Partial Mastectomy Cost in District of Columbia
Partial mastectomy
District of Columbia Average Cost (2026)
+10.5% vs national avgAverage across 1 Medicare locality in District of Columbia
National Average
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About Partial Mastectomy Costs in District of Columbia
The average Medicare reimbursement for partial mastectomy in District of Columbia is $698.78 for an office setting and $698.78 in a hospital. This is about 10% higher than the national average of $632.61.
Medicare patients typically pay 20% of the Medicare rate after meeting their deductible. For this procedure in District of Columbia, that would be roughly $140 for an office visit or $140 in a hospital setting.
Private insurance plans in District of Columbia typically pay between 130% and 200% of Medicare rates for this procedure, putting the total somewhere between $908 and $1,398.
Without insurance, you may be able to negotiate a cash discount. Many providers in District of Columbia will reduce their fees by 20% to 40% for self-pay patients. Always ask about cash pricing before scheduling your procedure.
Ways to Save on Partial Mastectomy
Compare Insurance Plans
Uninsured? Comparing marketplace plans in District of Columbia could save you thousands on procedures like this.
Compare plans on eHealth →Try Telehealth First
Many consultations can be done virtually for $50-100, saving hundreds vs an in-person visit.
Book on Sesame Care →Save on Prescriptions
If this procedure leads to a prescription, check discount cards for up to 80% savings.
Check prices on GoodRx →Some links are affiliate links. We may earn a commission at no extra cost to you.
More ways to save →Other Procedures in District of Columbia
Partial Mastectomy Cost by State
Partial Mastectomy in District of Columbia: Frequently Asked Questions
How much does partial mastectomy cost in District of Columbia?
The average 2026 Medicare rate for partial mastectomy (CPT 19301) in District of Columbia is $698.78 in an office setting and $698.78 in a hospital. Private insurance typically pays $908 to $1,398, and self-pay cash prices often run $559 to $1,048.
Is partial mastectomy cheaper in District of Columbia than the national average?
District of Columbia is about 10% higher than the national average of $632.61. Across all states, District of Columbia ranks #45 of 49 for this procedure. The cheapest state is Arkansas ($560.76) and the most expensive is Alaska ($773.68).
What will I pay out of pocket for partial mastectomy in District of Columbia with Medicare?
Medicare patients typically pay 20% of the Medicare rate after meeting their deductible. In District of Columbia that is roughly $140 for an office visit or $140 in a hospital setting.
How can I save on partial mastectomy in District of Columbia?
Ask providers for a cash or self-pay price before scheduling; many in District of Columbia reduce fees 20% to 40% for self-pay patients. If you are uninsured, comparing marketplace plans, using telehealth for consultations, and checking prescription discount cards can cut costs further.