Simple complete removal of breast
Medicare pricing data for 5,761 providers across 52 states
Prices vary significantly by location — from $579 in Rhode Island to $1,178 in District of Columbia. Where you get this procedure matters more than almost any other factor. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Simple complete removal of breast (HCPCS code 19303) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $945.79, but hospitals typically charge $3,718 — a 3.9x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $945.79, your out-of-pocket cost would be approximately $189.16. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 3.9x more than what Medicare allows for this procedure. Medicare actually pays $752.76 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $1,178 | $3,752 | 11 | 98 | +24.6% |
| Alaska | $1,129 | $7,746 | 23 | 53 | +19.4% |
| Virginia | $1,077 | $3,045 | 120 | 692 | +13.9% |
| New Jersey | $1,072 | $4,519 | 126 | 508 | +13.3% |
| Indiana | $1,036 | $4,671 | 129 | 513 | +9.6% |
| California | $1,035 | $4,162 | 510 | 1,844 | +9.4% |
| Illinois | $1,023 | $4,521 | 221 | 868 | +8.1% |
| Maryland | $1,021 | $3,390 | 109 | 616 | +8.0% |
| Tennessee | $1,000 | $3,573 | 131 | 553 | +5.7% |
| Nevada | $995 | $3,689 | 31 | 128 | +5.2% |
| New York | $992 | $5,824 | 352 | 1,173 | +4.9% |
| Vermont | $992 | $4,311 | 16 | 54 | +4.8% |
| Hawaii | $991 | $2,439 | 18 | 50 | +4.7% |
| Oklahoma | $985 | $2,965 | 42 | 255 | +4.2% |
| Michigan | $975 | $3,080 | 167 | 480 | +3.1% |
| Ohio | $967 | $3,240 | 218 | 747 | +2.3% |
| Missouri | $967 | $3,208 | 105 | 544 | +2.2% |
| North Carolina | $958 | $3,257 | 176 | 745 | +1.3% |
| Pennsylvania | $956 | $3,327 | 236 | 805 | +1.1% |
| Texas | $955 | $4,252 | 376 | 1,540 | +1.0% |
| Florida | $944 | $3,314 | 405 | 1,709 | -0.2% |
| New Hampshire | $943 | $5,939 | 34 | 118 | -0.3% |
| Georgia | $938 | $3,637 | 162 | 619 | -0.8% |
| Massachusetts | $937 | $3,841 | 129 | 500 | -1.0% |
| Arkansas | $933 | $3,095 | 43 | 298 | -1.4% |
| Colorado | $931 | $3,290 | 108 | 406 | -1.6% |
| South Carolina | $931 | $3,142 | 87 | 377 | -1.6% |
| Puerto Rico | $925 | $1,235 | 6 | 11 | -2.2% |
| Arizona | $916 | $3,336 | 96 | 502 | -3.1% |
| Connecticut | $901 | $3,550 | 87 | 225 | -4.7% |
| Oregon | $898 | $3,161 | 101 | 329 | -5.0% |
| Iowa | $895 | $3,424 | 87 | 317 | -5.4% |
| North Dakota | $884 | $3,422 | 23 | 87 | -6.5% |
| Washington | $884 | $3,214 | 160 | 571 | -6.5% |
| Kentucky | $877 | $2,494 | 83 | 276 | -7.3% |
| Alabama | $866 | $2,324 | 92 | 273 | -8.4% |
| Louisiana | $864 | $2,833 | 85 | 351 | -8.7% |
| Montana | $863 | $3,218 | 34 | 103 | -8.8% |
| Mississippi | $862 | $2,334 | 80 | 286 | -8.8% |
| Wyoming | $861 | $3,765 | 8 | 18 | -9.0% |
| Wisconsin | $828 | $7,465 | 136 | 381 | -12.5% |
| Kansas | $794 | $2,758 | 78 | 356 | -16.0% |
| West Virginia | $788 | $2,775 | 50 | 112 | -16.7% |
| New Mexico | $784 | $3,136 | 21 | 90 | -17.1% |
| Minnesota | $777 | $4,716 | 150 | 412 | -17.9% |
| Delaware | $753 | $2,211 | 28 | 91 | -20.4% |
| Utah | $717 | $2,049 | 59 | 185 | -24.2% |
| Nebraska | $688 | $2,683 | 54 | 152 | -27.2% |
| South Dakota | $648 | $2,726 | 25 | 141 | -31.4% |
| Idaho | $635 | $1,875 | 42 | 171 | -32.9% |
| Maine | $625 | $2,073 | 26 | 122 | -33.9% |
| Rhode Island | $579 | $2,144 | 19 | 63 | -38.8% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber