Cost of a Mastectomy Visit
in Vermont
Reviewed by Momentary Medical Group West PC
Vermont's small healthcare market and rural geography contribute to mastectomy costs that run approximately 15% above national averages. Patients typically pay between $490.67 and $1592.63, with a median out-of-pocket cost of $748.86 across the state's 324 active mastectomy providers. Browse all providers in Vermont to compare costs and find the right specialist for your needs.
Average
$944
Median
$749
Lowest
$491
Highest
$1,593
Providers
324
4% below national average
Compare Similar Procedures
How does mastectomy compare to related procedures in Vermont?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $958 | $1,455 | $3,286 | 326 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $959 | $1,457 | $3,289 | 329 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $403 | $643 | $1,548 | 325 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $410 | $629 | $1,326 | 331 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $492 | $746 | $1,597 | 331 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $449 | $682 | $1,463 | 337 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $678 | $1,043 | $2,143 | 325 |
| Septoplasty Nasal septum repair | 30520 | $500 | $821 | $1,577 | 327 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $220 | $342 | $693 | 324 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $391 | $596 | $1,271 | 325 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $338 | $519 | $1,053 | 324 |
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 Vermont
Vermont's healthcare costs run approximately 15% above national averages due to the state's rural geography and limited provider competition. The concentration of specialists in Burlington and surrounding areas creates cost disparities between urban and rural regions.
Urban vs. Rural Provider Availability
Most mastectomy specialists practice in the Burlington-Montpelier corridor, with limited options in rural counties like Essex and Orleans. Patients in rural areas often travel 1-2 hours for specialized breast surgery, which can increase overall treatment costs. The University of Vermont Medical Center serves as the primary referral hub for complex mastectomy cases statewide.
Facility Type and Overhead Costs
Hospital-based surgical practices in Vermont typically charge facility fees that can double the cost of mastectomy consultations compared to independent clinics. The Dartmouth-Hitchcock Health system and UVM Health Network dominate the market, with their academic medical center pricing structures. Smaller community hospitals may offer more competitive rates but with potentially limited reconstructive options.
Insurance Market Competition in Vermont
The Vermont market is primarily served by Blue Cross Blue Shield of Vermont and MVP Health Care, creating limited insurer competition that can keep negotiated rates elevated. This duopoly means fewer options for patients seeking lower-cost alternatives through different insurance networks. The small market size makes it difficult for national insurers to achieve competitive economies of scale in Vermont.
Physician Supply and Demand in Vermont
With 324 active mastectomy providers serving Vermont's population of 650,000, the state maintains adequate surgical capacity in urban areas. However, the aging population and increased breast cancer screening rates create growing demand for specialized breast surgery services. Rural areas face particular shortages, leading to longer wait times and higher travel costs for patients seeking care.
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 Vermont
What is the average cost of a Mastectomy visit in Vermont without insurance?
Does Vermont Medicaid cover Mastectomy visits?
How do I find an affordable Mastectomy near me in Vermont?
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 Vermont?
How does telemedicine affect the cost of seeing a Mastectomy in Vermont?
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 |