Cost of a Mastectomy Visit
in South Carolina
Reviewed by Momentary Medical Group West PC
South Carolina's healthcare landscape includes 1,094 active Mastectomy providers across the state's diverse urban and rural markets. Patients typically pay between $317 and $1,314 for a Mastectomy visit, with a median cost of $696. This wide range reflects differences in facility type, geographic location, and insurance coverage across South Carolina's metropolitan areas and rural counties.
Average
$776
Median
$697
Lowest
$318
Highest
$1,315
Providers
1,094
21% below national average
Compare Similar Procedures
How does mastectomy compare to related procedures in South Carolina?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $1,060 | $1,527 | $3,108 | 1,028 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $80 | $1,442 | $2,907 | 1,247 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $327 | $647 | $1,383 | 1,098 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $422 | $607 | $1,266 | 1,038 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $483 | $710 | $1,594 | 1,072 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $80 | $631 | $1,290 | 1,336 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $85 | $975 | $2,061 | 1,098 |
| Septoplasty Nasal septum repair | 30520 | $466 | $679 | $1,422 | 1,031 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $194 | $307 | $644 | 1,089 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $391 | $554 | $1,170 | 1,025 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $334 | $467 | $1,030 | 1,029 |
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 South Carolina
South Carolina's mastectomy costs run approximately 1% below national averages, reflecting the state's moderate cost structure and growing ambulatory surgery center market. The state's mix of academic medical centers in Charleston and Columbia alongside community hospitals creates varied pricing across different facility types.
Urban vs. Rural Provider Availability
Charleston and Columbia metro areas have concentrated breast surgery specialists, while rural counties in the Pee Dee and Upstate regions may require patients to travel 50+ miles for specialized care. This geographic disparity can affect both access and pricing, with rural facilities sometimes charging less but offering fewer reconstruction options.
Facility Type and Overhead Costs
Hospital-owned breast centers affiliated with MUSC, Prisma Health, and AnMed Health typically have higher overhead costs reflected in their pricing structure. Independent surgical practices often offer more competitive consultation fees but may have limited on-site imaging or pathology services.
Insurance Market Competition in South Carolina
BCBS South Carolina dominates the individual and small group markets, while UnitedHealthcare and Aetna compete primarily in the large employer segment. This concentration gives BCBS significant negotiating power with providers, though competition from national insurers helps keep rates moderate compared to single-payer markets.
Physician Supply and Demand in South Carolina
With 1,094 active providers handling mastectomy-related care, South Carolina has adequate surgeon availability relative to its population, though specialists are concentrated in metro areas. This balanced supply helps maintain competitive pricing and reasonable appointment availability, particularly for non-urgent consultations.
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 South Carolina
What is the average cost of a Mastectomy visit in South Carolina without insurance?
Does South Carolina Medicaid cover Mastectomy visits?
How do I find an affordable Mastectomy near me in South 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 South Carolina?
How does telemedicine affect the cost of seeing a Mastectomy in South 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 |