Cost of a Mastectomy Visit
in West Virginia
Reviewed by Momentary Medical Group West PC
West Virginia's healthcare landscape reflects the state's predominantly rural geography, with surgical specialists like mastectomy providers concentrated in major medical centers throughout Charleston, Morgantown, and Huntington. Mastectomy procedures in West Virginia typically cost patients between $366 and $1,695, with a median rate of $777 based on negotiated insurance rates. The state maintains 94 active mastectomy providers across its healthcare network, offering patients multiple options for surgical consultation and treatment throughout West Virginia's regional medical hubs.
Average
$946
Median
$777
Lowest
$366
Highest
$1,695
Providers
94
4% below national average
Compare Similar Procedures
How does mastectomy compare to related procedures in West Virginia?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $1,204 | $1,729 | $4,734 | 88 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $90 | $1,677 | $4,590 | 99 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $85 | $669 | $1,409 | 95 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $482 | $691 | $1,901 | 89 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $98 | $707 | $1,650 | 158 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $85 | $754 | $1,557 | 110 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $85 | $1,094 | $2,122 | 98 |
| Septoplasty Nasal septum repair | 30520 | $461 | $780 | $1,698 | 88 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $85 | $355 | $748 | 97 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $381 | $657 | $1,378 | 86 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $342 | $567 | $2,006 | 88 |
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 West Virginia
These hospitals in West Virginia are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
MADISON, WV
BECKLEY, WV
BERKELEY SPRINGS, WV
ROMNEY, WV
WELCH, WV
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 West Virginia
West Virginia's mastectomy costs run approximately 2% below national averages, reflecting the state's lower cost of living and rural healthcare market dynamics. The concentration of surgical specialists in Charleston, Morgantown, and Huntington creates regional cost variations as patients travel from rural areas for specialized care.
Urban vs. Rural Provider Availability
West Virginia's mountainous terrain and rural population distribution concentrate mastectomy providers in Charleston, Morgantown, and the Eastern Panhandle near Washington DC. Rural patients often face 2-3 hour drives to reach surgical specialists, sometimes choosing providers based on travel convenience rather than cost. This geographic reality limits price competition in many regions of the state.
Facility Type and Overhead Costs
Hospital-owned surgical practices dominate West Virginia's healthcare landscape, with systems like WVU Medicine, Charleston Area Medical Center, and Cabell Huntington Hospital setting regional pricing standards. Independent surgical practices are less common due to the state's rural economics and lower population density. Academic medical centers in Morgantown often offer competitive rates through resident training programs.
Insurance Market Competition in West Virginia
Highmark West Virginia maintains the largest market share, followed by UnitedHealthcare and Aetna competing primarily in urban markets. Limited insurer competition in rural counties reduces negotiating pressure on provider rates. The state's small population and rural geography make West Virginia less attractive to national insurers, maintaining higher market concentration than more populous states.
Physician Supply and Demand in West Virginia
With 94 active mastectomy providers serving West Virginia's 1.8 million residents, the state maintains adequate surgical capacity in major metropolitan areas. However, rural counties often lack local surgical specialists, creating demand pressure in regional medical centers. Physician recruitment challenges in rural West Virginia can affect wait times and pricing in underserved areas.
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 West Virginia
What is the average cost of a Mastectomy visit in West Virginia without insurance?
Does West Virginia Medicaid cover Mastectomy visits?
How do I find an affordable Mastectomy near me in West 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 West Virginia?
How does telemedicine affect the cost of seeing a Mastectomy in West 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 |