Mastectomy Cost by Hospital

Mastectomy is a surgical procedure. Prices are from 1495 US hospitals across 52 states, from their machine-readable files.

$5,273median cash price · 1495 hospitals, 52 statestypically $1,462–$18,574 depending on the hospital
≈ 5.2× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$6,722
Cash / self-pay
$5,273
Insurer-negotiated
$6,531
Medicare pays
$1,021
$1,462$18,574
Median cash $5,273  ·  Medicare $1,021  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $5,273 — about 5.2× 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 $6,722 list price could save about $1,449 (22%).

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

HospitalLocationCashInsurerCMS ratingER waitReadmit
Avera Queen of Peace Mitchell, SD $812 $2,007 ★ 4/5 104 min —
West Penn Hospital Pittsburgh, PA $813 $1,164 ★ 3/5 208 min —
Sabine Medical Center Many, LA $814 $2,713 — 129 min —
Memorial Hospital of Converse County Douglas, WY $837 $1,892 ★ 4/5 114 min —
Fairview Northland Regional Hospital Princeton, MN $868 $2,244 ★ 4/5 150 min —
Hospital Pavia Caguas Caguas, PR $900 $475 — — —
Lallie Kemp Medical Center Independence, LA $999 $880 — 101 min —
Canton-Potsdam Hospital Potsdam, NY $1,010 $939 ★ 2/5 142 min —
Cameron Memorial Community Hospital Inc Angola, IN $1,026 $856 ★ 3/5 171 min —
Boulder Community Health Boulder, CO $1,056 $1,782 ★ 4/5 135 min —
Hugh Chatham Memorial Hospital Elkin, NC $1,071 $1,145 ★ 3/5 168 min —
Vanderbilt Bedford Hospital Shelbyville, TN $1,094 $1,654 ★ 4/5 125 min —
Vanderbilt Tullahoma-Harton Hospital Tullahoma, TN $1,094 $1,677 ★ 3/5 168 min —
Southwestern Vermont Medical Center Bennington, VT $1,102 — ★ 3/5 202 min —
Jackson General Hospital Ripley, WV $1,169 — ★ 3/5 127 min —
M Health Fairview Southdale Hospital Edina, MN $1,172 $1,128 ★ 5/5 204 min —
Kau Hospital Pahala, HI $1,178 — — 79 min —
Braxton County Memorial Hospital, Inc Gassaway, WV $1,186 — — 102 min —
Potomac Valley Hospital Keyser, WV $1,186 — ★ 1/5 119 min —
Ashtabula County Medical Center Ashtabula, OH $1,222 $1,208 ★ 3/5 194 min —
Huggins Hospital Wolfeboro, NH $1,239 — ★ 4/5 169 min —
Harrison Community Hospital Cadiz, OH $1,240 — — 82 min —
Barnesville Hospital Association, Inc Barnesville, OH $1,240 $4,513 — 115 min —
Ste Genevieve County Memorial Hospital Sainte Genevieve, MO $1,244 $857 ★ 4/5 103 min —
Northwest Florida Community Hospital Chipley, FL $1,260 $847 ★ 2/5 — —

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 October 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: $5,273; Medicare pays $1,021.

InsurerHospitalsNegotiated median
Medicaid 159
$312
$53 – $2,105
Medicare 271
$471
$78 – $2,424
Tricare / VA 190
$519
$81 – $6,572
Univera 11
$667
$126 – $1,157
Highmark 96
$674
$87 – $7,846
Health Net 125
$686
$77 – $10,604
Blue Cross Blue Shield 792
$793
$107 – $11,993
Anthem 381
$875
$107 – $12,853
AmeriHealth 129
$880
$178 – $7,643
Kaiser Permanente 147
$922
$87 – $16,171
Molina Healthcare 419
$936
$96 – $7,015
Centene / Ambetter 540
$956
$76 – $8,594
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 39
$1,115
$178 – $6,753
MultiPlan / PHCS network 246
$1,221
$147 – $10,457
Priority Health 39
$1,325
$337 – $6,318
Coventry 63
$1,389
$236 – $10,223
Workers' Comp / No-Fault 45
$1,472
$982 – $10,034
HealthPartners 104
$1,836
$222 – $7,119
Amerigroup 113
$1,937
$524 – $6,673
UPMC Health Plan 67
$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 655
$3,655
$123 – $7,837
Aetna 858
$3,879
$393 – $10,847
UnitedHealthcare 968
$4,353
$423 – $12,120
EmblemHealth 57
$4,723
$807 – $52,385
SelectHealth 34
$4,882
$674 – $11,245
Healthcare Highways 32
$6,287
$4,988 – $8,398
Devoted Health 109
$6,519
$1,139 – $7,628
Cigna 670
$6,771
$729 – $15,153
Oscar Health 152
$7,589
$1,434 – $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

StateMedian 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.

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 1495 US hospitals across 52 states, the typical (median) cash price is $5,273, versus a chargemaster (list) price around $6,722, a median insurer-negotiated rate of $6,531, a Medicare rate of about $1,021. Most cash prices fall between $1,462 and $18,574 — 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 1495 US hospitals is $5,273. Most hospitals fall between $1,462 and $18,574. 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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