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Oregon

Cost of a Mastectomy Visit
in Oregon

Reviewed by Momentary Medical Group West PC

Oregon's Pacific Northwest location and strong healthcare infrastructure support robust cancer care services, with mastectomy procedures showing negotiated rates ranging from $85 to $1,746 across 180 active providers statewide. The median negotiated rate of $934 reflects Oregon's position at approximately 11% above national averages for this surgical procedure. Patients can browse all mastectomy providers in Oregon to compare facility types and associated costs.

Average

$922

Median

$934

Lowest

$85

Highest

$1,746

Providers

180

National avg: $984Oregon: $922

6% below national average

Compare Similar Procedures

How does mastectomy compare to related procedures in Oregon?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$1,116$2,114$3,635165
Hip Replacement

Total hip replacement (arthroplasty)

27130$90$1,921$3,637201
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$85$803$1,687188
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$80$763$1,591250
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$80$751$1,770326
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$80$745$1,616366
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$85$1,271$3,201186
Septoplasty

Nasal septum repair

30520$80$843$1,641243
Tonsillectomy

Tonsillectomy, primary or secondary

42820$85$413$774176
Inguinal Hernia Repair

Inguinal hernia repair

49505$440$758$1,399156
Carpal Tunnel Surgery

Open carpal tunnel release

64721$90$643$1,930170

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.

Why Mastectomy Visit Costs Vary Across Oregon

Oregon's healthcare costs run approximately 9% above national averages, reflecting the state's higher cost of living and concentration of specialized medical facilities in urban areas. The Pacific Northwest's geographic isolation from major medical centers in other states creates a more contained healthcare market with distinct pricing patterns.

Urban vs. Rural Provider Availability

Portland metro area dominates Oregon's surgical capacity, with comprehensive cancer centers and multiple hospital systems offering mastectomy services. Rural Oregon counties often require patients to travel significant distances for specialized surgical care, potentially adding travel costs but sometimes offering lower facility fees than urban centers.

Facility Type and Overhead Costs

Hospital-based outpatient surgical departments in Oregon typically charge higher facility fees than independent ambulatory surgery centers due to increased overhead and regulatory requirements. Major health systems like OHSU and Legacy Health operate extensive networks that may offer consistent pricing but potentially higher costs than smaller independent facilities.

Insurance Market Competition in Oregon

Oregon's insurance market shows moderate competition with Regence BCBS, PacificSource, and UnitedHealthcare competing alongside smaller regional plans. This competitive environment has helped maintain reasonable negotiated rates for surgical procedures, though the state's smaller population limits the leverage insurers have with large health systems.

Physician Supply and Demand in Oregon

With 180 active mastectomy providers across Oregon, the state maintains adequate surgical capacity for its population, particularly in urban areas. This reasonable supply-to-demand ratio helps prevent extreme pricing premiums, though specialized breast surgical oncologists remain concentrated in major metropolitan areas, potentially affecting access and costs in rural regions.

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 Oregon

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

Without insurance, mastectomy procedures in Oregon range from $85 to $1,746 based on negotiated rate data, with a median cost of $934. Self-pay patients often receive significant discounts from these rates, potentially reducing costs by 30-50%. The final amount depends on the facility type, surgeon experience, and whether additional procedures are performed during the same surgical session.

Does Oregon Medicaid cover Mastectomy visits?

Yes, Oregon's expanded Medicaid program covers medically necessary mastectomy procedures, including both therapeutic surgeries for cancer treatment and prophylactic procedures for high-risk patients. Coverage includes pre-operative consultations, the surgical procedure, anesthesia, and follow-up care. Prior authorization may be required for prophylactic mastectomies, and patients should verify their specific plan details with the Oregon Health Plan.

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

Compare costs between hospital-based surgical centers and independent ambulatory surgery centers, as prices can vary significantly across Oregon's 180 mastectomy providers. Ask about self-pay discounts, payment plans, and sliding-scale fees based on income. Community health centers and academic medical centers like OHSU sometimes offer reduced-cost options for qualifying patients.

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

Initial mastectomy consultations typically involve comprehensive evaluation, imaging review, and surgical planning, while follow-up visits focus on post-operative care and monitoring. Based on the negotiated rate structure, initial consultations generally cost more due to the complexity and time involved. The median negotiated rate of $934 reflects the comprehensive nature of mastectomy-related visits in Oregon.

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

Yes, mastectomy procedures and consultations qualify as eligible medical expenses for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). These tax-advantaged accounts can cover surgeon fees, facility costs, anesthesia, and related medical expenses. Pre-operative consultations, imaging studies, and post-surgical follow-up care are also eligible expenses.

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

Telemedicine consultations for mastectomy follow-up care typically cost less than in-person visits, though the initial surgical consultation usually requires physical examination. Oregon's established telehealth infrastructure allows for convenient post-operative monitoring and consultation with surgical teams. Some insurance plans cover telemedicine visits at the same rate as in-person visits, while others may have different copay structures.

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