What costs for a biopsy/surgery??

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wilf1980
New Member


Date Joined Dec 2008
Total Posts : 12
   Posted 12/9/2008 3:22 PM (GMT -6)   
anyone have an idea what the costs are for a biopsy also the cost for surgery if needed ???

Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4823
   Posted 12/9/2008 3:28 PM (GMT -6)   

Hope this doesn't make you feel worse:

My surgeon's fee was $4,500.00 and the hospital was $45,000.00 . But with insurance, the fees were reduced to $2,500.00 and approx $8,000.00 .


Age 53   - 5'11"   205lbs
Overall Heath Condition - Good
PSA - July 2007 & Jan 2008 -> 1.3
Gleason - 6
(biopsy done March 4, 2008-> 2 of 12)
 
06/25/08 - Da Vinci robotic laparoscopy
10/03/08 - 1st Quarter PSA -> less then .01
 

Surgeon - Keith A. Waguespack, M.D.

Las Colinas and Plano Offices

 


LV-TX
Veteran Member


Date Joined Jul 2008
Total Posts : 966
   Posted 12/9/2008 4:06 PM (GMT -6)   
Don't exactly remember for sure the biopsy...but $2600.00 rings a bell...surgery was robotic...hmmmm...around $42,000 plus surgeons fees around $4500.00. But like Steve above, the discount for insurance makes it about half that.

Out of curiosity...why the question?
Les
 
Age 58 at Diagnosis
Oct 2006 - PSA 2.6 - DRE Normal
May 2008 - PSA 4.6 - DRE Normal / TRUS normal-Gland 38 cc
July 2008 - Biopsy 4 of 12 Positive 5 - 30% Involved Bilateral (Perineural Invasion present at base)
Gleason (3+3) 6  Stage T1C
August 23 - Bone Scan - Hips, Spine and ribs marked uptake - X-Ray showed clear -Hooray
Sept 9 2nd DRE - questionable - TRUS...shadow in base - Gland now 41 cc
Robotic Surgery Sept 18, 2008
Pathology October 1,2008
Gleason 7 (4+3) Staged pT2c NO MX
Gland 50 cc
Seminal Vesicles and Lymph Nodes clear
Positive Margins Right Posterior Lobe
4 tumors in prostate - largest being 6 cm 
PSA Oct 08 <.05


don826
Veteran Member


Date Joined May 2008
Total Posts : 1010
   Posted 12/9/2008 4:11 PM (GMT -6)   

Hi Wilf,

If you are uninsured get ready for a battle besides the one against the disease. Hospital quoted me $25,000 + surgeons fee + anesthesiologist + incidentals for an open prostatectomy and $45,000 + surgeons fee + anesthesiologist + incidentals for Da Vinci (got to pay for the robot). I wound up getting radiation through my urologist practice and they gave me a 30% disocount from their list. Total for radiation and oncologist was $37,000. The biopsy was $1250 at the uro's office. Add another $700 for pathology. Add $800 for anesthesia during the fiducial seed implants and $6,000 to the hospital for the same (about 7 hour stay). So to summarize:

   Biopsy   $1250

   Pathologist  $700

   open RP  Est $25,000 +++

   DaVinci RP Est $45,000 +++

   Radiation and seed placement  $43,800

For a comparison had I been insured under my previous employers plan the cost would have been 40% of the above and no copay. Medicare reimbursement is roughly one quarter to a third of the amount. So much for insurance companies "carrying" the uninsured. The doctors were very willing to work out a cost for cash at the time of service. The hospital finally told me that there was a 10% discount for cash after a great deal of haggling. Not to mention how condescending their attitude was and is. Told me that uninsured have a higher risk of non payment and I am standing there with my check book in hand. I could begin to curse here so I will get off the soap box. :-)

Wilf, good luck with your treatment.

Don


Diagnosed 04/10/08
Age 58
PSA 21.5 (first and only test resulted from follow up visit to emergency room for kidney stone. first time for kidney stone too)
Gleason 4 + 3
DRE palpable tumor on left side
100% of 12 cores positive for PCa range 35% to 85%
Bone scan clear
Chest x ray clear
CT scan shows potential lymph node involvement in pelvic region
Started Casodex on May 2 and stopped on June 1, 2008
Lupron injection on May 15 and every four months for next two years
PSA test on July 14, 08 after 8 weeks hormone .82
Started IMRT/IGRT on July 10, 2008. 45 treatments scheduled
First 25 to be full pelvic for a total dose of 45 Gray to lymph nodes.
Last 20 to prostate only. Total dose to prostate 81 Gray.
Completed IMRT/IGRT 09/11/08.
Second Lupron shot 09/11/08
Next PSA test by oncologist 03/09
 
 


RBinCountry
Regular Member


Date Joined Apr 2008
Total Posts : 270
   Posted 12/9/2008 5:37 PM (GMT -6)   
I know that my biopsy was $2500. My DiVinci was around 10K (by a reknowned surgeon), and my hospital bill was about the same (an excellent facility). Some of the lower prices were worked out at reduced rates by my insurance.

RB
Age 61 (now 62)
Original data - pre-operation
PSA: 5.1
T1C clinical diagnosis, Needle biopsy - 10 cores, Gleason 7 = 3+4 in 1 core (40%), 7 cores Gleason 6 = 3+3 ranging from 5% to 12%
All scans negative
Lupron administered 4/9/2008 for 4 months (with idea I would undergo external beam radiation followed by seed implants - then I changed my mind).
Robotic DiVinci surgery - Dr. Fagin (Austin) May 19th
Post operative - pathology
pT2c NX MX
Gleason 3+4
Margins - negative
Extraprostatic extension - negative
seminal vesicle invasion - uninvolved
1st Post PSA <.04
2nd Post PSA <.1 10/30/2008


coxjajb
Regular Member


Date Joined Nov 2008
Total Posts : 184
   Posted 12/9/2008 6:00 PM (GMT -6)   
My biopsy was $900. The Surgeon was $25k, Hospital was $33K
Age 50
Pre - Op PSA, 4.3
Gleason 3+4=7
Stage T1C
da Vinci Prostatectomy 8/1/08
No issues with incontinence since day 1 after catheter removal
ED, need a little help from Levitra
First post op PSA 11/11/08, 0.00


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 12/9/2008 9:36 PM (GMT -6)   

Biopsy- $1745 

Pathology- both biposy and post-surgical- $1800

Aneastologist (SP)- $1500

Surgeons fees and aftercare for 4 visits- (surgeon and assistant fees included)- $15,500 

Hospital one overnight and surgical suite costs- $18,457.

Total out of pocket- Blue Cross/Blue Shield PPO- $867.00



James C.
Co-Moderator- Prostate Cancer Forum
Age 61
4/19/07 PSA 7.6, referred to Urologist, recheck 6.7
7/11/07 Biopsy- 16 core samples, size of gland around 76 cc. Staging pT2c
7/17/07 Path report: 3 of 16 PCa, 5% involved, left lobe , GS 3/3:6.
9/24/07 (open) Retropubic Radical Prostatectomy performed
9/26/07 Post-op Path Report: GS 3+3=6 Staging pT2c, 110gms, margins clear
Present- 1 year: ED- Viagra, pump continues, no response- Trimix .10ml x 2 weekly continues
Post Surgery PSA's: 3 mts-.04, 6 mts.-.04, 9 mts.-.04, 1 Year-.02.

Post Edited (James C.) : 12/9/2008 8:40:50 PM (GMT-7)


califguy
Regular Member


Date Joined Sep 2008
Total Posts : 72
   Posted 12/9/2008 9:42 PM (GMT -6)   
If you do not have insurance or are not covered at the hospital you want, do ask upfront about cash paying. Tell them you know insurance will cut 40 to 50 percent off, so they can do it for cash on the spot. My hospital quoted me about 27,000. I do not think that included the doc cost. In the end, my insurance did cover and hospital plus doc was about 30,000. So the figures people have been putting are good examples.

Don't get discouraged!!
CalifGuy
 
Diagnosed Feb 2008  54 years old
3+4=7 gleason
7.5 PSA
4 out of 20 biopsies were cancerous
daVinci Robotic surgery July 24, 2008
Univ of Calif San Francisco Med Center  Dr Peter Carroll
In hospital 2 nights altho I had option of leaving the next day but stayed due to distance home.
Contained in prostate, not spread
Six weeks post surgery PSA less than .01


Tim G
Veteran Member


Date Joined Jul 2006
Total Posts : 2285
   Posted 12/9/2008 10:13 PM (GMT -6)   
Prices are all over the place. My bill was about $1500 for the biopsy and $27,000 for the surgery/hospital. I paid about 10% out of pocket and the rest was covered by insurance.

If you don't have insurance, start negotiating ahead of time and you can probably get the same price discounts for cash as insurance would pay.
PSA quadrupled in 1 yr (0.6 to 2.5)  
DRE neg  1 of 12 biopsies pos (< 5%) 
Open surgery June 06 at age 57
Organ confined to one small area Gleason 5   
PSA's undetectable  < 0.1  


Mavica
Regular Member


Date Joined Jun 2008
Total Posts : 407
   Posted 12/11/2008 12:44 AM (GMT -6)   
For my biopsy: my Urologist and the hospital billed Blue Cross $2,250, but BC paid less than $800 and I paid about an additional $125. I contracted sepsis following the biopsy and was hosptialized in intensive care for sveral days and Blue Cross was billed $8,700 of which it paid $3,600, and I was billed for (and paid) $450 separately.

For the da Vinci prostate removal surgury: pre-surgical testing was billed to Blue Cross at approx. $2,000 and BC paid about $1,000. I wasn't billed anything additionally. For the surgery and hospitalization afterwards Blue Cross was billed about $63,000 and it paid approximately $30,000; I haven't been billed separately for a portion of this larger cost.

All of my testing and surgical procedures were performed at Northwestern Memorial Hospital in Chicago, an affiliate of Northwestern University.

I'm grateful that I have excellent health care insurance as one of my empoyer-sponsored benefits, for which I pay a relatively small percentage of the monthly premium cost.

Age:  59 (58 at diagnosis - June, 2008)

April '08 PSA 4.8 ("free PSA" 7.9), up from 3.5 year prior

June '08 had biopsy, 2 days later told results positive but in less than 1% of sample

Gleason's 3+3=6

Developed sepsis 2 days post-biopsy, seriously ill in hospital for 3 days

Dr. recommended robotic removal using da Vinci

Surgery 9/10/08

Northwestern Memorial Hospital, Chicago, IL

Dr. Robert Nadler, Urologist/Surgeon

Post-op Gleason's:  3+3, Tertiary 4

Margins:  Free

Bladder & Urethral:  Free

Seminal vesicles:  Not involved

Lymphatic/Vascular Invasion:  Not involved

Tumor:  T2c; Location:  Bilateral; Volume:  20%

Catheter:  Removed 12-days after surgery

Incontinent:  Yes (getting better, though)

Combination of Cialis and MUSE (alprostadil) three times weekly started 9-27-08

Returned to work 9-29-08 (18-19 days post-op)

PSA test result, post-op, 10/08: 0.0

 

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