How Much My Open RRP Cost!

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Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25369
   Posted 1/22/2009 2:42 PM (GMT -6)   
I just received in today's mail the final billing from my open RRP surgery and for the 4 days I stayed there.  I about died of shock!  It came to $39,583.  I was looking at some of the detail, it's the small stuff they hose you so bad on.  They wouldn't like me take my own prescription meds while I was there, they supplied them instead and charged for them.  One Ambien = $40, I pay about $50 for a 30 day supply.  The Loratabs they had me on the last 2 days, $60 each, I paid $8 for 30 at CVS drug store when I came home.  It's been a long time since I've seen this detail of a hospital bill.  And the drugs were just the tip of the iceberg.
 
The surgeon's bills just for the same surgrey, were a little over $10,000.  It didn't strike me as too outrageous, unless you look at the fact that it took them actual operating time of 3 hours and 15 minutes.  But them I am still hoping that I got the benefit of his skill and experience, and ridding me of the PCa.
 
It mostly the hospital bill that flipped me, that was over double what I was have guessed.
 
And why is health insurance so expensive for most and out of reach for growing part of Americans?
 
David in SC
Age 56, 56 at DX, PSA 7/7 5.8, 7/8 12.3, 9/8 14.9, 10/8 16.4
3rd Biopsy 9-2008 Positive 7 of 7 cores positive, 40 - 90%, G 4+3 & 3+4
Open RP surgery 11/14/8, Non-nerve sparing, 4 days hospital, staples out 11/24/8, Catheter out on 12/15/8. Stopped flowing, new catheter put in 12/16/08, Catheter out 12/29/08. Emergency room put in Catheter # day 45, 1/5/9 - Cath #3 out, dr. did cycloscope, saw potential blockage, put in Catheter #4, 1/13/9 - removed blockage, put in Cath #5, 1/19/9 -out
Post-surgery Pathlogy Report:Gleason 3+4=7, pT2c, 42 grams, tumor 20%, Contained in capsular, clear margins, clear lymph nodes 
First PSA Post Surgery  Scheduled now for 2/9/9
 
 


gpg
Regular Member


Date Joined Jan 2009
Total Posts : 180
   Posted 1/22/2009 4:02 PM (GMT -6)   
It makes no sense to me either David.

I saw the same here in Florence, SC. And if you have no insurance you are expected to pay the whole thing.

And in my ongoing treatment the same insurance company has paid for visits with one Dr. at Duke and denied benefits for another Dr. doing the same work. And it is not a dupilcation issue as they denied benefits for the first Dr. and paid on the second.

Go figure?

Scott
Diagnosed @ 48yo 04/07
focal, low volume tumor gleason 6
RRP 07/30/07
Persistance of PSA
IMRT 11/07-01/08
Emerg, cysto obstructed bladder 01/08
Persistance of PSA
08/08 learned Dr. left significant amount of prostate
12/08 saturation biopsy 36 cores 24 having normal prostate tissue
12/08 referred whole to med malprac attorney


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25369
   Posted 1/22/2009 4:16 PM (GMT -6)   
Healthwise, in reality, I could have used a 5th day, but we knew the insurance would never pay for it, and on the 4th day, the hospital sent a foul man to see me in the room to remind me of that. The only rude treatment I had in the process, he really pissed me off, and we were out of there inside of an hour on the way home.
Age 56, 56 at DX, PSA 7/7 5.8, 7/8 12.3, 9/8 14.9, 10/8 16.4
3rd Biopsy 9-2008 Positive 7 of 7 cores positive, 40 - 90%, G 4+3 & 3+4
Open RP surgery 11/14/8, Non-nerve sparing, 4 days hospital, staples out 11/24/8, Catheter out on 12/15/8. Stopped flowing, new catheter put in 12/16/08, Catheter out 12/29/08. Emergency room put in Catheter # day 45, 1/5/9 - Cath #3 out, dr. did cycloscope, saw potential blockage, put in Catheter #4, 1/13/9 - removed blockage, put in Cath #5, 1/19/9 -out
Post-surgery Pathlogy Report:Gleason 3+4=7, pT2c, 42 grams, tumor 20%, Contained in capsular, clear margins, clear lymph nodes 
First PSA Post Surgery  Scheduled now for 2/9/9
 
 


coxjajb
Regular Member


Date Joined Nov 2008
Total Posts : 184
   Posted 1/22/2009 4:19 PM (GMT -6)   
I hear you. My hospital bill was $33K. I was there about 30 hours. That's a heck of a rate. They must operate on a razor thin margin. They probably purchased the RX from Alldaychemist .com. Hospitals are more like a community service rather than a for profit business I think. ............ Now I'll be struck by lightning for my sarcasm.  shocked
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


zufus
Veteran Member


Date Joined Dec 2008
Total Posts : 3149
   Posted 1/22/2009 4:46 PM (GMT -6)   
I wish we too could make a small profit, so we could afford all these luxuries in life. Now imagine yourself living in Mexico, Africa, Middle East or like Juan Valdez and you get PCa??? What are your options??

They do have some, by the way, besides sucking it up and doing w.w. or w.-dying. Could Juan trade in his donkey and some coffee for surgery or radiations (i.e. Loma Linda-$250K+ maybe)???

If you don't have insurance it is disaster for the average person.

*we are allowed to ***** though, that is how things end up getting changed or repaired


 

Post Edited (zufus) : 1/22/2009 3:50:11 PM (GMT-7)


don826
Veteran Member


Date Joined May 2008
Total Posts : 1010
   Posted 1/22/2009 4:54 PM (GMT -6)   

Hi David,

You're costs are fairly close to the estimate I was given prior to making my treatment decision. The surgeons fee seems a bit high though. He must really be an expert to get $3K and hour. You can try to negotiate the costs. I was able to get a 10% discount with the hopital for cash. I have heard some go lower. The doctors will sometimes go down as low as the insurance reimbursment. That is what they will get paid as a PPO. (Preferred Provider) Hey, give it a try, you have nothing to lose and may get some relief.

Best of luck to you.

Don


Diagnosed 04/10/08 Age 58 at the time
Gleason 4 + 3
DRE palpable tumor on left side
100% of 12 cores positive for PCa range 35% to 85%
Bone scan clear and 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
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.
PSA 02/08 21.5 at diagnosis
PSA 07/08 .82 after 8 wks of hormones
PSA 10/08 .642 one month after completion of IMRT, 6 months hormone
 
 
 
 


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25369
   Posted 1/22/2009 4:54 PM (GMT -6)   
coxjab - i guess for 4 days, i got the better deal, lol. actually, i was looking, the room itself was 857 a night, so they was only about 10% of the bill. but i was thinking of what kind of resort i could stay in for 857 a night.

zufus - i agree, and yes, i am an american with health insurance, things like you said make me feel thankful for my own plight, but horrified and sickened for those without any. in these other countries, you are just plain s.o.l. unless you have the money, and even if you did, not sure about the quality of health care unless you were rich enough to go somewhere else.
Age 56, 56 at DX, PSA 7/7 5.8, 7/8 12.3, 9/8 14.9, 10/8 16.4
3rd Biopsy 9-2008 Positive 7 of 7 cores positive, 40 - 90%, G 4+3 & 3+4
Open RP surgery 11/14/8, Non-nerve sparing, 4 days hospital, staples out 11/24/8, Catheter out on 12/15/8. Stopped flowing, new catheter put in 12/16/08, Catheter out 12/29/08. Emergency room put in Catheter # day 45, 1/5/9 - Cath #3 out, dr. did cycloscope, saw potential blockage, put in Catheter #4, 1/13/9 - removed blockage, put in Cath #5, 1/19/9 -out
Post-surgery Pathlogy Report:Gleason 3+4=7, pT2c, 42 grams, tumor 20%, Contained in capsular, clear margins, clear lymph nodes 
First PSA Post Surgery  Scheduled now for 2/9/9
 
 


BillyMac
Veteran Member


Date Joined Feb 2008
Total Posts : 1858
   Posted 1/22/2009 5:00 PM (GMT -6)   
Zufus,
While not wanting to sound political, you have used the worse possible scenario there. How do they get on in Britain, Europe, Scandinavia etc.
Bill
1/05 PSA----2.9 3/06-----3.2 3/07-------4.1 5/07------3.9 All negative DREs
Aged 59 when diagnosed
Biopsy 6/07
4 of 10 cores positive for Adenocarcinoma-------bummer!
Core 1 <5%, core 2----50%, core 3----60%, core 4----50%
Biopsy Pathologist's comment:
Gleason 4+3=7 (80% grade 4) Stage T2c
Neither extracapsular nor perineural invasion is identified
CT scan and Bone scan show no evidence of metastases
Da Vinci RP Aug 10th 2007
Post-op pathology:
Positive for perineural invasion and 1 small focal extension
Negative at surgical margins, negative node and negative vesicle involvement
Some 4+4=8 identified ........upgraded to Gleason 8
PSA Oct 07 <0.1 undetectable
PSA Jan 08 <0.1 undetectable
PSA April 08 <0.001 undetectable (disregarded due to lab "misreporting")
PSA August 08 <0.001 undetectable (disregarded due to lab "misreporting")
Post-op pathology rechecked by new lab:
Gleason downgraded to 4+3=7
Focal extension comprised of grade 3 cells
PSA September 08 <0.01 (new lab)


zufus
Veteran Member


Date Joined Dec 2008
Total Posts : 3149
   Posted 1/22/2009 10:07 PM (GMT -6)   
Don't want to go political either, England is probably like Canada, the Gov't provides a doc unless you could afford your own payment. In England the doc does not have to give you, your pathology report and can withhold that information(a Brit had mentioned)and if I remember hearing correctly they help decide what method or "repair" you get....now that smells. We do have alot of choices here in USA and can change docs (usually), that is a plus for us.
 


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 1/22/2009 10:44 PM (GMT -6)   
I can say I am at this point am into this for as much as 200k or even higher. A large portion out of pocket.

Yuk...change the subject...lol

Tony
Age 46 (44 when Dx)
Pre-op PSA was 19.8 : Surgery at The City of Hope on February 15, 2007
Geason 4+3=7, Stage pT3b, N0, Mx
Positive Margins (PM), Extra Prostatic Extension (EPE) : Bilateral Seminal vesicle invasion (SVI)
HT began in May, '07 with Lupron and Casodex 50mg (2 Year ADT)
IMRT radiation for 38 Treatments ending August 3, '07
Current PSA (January 13, 2009): <0.1
 
My Journal is at Tony's Blog  
 
STAY POSITIVE!


BillyMac
Veteran Member


Date Joined Feb 2008
Total Posts : 1858
   Posted 1/22/2009 10:48 PM (GMT -6)   
Zufus
In relation to the British scenario and pathology reports, I wonder if that is strictly correct. I would love to hear from our British cousins on that. In Australia the doctor does not usually give a patient a copy of a pathology report either, but that is not because he does not wish to, but rather, it is not the practice of patients here to think of asking for a copy. Mind you, I have never heard of a doctor giving a pathology result over the phone here either, which seems to be a common practice in the U.S. It is the norm here to do it in person. Having said all that, I always request a copy of every pathology report done on me for whatever reason and have seen surprise, (it being unexpected) but never resistance to supplying it. I would have thought that doctors here and elsewhere would encourage it as quite a few doctors I've seen have commented on the scope of the information in my own file I can place at their fingertips.
Bill
1/05 PSA----2.9 3/06-----3.2 3/07-------4.1 5/07------3.9 All negative DREs
Aged 59 when diagnosed
Biopsy 6/07
4 of 10 cores positive for Adenocarcinoma-------bummer!
Core 1 <5%, core 2----50%, core 3----60%, core 4----50%
Biopsy Pathologist's comment:
Gleason 4+3=7 (80% grade 4) Stage T2c
Neither extracapsular nor perineural invasion is identified
CT scan and Bone scan show no evidence of metastases
Da Vinci RP Aug 10th 2007
Post-op pathology:
Positive for perineural invasion and 1 small focal extension
Negative at surgical margins, negative node and negative vesicle involvement
Some 4+4=8 identified ........upgraded to Gleason 8
PSA Oct 07 <0.1 undetectable
PSA Jan 08 <0.1 undetectable
PSA April 08 <0.001 undetectable (disregarded due to lab "misreporting")
PSA August 08 <0.001 undetectable (disregarded due to lab "misreporting")
Post-op pathology rechecked by new lab:
Gleason downgraded to 4+3=7
Focal extension comprised of grade 3 cells
PSA September 08 <0.01 (new lab)

Post Edited (BillyMac) : 1/22/2009 9:54:10 PM (GMT-7)


BillyMac
Veteran Member


Date Joined Feb 2008
Total Posts : 1858
   Posted 1/22/2009 10:51 PM (GMT -6)   
Whoa Tony,
That's some big bucks right there. No wonder you want to change the subject! shocked
Bill
1/05 PSA----2.9 3/06-----3.2 3/07-------4.1 5/07------3.9 All negative DREs
Aged 59 when diagnosed
Biopsy 6/07
4 of 10 cores positive for Adenocarcinoma-------bummer!
Core 1 <5%, core 2----50%, core 3----60%, core 4----50%
Biopsy Pathologist's comment:
Gleason 4+3=7 (80% grade 4) Stage T2c
Neither extracapsular nor perineural invasion is identified
CT scan and Bone scan show no evidence of metastases
Da Vinci RP Aug 10th 2007
Post-op pathology:
Positive for perineural invasion and 1 small focal extension
Negative at surgical margins, negative node and negative vesicle involvement
Some 4+4=8 identified ........upgraded to Gleason 8
PSA Oct 07 <0.1 undetectable
PSA Jan 08 <0.1 undetectable
PSA April 08 <0.001 undetectable (disregarded due to lab "misreporting")
PSA August 08 <0.001 undetectable (disregarded due to lab "misreporting")
Post-op pathology rechecked by new lab:
Gleason downgraded to 4+3=7
Focal extension comprised of grade 3 cells
PSA September 08 <0.01 (new lab)


Jayadub
Regular Member


Date Joined May 2007
Total Posts : 89
   Posted 1/22/2009 11:29 PM (GMT -6)   
Heh you guys all got off cheap, well except Tony. My insurance was billed about 144K for my proton treatment. I haven't been around here posting much but just got my latest PSA done and thought I would pop in and say Hi. Latest results are in my sig.

54 years old (55 currently)

PSA 5.6 on 3/20/07

DRE: Negative

Biopsy on 4/20/07 

Results 4/25/07:

3 out of 12 cores positive, 2 on the right lobe with 5% adenocarcinoma Gleason 3+3, 1 on the left lobe 10% adenocarcinoma Gleason 3+4, overall Gleason graded 7 Cancer T1C.  After web research discovered Proton Beam Therapy and called Loma Linda. Completed consultation with Dr. Luu on 7/5/2007 and started treatment at Loma Linda on 7/26/07. Completed treatment 44 on 9/28/07. 0 treatments remain. Side Effects are zero. 1st PSA result on January 28th is 1.1. PSA result on July 17th, 2008 .73 . PSA result on January 22nd, 2009 .66 18 months removed from start of treatment.


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25369
   Posted 1/23/2009 7:48 AM (GMT -6)   
Well I stand corrected, lol. Guess I got by bargain basement in my surgery/hopspital stay. To be fair, my previous cancer episode (non PCa) in 2000, ran up at that time over $150k including radiation.
Age 56, 56 at DX, PSA 7/7 5.8, 7/8 12.3, 9/8 14.9, 10/8 16.4
3rd Biopsy 9-2008 Positive 7 of 7 cores positive, 40 - 90%, G 4+3 & 3+4
Open RP surgery 11/14/8, Non-nerve sparing, 4 days hospital, staples out 11/24/8, Catheter out on 12/15/8. Stopped flowing, new catheter put in 12/16/08, Catheter out 12/29/08. Emergency room put in Catheter # day 45, 1/5/9 - Cath #3 out, dr. did cycloscope, saw potential blockage, put in Catheter #4, 1/13/9 - removed blockage, put in Cath #5, 1/19/9 -out
Post-surgery Pathlogy Report:Gleason 3+4=7, pT2c, 42 grams, tumor 20%, Contained in capsular, clear margins, clear lymph nodes 
First PSA Post Surgery  Scheduled now for 2/9/9
 
 


Roger G
Regular Member


Date Joined Apr 2008
Total Posts : 150
   Posted 1/23/2009 8:09 AM (GMT -6)   

Well, here is a report from Canada, not Britain.

  • I had a choice of doctors.  I selected one in Hamilton because I wanted it removed with out being opened up.  It's not the same vast selection as available in the US, but we’re a country of only 33 million.
  • I had a choice of treatments (open, seeding, laparoscopic, radiation).
  • I did have to wait a little for a surgery date, but nothing overly long.  If I had been deemed a low risk (60+ slow growing) I would have had to wait longer.  It's prioritised heath care.
  • I spend 3 days initially in the hospital, and then another week under traction.
  • I received excellent care and left the hospital owing nothing.  Our Hospital insurance is paid for through our taxes.  Everyone pays, so that no one has to pay $40 for an aspirin.

The system works, but can be combersome at times.


Age: 43 (2008)
DRE Small Ridge on prostate, PSA 1.5
07/2007: Diagnosed cancer, T2c, Gleason 3+4=7
09/2007: Laparoscopic prostectomy @ Hamilton General, 4 hrs.
01/2008: Still working on ED.
 
 


Mavica
Regular Member


Date Joined Jun 2008
Total Posts : 407
   Posted 1/23/2009 3:41 PM (GMT -6)   
There was a discussion of da Vinci expenses, maybe a month and a half ago, and I recall reporting my surgery cost - all costs - about $70,000. However, Blue Cross/Blue Shield paid about $39,000 because of a cost agreement with the hospital/university where the surgery took place. To date I think my out-of-pocket expenses related to the surgery have been under $500.

about meds: It's standard operating procedure at most hospitals not to permit patients to self-administer medications or ask the hospital to administer medications brought from home. There's a liability issue involved for the hospital, as well as the issue of the hospital not really knowing if what our medicine bottles say is accurate.  The hospital dispensing our meds from it's pharmacy is primarily for our own benefit.


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; 12/08: 0.0

 


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25369
   Posted 1/23/2009 3:48 PM (GMT -6)   
mavica, my wife is a nurse and said the same thing about the meds at the hospital, still a hose job in my mind, she also said hospitals try to get their profit from the small things like that.
Age 56, 56 at DX, PSA 7/7 5.8, 7/8 12.3, 9/8 14.9, 10/8 16.4
3rd Biopsy 9-2008 Positive 7 of 7 cores positive, 40 - 90%, G 4+3 & 3+4
Open RP surgery 11/14/8, Non-nerve sparing, 4 days hospital, staples out 11/24/8, Catheter out on 12/15/8. Stopped flowing, new catheter put in 12/16/08, Catheter out 12/29/08. Emergency room put in Catheter # day 45, 1/5/9 - Cath #3 out, dr. did cycloscope, saw potential blockage, put in Catheter #4, 1/13/9 - removed blockage, put in Cath #5, 1/19/9 -out
Post-surgery Pathlogy Report:Gleason 3+4=7, pT2c, 42 grams, tumor 20%, Contained in capsular, clear margins, clear lymph nodes 
First PSA Post Surgery  Scheduled now for 2/9/9
 
 


BillyMac
Veteran Member


Date Joined Feb 2008
Total Posts : 1858
   Posted 1/23/2009 4:03 PM (GMT -6)   
"The hospital dispensing our meds from it's pharmacy is primarily for our own benefit"

Ambien............... $40-00 for a $1-50 (retail) tab ???
Loratabs...............$60-00 for a $4-00 (retail) tab ???

Naw, there just may be another consideration involved as well.
Bill
1/05 PSA----2.9 3/06-----3.2 3/07-------4.1 5/07------3.9 All negative DREs
Aged 59 when diagnosed
Biopsy 6/07
4 of 10 cores positive for Adenocarcinoma-------bummer!
Core 1 <5%, core 2----50%, core 3----60%, core 4----50%
Biopsy Pathologist's comment:
Gleason 4+3=7 (80% grade 4) Stage T2c
Neither extracapsular nor perineural invasion is identified
CT scan and Bone scan show no evidence of metastases
Da Vinci RP Aug 10th 2007
Post-op pathology:
Positive for perineural invasion and 1 small focal extension
Negative at surgical margins, negative node and negative vesicle involvement
Some 4+4=8 identified ........upgraded to Gleason 8
PSA Oct 07 <0.1 undetectable
PSA Jan 08 <0.1 undetectable
PSA April 08 <0.001 undetectable (disregarded due to lab "misreporting")
PSA August 08 <0.001 undetectable (disregarded due to lab "misreporting")
Post-op pathology rechecked by new lab:
Gleason downgraded to 4+3=7
Focal extension comprised of grade 3 cells
PSA September 08 <0.01 (new lab)

Post Edited (BillyMac) : 1/23/2009 3:06:11 PM (GMT-7)


Tobmeister
Regular Member


Date Joined Jan 2009
Total Posts : 41
   Posted 1/23/2009 10:54 PM (GMT -6)   
David, forget the cost - I'm just glad to hear you have the catheter out! I haven't looked at posts recently but have been thinking about you and hoping you had it removed. Congratulations! Hope you are feeling much better now.
Tom, age 51
Diagnosed 11/12/2008
PSA 2006 - 2.8, 2007 3.06, 2008 4.6 (remember the rate of increase is as important as the level), PSA free 8.7%
Gleason score 7 (4+3); 6 out of 19 cores sampled positive for cancer; perineural invasion present
Bone scan and CT scan both negative
Prostate mildly enlarged, DRE negative
DaVinci radical prostatectomy 12/30/2008 - Duke Medical Center - left side nerves spared
Scheduled for catheter removal 1/15/2009

"Pick a good doctor and say your prayers"


vs1vs2
Regular Member


Date Joined Dec 2008
Total Posts : 60
   Posted 1/24/2009 12:30 AM (GMT -6)   
Boy, I thought my bill for robotic at $56,689 was alot, some of you have blown that away. I wonder what we would think of universal health if we had little choice and long waits. I will take this of universal anyday.
Tim
Age at Dx:48, currently 49
PSA May 08 2.96
referred to uro
PSA June 08 3.44
biopsy 7/25/08-29 core samples
path 7/31/08-8 of 29 PCa/10% involved L/R base and mid
high grade PIN in apex/seminal vesicles clear stage GS 3/3=6 pT2a
10/7/08 robotic at Cleveland Clinic-Dr. Kaouk
10/10/08 path GS 3/3=6 pT2c
cancer contained/neg margins
PSA Jan/09 .03


Bob D
Regular Member


Date Joined Mar 2008
Total Posts : 199
   Posted 1/24/2009 1:54 AM (GMT -6)   
Mine was about $32,000. Aetna got it down considerably but I still had to pay $3,500 out of pocket.
Those $12,000 annual premiums finally paid off. The premiums take about one third of my pension
but I am stuck for another 4 years until I can get on the Medicare bandwagon. That is if there is anything
left in Medicare after it is paid out to those who never contributed. #*@%.
I will say that Aetna did pay everyone with no problems. When I got a bill in the mail I sent it to them
and it was paid. Now if they would only pay for the ED meds. I do allright without them but they do give that
extra kick I need. smilewinkgrin
    1. Age 59, psa 4.7 in Jan. 08. Biopsy: one positive sample out of 13. 1% of one sample cancer. Prostate removed on 3/5/08. Open Surgery. Northeast Georgia Medical Center, Gainesville Ga. Nerves spared. Cath out 12 days later. Continence good. No pads needed since 6/10/08. First PSA: Less than 0.1 on 6/17/08. First erection five days post op and have been improving well since then. Full erection now possible (less than four months post op) with the assistance of Cialis.  Post Op Biopsy : No malignant cells in lymph node. Gleason 3=4=7. Tumor on both lobes. Urethral margins/apex free of neoplasia. Right and left seminal vesicles free of neoplasia. No invasion of prostatic capsule of the resection margins are noted by the tumor. Tumor occupies 10 to15% of the prostate gland. Path staging T2c, NO, MX- Group staging II.  Focal areas of perineural invasion by tumor are noted. 80% natural erections and full erections with 10mg Cialis. 9/22/08-Took 10mg Cialis on Monday night, had very usable full hard erection at night, the next morning, and the following Thursday morning, 60 hours after original dose !! Orgasm quality Excellent.!!!!! I am pleased with the progress so far. Married to same wonderful woman for 39 years. She is still beautiful and sexy as ever. A great help in my recovery !!:


CPA
Veteran Member


Date Joined Feb 2008
Total Posts : 655
   Posted 1/25/2009 1:44 PM (GMT -6)   
Greetings, everyone.  In reading the posts above, I feel very blessed by what I have had to pay.  I was in the hospital from 5 AM Monday to 9 AM Wednesday and had open RRP.  The hospital billed just over $25,000 and my insurance paid them just over $8,000.  My part was a $250 copay.  The surgeon billed $2,250 and the insurance paid $1,975.  My part was zero.  The lab and pathologists billed about $3,000 and the insurance paid about $500.  Again, my part was zero.  With all the follow ups over the past year and the pharmacy out of pocket my total is about $500.  I am grateful for great healthcare that we have available.  David

Age 55
Diagnosed Dec 2007 during annual routine physical
PSA doubled from previous year from 1.5 to 3.2
12 biopsies - 2 positive with 2 marginal
Gleason 3 + 3 = 6
RRP 4 Feb 08
Both nerves spared
Good pathology - no margins - all encapsulated - Gleason 4 + 3 = 7
Catheter out Feb 13 - wore pad for couple of days - pad free Feb 16
Great wife and family who take very good care of me


olid
New Member


Date Joined Jan 2009
Total Posts : 3
   Posted 1/27/2009 4:25 AM (GMT -6)   
Gents,

Have not had the RP surgery yet. Have not seen any posts about medicare and what they may pay for RP. Then my secondary is supposed to kick in, but they have been practically good for nothing (at least premium is low since it is NYS).

As I have read, I am sure I will pay up the guzoo (is that how you spell it?) if I have to use their meds. three eye drops plus a few others!

Thanks Fred
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