Partial Mastectomy Cost in New York
Partial mastectomy
New York Average Cost (2026)
+11.3% vs national avgAverage across 5 Medicare localities in New York
National Average
State Ranking
Cost by Region in New York
| Region | Office Rate |
|---|---|
| nyc suburbs/long island | $767.60 |
| manhattan | $738.73 |
| queens | $730.87 |
| poughkpsie/n nyc suburbs | $685.97 |
| rest of new york | $596.53 |
Get exact pricing for your ZIP code
Enter your ZIP code to see costs adjusted for your specific locality within New York
About Partial Mastectomy Costs in New York
The average Medicare reimbursement for partial mastectomy in New York is $703.94 for an office setting and $703.94 in a hospital. This is about 11% 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 New York, that would be roughly $141 for an office visit or $141 in a hospital setting.
Private insurance plans in New York typically pay between 130% and 200% of Medicare rates for this procedure, putting the total somewhere between $915 and $1,408.
Without insurance, you may be able to negotiate a cash discount. Many providers in New York 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 New York 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 New York
Partial Mastectomy Cost by State
Partial Mastectomy in New York: Frequently Asked Questions
How much does partial mastectomy cost in New York?
The average 2026 Medicare rate for partial mastectomy (CPT 19301) in New York is $703.94 in an office setting and $703.94 in a hospital. Private insurance typically pays $915 to $1,408, and self-pay cash prices often run $563 to $1,056.
Is partial mastectomy cheaper in New York than the national average?
New York is about 11% higher than the national average of $632.61. Across all states, New York ranks #47 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 New York with Medicare?
Medicare patients typically pay 20% of the Medicare rate after meeting their deductible. In New York that is roughly $141 for an office visit or $141 in a hospital setting.
How can I save on partial mastectomy in New York?
Ask providers for a cash or self-pay price before scheduling; many in New York 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.