Mastectomy vs Office Visit (Established Patient)
Medicare Cost Comparison 2025
Quick Answer
Mastectomy: $20,000 total · Medicare pays $16,000 · Patient pays $4,000
Office Visit (Established Patient): $150 total · Medicare pays $120 · Patient pays $30
Cost Comparison
| Metric | Mastectomy | Office Visit (Established Patient) |
|---|---|---|
| Total Average Cost | $20,000 | $150 |
| Medicare Pays | $16,000 | $120 |
| Patient Pays | $4,000 | $30 |
| Category | hospital | physician |
FAQ
What is the cost difference between Mastectomy and Office Visit (Established Patient)?
Mastectomy costs $20,000 on average, while Office Visit (Established Patient) costs $150 — a difference of $19,850.
How much does Medicare pay for Mastectomy vs Office Visit (Established Patient)?
Medicare typically pays $16,000 for Mastectomy (patient owes $4,000). For Office Visit (Established Patient), Medicare pays $120 (patient owes $30).
What is Mastectomy?
Surgical removal of one or both breasts, typically to treat breast cancer.
What is Office Visit (Established Patient)?
Follow-up evaluation and management visit with existing provider.