Cost of a Mastectomy Visit
in Washington
Reviewed by Momentary Medical Group West PC
Washington's healthcare system serves 7.7 million residents through a mix of major health networks like Virginia Mason Franciscan Health and Providence, creating competitive pricing for specialized surgical procedures. Mastectomy patients typically pay between $584 and $1,804, with a median out-of-pocket cost of $946 based on negotiated insurance rates. With over 2,200 active Mastectomy providers across the state, patients can browse all qualified surgeons to find the most affordable option for their specific insurance plan.
Average
$1,112
Median
$946
Lowest
$585
Highest
$1,804
Providers
2,200
13% above national average
Compare Similar Procedures
How does mastectomy compare to related procedures in Washington?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $1,606 | $2,114 | $3,703 | 2,174 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $1,500 | $2,037 | $3,707 | 2,234 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $616 | $966 | $1,521 | 2,220 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $80 | $764 | $1,475 | 4,308 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $80 | $806 | $1,815 | 5,408 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $80 | $794 | $1,832 | 5,463 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $985 | $1,415 | $2,480 | 2,213 |
| Septoplasty Nasal septum repair | 30520 | $80 | $857 | $1,793 | 4,297 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $324 | $434 | $889 | 2,197 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $592 | $768 | $1,594 | 2,162 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $490 | $669 | $1,221 | 2,180 |
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 Washington
These hospitals in Washington are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
SPOKANE, WA
CLARKSTON, WA
PULLMAN, WA
PORT TOWNSEND, WA
PROSSER, WA
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 Washington
Washington healthcare costs run approximately 10% above national averages, driven by the state's concentration of high-cost urban markets in Seattle and Bellevue combined with limited provider access in rural eastern counties. The dominance of major health systems like Providence and Virginia Mason Franciscan Health creates both competitive pricing in metro areas and higher facility fees at academic medical centers.
Urban vs. Rural Provider Availability
Seattle and Tacoma metro areas have abundant breast surgery specialists, creating competitive pricing and shorter wait times for mastectomy consultations. Rural counties east of the Cascades often require patients to travel 2-3 hours to reach specialized breast cancer centers, with limited local options driving up costs through reduced competition. Spokane serves as the primary referral hub for eastern Washington but has fewer providers than western urban centers.
Facility Type and Overhead Costs
University of Washington Medical Center and other academic hospitals typically charge premium rates due to their teaching mission and advanced reconstruction capabilities. Community hospitals like Overlake Medical Center and regional facilities often provide comparable surgical outcomes at lower facility fees. Ambulatory surgery centers have gained popularity for outpatient mastectomy procedures, offering significant cost savings over hospital-based operations.
Insurance Market Competition in Washington
Strong competition between Premera, Regence, Kaiser Permanente, and UnitedHealthcare has resulted in well-negotiated provider rates and reasonable patient cost-sharing for mastectomy procedures. The state's insurance commissioner actively regulates rate increases, helping maintain affordability compared to neighboring states. Kaiser's integrated model often provides the lowest total costs but limits provider choice to their network surgeons.
Physician Supply and Demand in Washington
With over 2,200 mastectomy-qualified providers statewide, Washington has adequate surgical capacity in urban areas but faces specialist shortages in rural regions. The concentration of providers in Seattle and surrounding areas creates competitive pricing and excellent access for most state residents. High physician supply in metro markets helps keep consultation fees reasonable while ensuring patients can find surgeons with specific expertise in their type of breast cancer.
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 Washington
What is the average cost of a Mastectomy visit in Washington without insurance?
Does Washington Medicaid cover Mastectomy visits?
How do I find an affordable Mastectomy near me in Washington?
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 Washington?
How does telemedicine affect the cost of seeing a Mastectomy in Washington?
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 |