Medicaid) covers medically necessary mastectomy consultations for eligible members, though the state has not expanded Medicaid to cover all low-income adults. Coverage typically requires referrals from primary care providers and may have more limited provider networks compared to commercial insurance. Prior authorization may be required for certain procedures or follow-up treatments recommended during the consultation.

How do I find an affordable Mastectomy near me in Oklahoma?

Compare costs across different facility types, as independent surgical practices often charge less than hospital-based clinics due to lower overhead costs. Ask about cash-pay discounts, payment plans, and sliding fee scales, particularly if you're uninsured or have high-deductible insurance. Community health centers and safety-net hospitals may offer more affordable options, though specialist availability may be more limited.

What is the difference in cost between an initial consultation and a follow-up visit?

Initial mastectomy consultations typically cost between $509-$1,257 in Oklahoma, as these comprehensive visits involve detailed medical history review, physical examination, and treatment planning. Follow-up visits generally cost significantly less, often in the $100-$300 range, as they focus on specific questions, test results, or post-surgical care. The complexity and length of each visit determines the final billing code and associated costs.

Can I use an HSA or FSA to pay for a Mastectomy visit in Oklahoma?

Yes, both Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs) can be used for medically necessary mastectomy consultations in Oklahoma. These tax-advantaged accounts cover diagnostic visits, second opinions, and consultations related to breast cancer treatment or high-risk conditions. Keep detailed records and receipts, as some purely educational or cosmetic consultations may not qualify for HSA/FSA reimbursement.

How does telemedicine affect the cost of seeing a Mastectomy in Oklahoma?

Telemedicine consultations for mastectomy-related care typically cost 20-30% less than in-person visits, though physical examination limitations make virtual visits more suitable for follow-ups or second opinions. Oklahoma's telehealth regulations allow most insurers to cover virtual surgical consultations at similar rates to in-person visits. Some surgical practices offer hybrid models with initial virtual consultations followed by in-person examinations when physical assessment is necessary.

Click a state to compare costs

Average Visit Cost

$610
$1,668

Office visit (CPT 19301)

Compare With Other States

RankStateAverage
1Wisconsin
Range: $73$3,947
$1,668
2Iowa
Range: $85$3,021
$1,499
3Rhode Island
Range: $509$2,642
$1,413
4Wyoming
Range: $747$2,064
$1,305
5Connecticut
Range: $426$2,642
$1,301
6South Dakota
Range: $491$2,423
$1,284
7Alaska
Range: $85$2,902
$1,275
8Georgia
Range: $350$2,473
$1,269
9Minnesota
Range: $445$2,393
$1,264
10Massachusetts
Range: $350$2,408
$1,249
11New York
Range: $452$2,642
$1,234
12Nebraska
Range: $760$1,529
$1,227
13Montana
Range: $85$2,902
$1,221
14Pennsylvania
Range: $250$2,642
$1,199
15Delaware
Range: $95$2,642
$1,147
16New Hampshire
Range: $537$1,658
$1,142
17Washington
Range: $585$1,804
$1,112
18Maine
Range: $749$1,274
$1,093
19North Dakota
Range: $478$1,820
$1,061
20District of Columbia
Range: $434$1,611
$1,037
21New Mexico
Range: $560$1,525
$1,008
22California
Range: $85$1,972
$1,006
23Utah
Range: $85$1,449
$966
24North Carolina
Range: $346$1,713
$963
25West Virginia
Range: $366$1,695
$946
26Vermont
Range: $491$1,593
$944
27Oregon
Range: $85$1,746
$922
28Indiana
Range: $85$1,818
$892
29Illinois
Range: $90$1,846
$892
30Michigan
Range: $429$1,470
$851
31Colorado
Range: $85$1,561
$841
32Hawaii
Range: $85$1,475
$827
33Oklahoma
Range: $510$1,257
$807
34Idaho
Range: $85$1,484
$803
35Kentucky
Range: $85$1,529
$783
36Tennessee
Range: $371$1,198
$777
37South Carolina
Range: $318$1,315
$776
38New Jersey
Range: $314$1,446
$773
39Florida
Range: $85$1,536
$770
40Kansas
Range: $571$995
$763
41Missouri
Range: $516$946
$762
42Alabama
Range: $366$1,251
$756
43Maryland
Range: $346$1,292
$755
44Virginia
Range: $346$1,292
$755
45Louisiana
Range: $331$1,229
$732
46Arizona
Range: $525$1,108
$728
47Texas
Range: $85$1,341
$716
48Mississippi
Range: $447$1,086
$715
49Ohio
Range: $303$1,175
$692
50Arkansas
Range: $85$1,107
$675
51Nevada
Range: $300$1,022
$610
Mastectomy in Other States