For What It's Worth Dept.-- Cost of My Surgery

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Sonny3
Veteran Member


Date Joined Aug 2009
Total Posts : 2448
   Posted 11/16/2009 3:10 PM (GMT -6)   
There have been some discussions about the cost of dealing with PCa so I thought I would chime in.

First of all remember that I have said more than once, I have great health insurance.

My total bill for everything, tax, tag, title included, was $28,600. Because we have reached our family out of pocket expenses for the year, my part is $136.49, plus a $28.00 drug co-pay.

Remember this is for my surgery at the Henry Ford Health Institute in Detroit and the services of Dr. Mani Menon, who some say is one the top 5-10 in the world for da Vinci Prostatectomy.

I know that my part is on the ridiculous side of cheap, but the $28k total bill doesn't seem that high to me. Any thoughts?

For what it's worth,

Sonny
61 years old
PSA 11/07 3.0
PSA 5/09 6.4
Diagnosis confirmed July 9, 2009
12 Needle Biopsy = 9 clear , 3 postive
<5%, 90%, 40%
Gleason Score (3+4) 7 in all positive cores
CT Organ Scan - negative
Nuclear Bone Scan - Negative

da Vinci 9/17/09 Dr. Mani Menon Henry Ford Medical Institute

Post Surgery Pathology:
Gleason: Changed to (4+3) = 7
Stage: T3a
Tumor Volume 12.5%
ALL NERVES SPARED
Margins: focally positive right posterior mid level
Perineural Invasion: present
Seminal Invasion: absent
Venous Invasion: absent
Angiolymphatic Invasion: absent
Left Internal iliac lymph node: reveals zero
Right Internal lymph node: reveals zero


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 11/16/2009 4:22 PM (GMT -6)   
Sounds on the cheap side for robotic, espec at a top hospital. I believe my open with 4 days in the hospital was over 40k.

David in SC
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Latest: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out  38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - began IMRT SRT - 39 sess/72 gys cath #8 33 days, 11/2- SP Cath #9 in place


Sephie
Veteran Member


Date Joined Jun 2008
Total Posts : 1804
   Posted 11/16/2009 4:26 PM (GMT -6)   
Sonny, we have only seen the hospital statement for my husband's surgery which came in at about $26,000. This does not include the surgeon or anestheologist's fee, or the pre-op tests (CT scan, physical, etc.). Our out-of-pocket for the hospital was $250.00 plus $25 co-pays for our consults with the doctors (2 or 3 visits). No OOP for any of the tests. The surgery was performed in a hospital about 50 miles north and west of New York City.
Husband diagnosed in 2/2008 at age 57 with stage T1c. Robotic surgery performed 3/2008. Stage upgraded to T3a (single small EPE in posterior left). Perineural tumor infiltration present. Apex margin, bladder neck and SV negative. Final Gleason 3+4 SA. PSA: 0.0 til July 2009. August 2009 PSA was 0.1, in September it was 0.3 Met with radiation oncologist, CT scan and bone scan clean. Third PSA on October 16 - PSA BACK TO UNDETECTABLE! Next PSA scheduled for early December. No radiation treatment at this time!


reachout
Veteran Member


Date Joined May 2009
Total Posts : 739
   Posted 11/16/2009 4:49 PM (GMT -6)   
Sonny, my da vinci was $25k for everything, hospital and doctor. I have Tricare military insurance, similar to Medicare, and they allowed about half of that, and the hospital and doctors had a contract with Tricare that they would accept the allowable. I had secondary gap insurance, so my out of pocket was a few hundered.

For what it's worth, I tried to get your doctor (Menon), and he agreed to do it, but when he found out what insurance I had, he turned me down unless I paid him cash. Fortunately, I got an excellent local doctor who had great results.
Age 64 yrs
DX 5/2009
8 out of 12 cores positive
PSA 5.6
Gleason Score 3+4=7
Stage T2a
Da Vinci Surgery 08/07/2009
Upgrade Gleanson Score 4+3=7
Stage pT2c
Neg Margins and Nodes
Extracapsular extension noted but neg Extraprostatic Extention
Dry immediately
First PSA 11/3/09 <0.1


compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 7270
   Posted 11/16/2009 8:12 PM (GMT -6)   

Sonny:

 

As you know, I may end up with Menon. Supposedly he takes my insurance. Anyway, about 17 months ago I had knee surgery. It was for arthritis and mostly torn cartilege (two meniscus tears). I had it done locally and I think the negotiated fee was maybe $6000. My actual out of pocket was probably $100.

 

It sure helps to have good insurance. I pity the folks without health care, but that's a debate for a different day!

 

Mel

 

 


PSA-- 3/08--2.90;  8/09--4.01; 11/09--4.19 (Free PSA 24%), this after 45 days on cipro!
 
History of BPH/prostatitis.
 
Awaiting results of my PCA-3 test which will determine whether a biopsy is in my immediate future


NY-Sooner
Regular Member


Date Joined Sep 2009
Total Posts : 464
   Posted 11/17/2009 2:34 PM (GMT -6)   
In Sept 2007 my robotic surgery total bill including surgeon was $21,000 at Strong Memorial in Rochester NY.  The insurance actually paid $16,000 and the hospital never billed me for the rest.

 
Age 56, Biopsy 6/2007 - PSA 4.5, 2 of 12 with  <5% cancer Gleason 6
Surgery 9/2007 Strong Memorial,  Rochester  NY with Dr. Jean Joseph (1300 plus surgeries)
 Path - Negative margins, cancer in 20% examined tissue, Gleason 6
 Post Op - No ED issues, full erections without drugs,  used 5-7 pads a day for 3 months. Now dry except for stress leaks now and then.
 All post op psa's <.04

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