Cost of a Mastectomy Visit
in Virginia
Reviewed by Momentary Medical Group West PC
Virginia's healthcare system serves 8.6 million residents through a network spanning from urban medical centers in Northern Virginia to rural facilities in Appalachian regions. Mastectomy patients typically work with specialized surgeons, with costs varying significantly based on facility type and geographic location. The state maintains 2,760 active providers offering these services, allowing patients to browse comprehensive options across Virginia's diverse healthcare landscape.
Average
$755
Median
$626
Lowest
$346
Highest
$1,292
Providers
2,760
23% below national average
Compare Similar Procedures
How does mastectomy compare to related procedures in Virginia?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $976 | $1,473 | $2,946 | 2,671 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $920 | $1,473 | $2,659 | 2,724 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $360 | $614 | $1,157 | 2,789 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $389 | $587 | $1,182 | 2,679 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $98 | $686 | $1,355 | 3,145 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $404 | $622 | $1,238 | 2,859 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $601 | $956 | $1,782 | 2,772 |
| Septoplasty Nasal septum repair | 30520 | $433 | $646 | $1,298 | 2,682 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $192 | $307 | $589 | 2,754 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $358 | $554 | $1,079 | 2,668 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $309 | $464 | $920 | 2,679 |
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 Virginia
These hospitals in Virginia are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
Fort Belvoir, VA
SALEM, VA
GRUNDY, VA
CHARLOTTESVILLE, VA
CHARLOTTESVILLE, VA
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 Virginia
Healthcare costs in Virginia run approximately 3% above national averages, reflecting the state's mix of expensive Northern Virginia suburbs and more affordable rural regions. The state's growing ambulatory surgical center market creates competitive pricing pressure on traditional hospital-based services.
Urban vs. Rural Provider Availability
Virginia's healthcare landscape concentrates surgical specialists in Richmond, Virginia Beach, and Northern Virginia, while rural Appalachian counties face significant access challenges. Patients in Southwest Virginia often travel hours for specialized breast surgery services. This geographic disparity creates cost variations as urban providers can command higher rates.
Facility Type and Overhead Costs
Hospital-owned outpatient surgical centers typically charge more than independent practices throughout Virginia, with academic centers like UVA Health and VCU Health commanding premium rates. Large health systems including Sentara and Inova dominate regional markets, influencing pricing structures. Independent surgical centers offer competitive alternatives in major metropolitan areas.
Insurance Market Competition in Virginia
Anthem dominates Virginia's commercial insurance market, followed by Optima Health and UHC, creating moderate competition that affects negotiated rates. Rural areas often have limited insurer choices, reducing competitive pressure on pricing. The state's lack of an All-Payer Claims Database limits transparency in actual negotiated rates between insurers and providers.
Physician Supply and Demand in Virginia
With 2,760 active providers offering mastectomy-related services, Virginia maintains adequate specialist coverage in urban areas but faces shortages in rural regions. This supply distribution allows urban providers to maintain higher rates while rural areas may offer more competitive pricing to attract patients. Wait times for non-emergency procedures vary significantly by region.
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 Virginia
What is the average cost of a Mastectomy visit in Virginia without insurance?
Does Virginia Medicaid cover Mastectomy visits?
How do I find an affordable Mastectomy near me in Virginia?
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 Virginia?
How does telemedicine affect the cost of seeing a Mastectomy in Virginia?
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 |