Cost of a Mastectomy Visit
in Tennessee
Reviewed by Momentary Medical Group West PC
Tennessee's healthcare costs run approximately 4% below the national average, offering patients more affordable options for specialized surgical consultations. Mastectomy visits in the state show significant variation based on facility type and geographic location, with negotiated insurance rates providing the most predictable cost structure. Tennessee maintains a robust network of active Mastectomy providers across both urban centers and rural communities, allowing patients to browse all available specialists throughout the state.
Average
$777
Median
$763
Lowest
$371
Highest
$1,198
Providers
2,374
21% below national average
Compare Similar Procedures
How does mastectomy compare to related procedures in Tennessee?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $1,147 | $1,734 | $2,647 | 2,258 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $1,095 | $1,701 | $2,579 | 2,352 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $418 | $715 | $1,090 | 2,391 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $466 | $690 | $1,057 | 2,276 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $531 | $835 | $1,300 | 2,318 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $90 | $748 | $1,258 | 2,637 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $85 | $1,116 | $1,679 | 2,384 |
| Septoplasty Nasal septum repair | 30520 | $516 | $732 | $1,155 | 2,275 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $234 | $364 | $559 | 2,379 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $440 | $660 | $1,016 | 2,254 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $332 | $503 | $804 | 2,426 |
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 Tennessee
These hospitals in Tennessee are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
MOUNTAIN HOME, TN
MANCHESTER, TN
HUNTINGDON, TN
FRANKLIN, TN
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 Tennessee
Tennessee's healthcare costs run about 4% below the national average, reflecting the state's moderate cost of living and competitive insurance market dynamics. The state's mix of major metropolitan areas and extensive rural regions creates distinct cost patterns, with Nashville and Memphis commanding higher rates than smaller cities across Middle and East Tennessee.
Urban vs. Rural Provider Availability
Nashville and Memphis concentrate most of Tennessee's specialized surgical practices, while rural counties in Appalachian East Tennessee and the western delta region face significant access challenges. This geographic disparity often forces rural patients to travel long distances for specialized care, though it can also mean lower facility overhead costs in smaller markets.
Facility Type and Overhead Costs
Hospital-owned surgical practices at major health systems like Vanderbilt University Medical Center and Methodist Le Bonheur Healthcare typically charge higher facility fees than independent surgical groups. Academic medical centers in Tennessee often have the highest overhead costs due to teaching responsibilities and research infrastructure, while private practice surgeons may offer more competitive rates.
Insurance Market Competition in Tennessee
The Tennessee insurance market features moderate competition with BlueCross BlueShield of Tennessee holding significant market share alongside UnitedHealthcare and Cigna. This competitive landscape helps keep negotiated rates reasonable compared to states with dominant single insurers, though rural areas may have fewer plan options on the individual marketplace.
Physician Supply and Demand in Tennessee
Tennessee has a adequate supply of general surgeons relative to its population, with most specialized breast surgeons concentrated in Nashville, Memphis, Knoxville, and Chattanooga. The reasonable provider-to-population ratio helps maintain competitive pricing and manageable wait times, particularly in urban areas where multiple surgical groups compete for patients.
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 Tennessee
What is the average cost of a Mastectomy visit in Tennessee without insurance?
Does Tennessee Medicaid cover Mastectomy visits?
How do I find an affordable Mastectomy near me in Tennessee?
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 Tennessee?
How does telemedicine affect the cost of seeing a Mastectomy in Tennessee?
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 |