Cost of a Mastectomy Visit
in Texas
Reviewed by Momentary Medical Group West PC
Texas operates one of the nation's largest healthcare markets with over 600 ambulatory surgery centers, yet the state has not expanded Medicaid, creating unique cost dynamics for patients seeking specialized surgical care. Mastectomy procedures in Texas show significant price variation, with negotiated insurance rates ranging from $85 to $1,341 and a median cost of $722. The state's 5,830 active Mastectomy providers offer patients substantial choice when selecting an in-network surgeon across Texas's diverse metropolitan and rural regions.
Average
$716
Median
$722
Lowest
$85
Highest
$1,341
Providers
5,830
27% below national average
Compare Similar Procedures
How does mastectomy compare to related procedures in Texas?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| IUD Removal Cost of intrauterine device (IUD) removal across the US, with state-by-state pricing for both office-based and hospital outpatient settings. | 58301 | $60 | $105 | $199 | 6,391 |
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $1,056 | $1,568 | $3,006 | 5,230 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $90 | $1,139 | $2,602 | 8,415 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $85 | $691 | $1,210 | 6,544 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $421 | $625 | $1,250 | 5,233 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $90 | $776 | $1,300 | 11,548 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $85 | $663 | $1,155 | 13,126 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $85 | $977 | $1,912 | 5,874 |
| Septoplasty Nasal septum repair | 30520 | $90 | $638 | $1,309 | 7,864 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $85 | $313 | $597 | 5,861 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $407 | $602 | $1,086 | 5,176 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $90 | $469 | $895 | 8,448 |
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 Texas
These hospitals in Texas are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
BRYAN, TX
AMARILLO, TX
SAN ANTONIO, TX
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 Texas
Texas mastectomy costs run approximately 4% below national averages, reflecting the state's competitive healthcare market and lower overall cost structure compared to coastal states. The Lone Star State's sprawling geography creates distinct cost zones, with major metropolitan areas like Houston, Dallas, Austin, and San Antonio typically commanding premium pricing while rural counties offer more affordable alternatives.
Urban vs. Rural Provider Availability
Texas's major metropolitan areas concentrate most mastectomy specialists, with Harris County alone housing dozens of breast surgeons while vast rural regions may have limited local options. Patients in West Texas, the Panhandle, or East Texas often travel 100+ miles to reach specialized surgical centers, though this geographic dispersion can offer cost savings. Urban areas benefit from competition between major health systems, while rural providers may offer more personalized pricing arrangements.
Facility Type and Overhead Costs
Hospital-owned surgical centers in Texas generally charge higher facility fees than independent ambulatory surgery centers due to overhead costs and corporate pricing structures. Major health systems like Houston Methodist, Memorial Hermann, Baylor Scott & White, and Texas Health Resources operate extensive networks with standardized pricing, while independent surgical centers often provide more flexible cost options. Academic medical centers like MD Anderson and UT Southwestern may charge premium rates but offer specialized expertise for complex cases.
Insurance Market Competition in Texas
Texas's large insurance market includes major players like UnitedHealthcare, Blue Cross Blue Shield of Texas, Aetna, and Cigna, creating competitive pressure that helps moderate costs for mastectomy procedures. The state's decision to use the federal marketplace rather than create its own exchange has resulted in varying insurer participation across regions. Urban areas typically enjoy more insurer competition and negotiated rate options, while rural counties may have limited carrier choices affecting pricing dynamics.
Physician Supply and Demand in Texas
With 5,830 active mastectomy providers, Texas maintains robust surgical capacity relative to its population, helping moderate pricing pressure compared to states with physician shortages. This substantial provider network spans from high-volume cancer centers in major cities to community surgeons serving smaller metropolitan areas. The healthy supply-demand balance means patients can often find appointments within reasonable timeframes without premium urgent scheduling fees.
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 Texas
What is the average cost of a Mastectomy visit in Texas without insurance?
Does Texas Medicaid cover Mastectomy visits?
How do I find an affordable Mastectomy near me in Texas?
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 Texas?
How does telemedicine affect the cost of seeing a Mastectomy in Texas?
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 |