Cost of a Mastectomy Visit
in Utah
Reviewed by Momentary Medical Group West PC
Utah's healthcare system serves a growing population with one of the nation's youngest median ages, creating unique demand patterns for surgical specialties including mastectomy procedures. Patients seeking mastectomy consultations in Utah typically find costs ranging from $85 to $1,449, with a median negotiated rate of $1,363 based on transparency data from 354 active providers across the state. Utah maintains strong provider networks in both urban corridors along the Wasatch Front and rural communities, allowing patients to browse multiple mastectomy specialists throughout the region.
Average
$966
Median
$1,363
Lowest
$85
Highest
$1,449
Providers
354
2% below national average
Compare Similar Procedures
How does mastectomy compare to related procedures in Utah?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $842 | $2,803 | $2,906 | 318 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $90 | $2,808 | $2,909 | 330 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $85 | $1,079 | $1,209 | 368 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $80 | $1,157 | $1,294 | 337 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $80 | $1,309 | $1,513 | 352 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $80 | $975 | $1,321 | 405 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $85 | $1,452 | $1,994 | 354 |
| Septoplasty Nasal septum repair | 30520 | $90 | $1,368 | $1,485 | 322 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $85 | $497 | $643 | 356 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $374 | $1,126 | $1,150 | 315 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $265 | $930 | $988 | 314 |
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 Utah
These hospitals in Utah are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
HEBER CITY, UT
CEDAR CITY, UT
NORTH LOGAN, UT
ST GEORGE, UT
PARK CITY, UT
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 Utah
Utah's healthcare costs run approximately 2% below national averages, reflecting the state's lower cost of living and competitive insurance market dynamics. The concentration of major health systems along the Wasatch Front creates pricing efficiencies, while rural areas face higher per-visit costs due to limited surgical specialist availability.
Urban vs. Rural Provider Availability
The Salt Lake City and Utah County metro areas contain the majority of Utah's mastectomy specialists, while rural regions like southeastern Utah and the northern mountain counties often require patients to travel significant distances for surgical consultations. This geographic disparity contributes to higher effective costs for rural patients when factoring in travel and time away from work.
Facility Type and Overhead Costs
University of Utah Health, Intermountain Healthcare, and other major health systems dominate Utah's surgical landscape with hospital-based practices that typically carry higher facility fees. Independent surgical groups and ambulatory surgery centers offer competitive alternatives, particularly in the Salt Lake and Provo markets where provider density supports multiple practice models.
Insurance Market Competition in Utah
Utah's insurance market benefits from strong regional competition between SelectHealth, BCBS UT, and UHC, along with several smaller carriers serving niche markets. This competitive environment has helped maintain negotiated rates for surgical procedures below national averages, though patients in rural counties may face more limited in-network options.
Physician Supply and Demand in Utah
With 354 active providers performing mastectomy procedures, Utah maintains adequate surgical capacity relative to its population, particularly in urban areas. The state's growing population and aging demographics are increasing demand for both reconstructive and oncologic mastectomy procedures, though current provider supply appears sufficient to prevent significant wait times or price inflation.
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 Utah
What is the average cost of a Mastectomy visit in Utah without insurance?
Does Utah Medicaid cover Mastectomy visits?
How do I find an affordable Mastectomy near me in Utah?
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 Utah?
How does telemedicine affect the cost of seeing a Mastectomy in Utah?
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 |