Mastectomy Cost (2026) — Compare Hospital Prices

Mastectomy is a surgical procedure. Prices are from 1477 US hospitals across 52 states, from their machine-readable files.

$5,210median cash price · 1477 hospitals, 52 statestypically $1,461–$18,611 depending on the hospital

≈ 5.1× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)

$6,928

Cash / self-pay

$5,210

Insurer-negotiated

$6,528

Medicare pays

$1,021

$1,461$18,611

Median cash $5,210 · Medicare $1,021 · bar = typical cash range (10th–90th percentile)

Is this a fair price?

1× Medicarefair ≈2×5×+

Typical cash price here is $5,210 — about 5.1× the Medicare rate ($1,021). High vs Medicare. A fair cash price is usually within ~2× Medicare ($2,042).

💡 Asking for the cash price instead of the $6,928 list price could save about $1,718 (25%).

Estimate what you’ll pay

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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

Lowest cash prices

See negotiated rates for your insurer:

Hospital	Location	Cash	Insurer	CMS rating	ER wait	Readmit
Ahn Wexford Hospital	Wexford, PA	$783	$1,164	★ 5/5	186 min	15.3%
Avera Queen of Peace	Mitchell, SD	$812	$2,007	★ 4/5	103 min	14.4%
West Penn Hospital	Pittsburgh, PA	$813	$1,164	★ 3/5	203 min	16.3%
Sabine Medical Center	Many, LA	$814	$2,713	—	128 min	15.4%
Memorial Hospital of Converse County	Douglas, WY	$837	$1,892	★ 4/5	114 min	14.8%
Fairview Northland Regional Hospital	Princeton, MN	$868	$2,244	★ 4/5	137 min	14.3%
Hospital Pavia Caguas	Caguas, PR	$900	$475	—	—	17.1%
Lallie Kemp Medical Center	Independence, LA	$999	$880	—	106 min	—
Canton-Potsdam Hospital	Potsdam, NY	$1,010	$939	★ 2/5	137 min	15.6%
Cameron Memorial Community Hospital Inc	Angola, IN	$1,026	$856	★ 3/5	166 min	14.3%
Boulder Community Health	Boulder, CO	$1,056	$1,782	★ 4/5	133 min	13.6%
Hugh Chatham Memorial Hospital	Elkin, NC	$1,071	$1,145	★ 3/5	171 min	15.1%
Vanderbilt Bedford Hospital	Shelbyville, TN	$1,094	$1,654	★ 4/5	123 min	13.6%
Vanderbilt Tullahoma-Harton Hospital	Tullahoma, TN	$1,094	$1,677	★ 3/5	173 min	15.1%
Southwestern Vermont Medical Center	Bennington, VT	$1,102	—	★ 3/5	196 min	15.8%
Jackson General Hospital	Ripley, WV	$1,169	—	★ 3/5	133 min	14.8%
M Health Fairview Southdale Hospital	Edina, MN	$1,172	$1,128	★ 5/5	197 min	13.1%
Kau Hospital	Pahala, HI	$1,178	—	—	83 min	—
Braxton County Memorial Hospital, Inc	Gassaway, WV	$1,186	—	—	102 min	15.0%
Potomac Valley Hospital	Keyser, WV	$1,186	—	★ 1/5	118 min	15.5%
Huggins Hospital	Wolfeboro, NH	$1,239	—	★ 4/5	139 min	15.0%
Harrison Community Hospital	Cadiz, OH	$1,240	—	—	84 min	15.2%
Barnesville Hospital Association, Inc	Barnesville, OH	$1,240	$4,513	—	113 min	15.0%
Ste Genevieve County Memorial Hospital	Sainte Genevieve, MO	$1,244	$857	★ 4/5	111 min	14.5%
Northwest Florida Community Hospital	Chipley, FL	$1,260	$847	★ 2/5	—	14.3%

CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated July 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.

What insurers pay for Mastectomy

Median in-network negotiated rate by insurer, across hospitals that publish it (cheapest first). Your actual rate depends on your specific plan and deductible. Cash / self-pay for comparison: $5,210; Medicare pays $1,021.

Insurer	Hospitals	Negotiated median
Medicaid	157	$312 $53 – $2,105
Medicare	267	$471 $78 – $2,424
Tricare / VA	187	$519 $81 – $6,578
Univera	11	$667 $126 – $1,157
Highmark	88	$674 $87 – $7,846
Health Net	123	$674 $77 – $10,211
Blue Cross Blue Shield	789	$776 $107 – $11,993
Anthem	365	$862 $107 – $12,903
AmeriHealth	126	$880 $178 – $7,654
Kaiser Permanente	147	$922 $87 – $16,171
Molina Healthcare	417	$936 $96 – $7,069
Centene / Ambetter	524	$956 $75 – $8,499
Independent Health	25	$961 $416 – $2,105
MVP Health Care	54	$967 $492 – $5,712
Sanford Health Plan	31	$1,099 $347 – $6,548
Geisinger	37	$1,115 $178 – $6,587
MultiPlan / PHCS network	243	$1,177 $147 – $10,457
Coventry	61	$1,314 $236 – $10,223
Priority Health	40	$1,325 $337 – $6,276
Workers' Comp / No-Fault	45	$1,472 $982 – $10,034
HealthPartners	102	$1,836 $222 – $7,116
Amerigroup	112	$1,937 $524 – $6,673
UPMC Health Plan	64	$2,105 $674 – $15,281
Security Health Plan	28	$2,105 $414 – $7,554
UCare	39	$2,244 $640 – $6,848
Bright Health	39	$2,320 $1,471 – $5,558
Harvard Pilgrim	29	$2,743 $364 – $8,356
Medica	69	$2,899 $669 – $6,541
Humana	645	$3,518 $121 – $7,837
Aetna	837	$3,886 $388 – $10,848
EmblemHealth	43	$4,210 $807 – $52,385
UnitedHealthcare	949	$4,392 $414 – $12,186
SelectHealth	34	$4,882 $674 – $11,245
Healthcare Highways	32	$6,287 $4,988 – $8,398
Devoted Health	105	$6,519 $1,134 – $7,628
Cigna	657	$6,771 $729 – $15,153
Oscar Health	140	$7,589 $1,456 – $13,229
AvMed	34	$11,933 $357 – $26,390

Negotiated rates are from hospitals’ machine-readable files (45 CFR §180); payer names are normalized to major brands, so a brand may span several plans. Estimates — confirm with your insurer.

Where it’s cheapest

State	Median cash
Puerto Rico	$900
Vermont	$1,673
North Dakota	$1,783
New Hampshire	$1,997
Maryland	$2,105
Missouri	$2,386

Prices by city

Prices by state

Doctors who perform this

Clinicians who reported the most Medicare volume for this service. This reflects Original Medicare activity only and is a volume signal, not a quality ranking.

Clinician	Specialty	Location	Medicare services
Laurie Flynn, MD	Surgical Oncology	Tulsa, OK	40
Sarah Kimball, M.D.	General Surgery	Sarasota, FL	39
William Ordoyne	General Surgery	Covington, LA	36
Holly Bachman, PA-C	Physician Assistant	Overland Park, KS	36
Marie Fisher, ARNP	Nurse Practitioner	Sarasota, FL	34
Therese Cusick, MD	General Surgery	Wichita, KS	34
Julie Margenthaler, MD	Surgical Oncology	Saint Louis, MO	32
Alfredo Santillan-Gomez, M.D., M.P.H:	Surgical Oncology	San Antonio, TX	32
John Kiluk, MD	General Surgery	Tampa, FL	29
Peter Schulz, MD	General Surgery	Rancho Mirage, CA	28
Nizar Habal, M.D.	General Surgery	Greenville, NC	27
Chad Johnson, M.D., M.B.A.	General Surgery	Tulsa, OK	26

Browse doctors by specialty & city →

Does Medicare cover Mastectomy?

Yes — Medicare generally covers Mastectomy. It is typically an inpatient service, so Medicare Part A (hospital insurance) pays the hospital a bundled rate — Medicare’s benchmark payment is about $1,021. Your own cost is mainly the Part A hospital deductible for the benefit period (a flat amount, not a percentage), plus any physician (Part B) charges. A Medicare Advantage or Medigap plan can change what you owe.

General guidance from Medicare’s national rates — your actual coverage and share depend on medical necessity, your plan, and where the service is performed. Confirm with Medicare or your plan.

About these prices

Based on prices published by 1477 US hospitals across 52 states, the typical (median) cash price is $5,210, versus a chargemaster (list) price around $6,928, a median insurer-negotiated rate of $6,528, a Medicare rate of about $1,021. Most cash prices fall between $1,461 and $18,611 — a wide spread, which is exactly why comparing hospitals pays off.

How to save

Ask each hospital for its cash / self-pay price — for shoppable services it is often far below the list price.
Compare several nearby hospitals; prices for the same service can differ severalfold.
Request a written estimate and the billing code (CPT/DRG) before scheduling.
Use the Medicare benchmark above to judge whether a quote is reasonable.
If you are uninsured, ask about financial assistance or prompt-pay discounts.

Frequently asked questions

How much does Mastectomy cost without insurance?

The median cash (self-pay) price across 1477 US hospitals is $5,210. Most hospitals fall between $1,461 and $18,611. Prices vary widely between hospitals, so it pays to compare before you book.

Does Medicare cover Mastectomy?

Yes — it is generally covered under Medicare Part A as an inpatient service (Medicare's benchmark payment is about $1,021). You pay the Part A hospital deductible for the benefit period, plus any Part B physician charges.

What does Medicare pay for Mastectomy?

Medicare pays about $1,021. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.

Why do Mastectomy prices vary between hospitals?

Hospitals set their own chargemaster and cash prices and negotiate different rates with each insurer, so two hospitals in the same area can charge very differently for the same service.

Is the cash price lower than using insurance?

Sometimes. If you are uninsured or have a high deductible, the cash/self-pay price can be lower than the insurer-negotiated rate — ask the hospital for both.

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