Costs of SRT using the two most used methods?

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James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 9/5/2010 1:17 PM (GMT -6)   
Anyone tell me what the cost of a full round- say 38 treatments of either IMRT or IGRT is, total costs? I realize there's differences in costs in different areas of the country and there's a insurance billed cost, an insurance paid cost and a no insurance- cash paid cost. I can't recall reading any costs being stated here. Anyway, what was your costs, if you don't mind me prying? smilewinkgrin
James C. Age 63
Gonna Make Myself A Better Man tinyurl.com/28e8qcg
4/07: PSA 7.6, 7/07 Biopsy: 3 of 16 PCa, 5% involved, left lobe, GS3+3=6
9/07: Nerve Sparing open RRP, Path: pT2c, 110 gms., margins clear GS6
3 Years: PSA's .04 each test until 04/10-.06, 09/10-.09- Uh-Oh, reoccurance?
ED continues: Bimix- .3ml or Trimix- .15ml

Fairwind
Veteran Member


Date Joined Jul 2010
Total Posts : 3747
   Posted 9/5/2010 1:24 PM (GMT -6)   
I THINK you are looking at $40,000-$60,000 depending on the equipment used and the treatment program you require...

But there is one way to find out for sure. ASK your radiation oncologist. Also ask that they get pre-approval from your insurance company. Then you will KNOW what your co-pay will be.
Age today: 68. Married, 6', 215 pounds, active, no health issues.
PSA at age 55: 3.5, DRE negative. Advice, "Keep an eye on it".
PSA at age 58: 4.5
PSA at age 61: 5.2
PSA at age 64: 7.5, DRE "Abnormal"
PSA at age 65: 8.5, DRE " normal", biopsy, 12 core, negative...
PSA at age 66 9.0 DRE "normal", BPH, Finesteride. (Proscar)
PSA at age 67 4.5 DRE "normal" second biopsy, negative.
PSA at age 67.5 5.6, DRE "normal" U-doc worried..
PSA at age 68, 7.0, third 12 core biopsy positive for cancer in 4 cores, 3 cores Gleason 6, one core Gleason 9. Finesteride discontinued, still no urinary symptoms, never had any..From age 55 to 65 I had no health insurance.

I have a date with the robo surgeon on Sept 3 but I'm keeping my options open. I'm also looking at seeds combined with IGRT which seems to be having good results with high-risk patients..

James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 9/5/2010 1:29 PM (GMT -6)   
Thanks, Fairwind, but I haven't gotten to the stage of having a rad doc to ask...lol smilewinkgrin I have a decision to make in Oct. about what insurance I want for next year, one that pays 90/10 and costs $300 a month more or a 80/20 that is that amount less. That 3600 could make a difference, if the SRT costs is small enough. I am gonna contact one soon and get the estimates started.
James C. Age 63
Gonna Make Myself A Better Man tinyurl.com/28e8qcg
4/07: PSA 7.6, 7/07 Biopsy: 3 of 16 PCa, 5% involved, left lobe, GS3+3=6
9/07: Nerve Sparing open RRP, Path: pT2c, 110 gms., margins clear GS6
3 Years: PSA's .04 each test until 04/10-.06, 09/10-.09- Uh-Oh, reoccurance?
ED continues: Bimix- .3ml or Trimix- .15ml

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 9/5/2010 1:45 PM (GMT -6)   
James,

The list price on my 39 zaps of SRT were almost $3,000 a piece, and that did not count the planning, etc. that goes along with it. So that would be almost 120k just for the zaps. I don't know what they settled for, all I know, is I never had to pay a cent out of pocket for the SRT, not even a single co-pay.

Also, we had the Aflac cancer insurance, they wish they never knew me at this point, they paid us $300 per day per zap or each of the 39 zaps, that was close to 12,000 tax free and in our pockets. Least I got something for my trouble.

10 years ago when I had the mouth/throat radiation, it was much more expensive, it was well over $5,000 per day.

David
Age: 58, 56 dx, PSA: 7/07 5.8, 10/08 16.3
3rd Biopsy: 9/08 7 of 7 Positive, 40-90%, Gleason 4+3
open RP: 11/08, on catheters for 101 days
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos marg
Incont & ED: None
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04, 8/6 .06 11/10 ?
Latest: 6 Corr Surgeries to Bladder Neck, SP Catheter since 10/1/9, SRT 39 Sess/72 gy ended 11/09, on Catheter #21, will be having Ileal Conduit Surgery in Sept.

F8
Veteran Member


Date Joined Feb 2010
Total Posts : 3802
   Posted 9/5/2010 5:10 PM (GMT -6)   

i think mine cost about $1600 a session, or about $200 a minute. but there were others costs as well. 

F8


Jakester
Regular Member


Date Joined Aug 2009
Total Posts : 285
   Posted 9/5/2010 5:54 PM (GMT -6)   
James, I am a member of a HMO so I don't know if this makes a difference. My billed radiation was $99K, my HMO agreed charge paid was $68K and my out of pocket was just a few hundred (I couldn't find all receipts due to just putting them on a CC). I just reviewed my insurance policy, it states that radiation and chemo does not have a co-pay so this appears why I don't have many personal bills.

Good luck, my experience wasn't half bad.

Jake
Diagnosed 8/2008 Pre-op psa 4.2, Age 60 at dx
7 of 12 biopsies positive 3+3
DaVinci LRP 11/08
Post Op clear margins, no extraprostatic extension, vascular or perineural. Gleason 3+4=7, 5-10% of 4.
3 month psa .1 2/09, 6 month .1 5/09, 9 month .2 8/09
broke ankle bones 6/09
9/21/09 Bone scan clear, psa still .2
11/12/09 chest xray was clear, psa however up to .3,
01/05/10 psa still .3, SRT 01/19/10 started 39 sessions 70.2gy, psa 6 weeks into salvage IMRT up to .4
Post SRT psa at 10 weeks (5/31/2010) down to .2, @20 weeks (8/20/10) .1 (getting close)

142
Forum Moderator


Date Joined Jan 2010
Total Posts : 6949
   Posted 9/5/2010 5:59 PM (GMT -6)   
James -
was working on bills this weekend - "Labor" day, as it were.
My total billed IGRT, Calypso, and directly-related visits looks to have come out at $105,000. Mind you the insurance adjusted a lot, and I have an out of pocket cap ($9K), but I sure exhausted that early on.

Post Edited (142) : 9/5/2010 9:43:36 PM (GMT-6)


BB_Fan
Veteran Member


Date Joined Jan 2010
Total Posts : 1011
   Posted 9/5/2010 6:51 PM (GMT -6)   
My SRT is 3,091 per treatment for 38 treatments. The full cost is over $4.000, but insurance just pays $3.091. This does not include planning and periodic meetings with rad oncologist. This is truly big money.

Fairwind
Veteran Member


Date Joined Jul 2010
Total Posts : 3747
   Posted 9/5/2010 8:47 PM (GMT -6)   
I could be wrong about this, but most Medicare plans only cover 80% of radiation therapy...

The machines, the building they are housed in, the staff that attends to them, the planning that goes into each persons treatment, the profit demand that must be supported, this can add up to big bucks...
Age today: 68. Married, 6', 215 pounds, active, no health issues.
PSA at age 55: 3.5, DRE negative. Advice, "Keep an eye on it".
PSA at age 58: 4.5
PSA at age 61: 5.2
PSA at age 64: 7.5, DRE "Abnormal"
PSA at age 65: 8.5, DRE " normal", biopsy, 12 core, negative...
PSA at age 66 9.0 DRE "normal", BPH, Finesteride. (Proscar)
PSA at age 67 4.5 DRE "normal" second biopsy, negative.
PSA at age 67.5 5.6, DRE "normal" U-doc worried..
PSA at age 68, 7.0, third 12 core biopsy positive for cancer in 4 cores, 3 cores Gleason 6, one core Gleason 9. Finesteride discontinued, still no urinary symptoms, never had any..From age 55 to 65 I had no health insurance.

I have a date with the robo surgeon on Sept 3 but I'm keeping my options open. I'm also looking at seeds combined with IGRT which seems to be having good results with high-risk patients..

Opa N
Regular Member


Date Joined Sep 2009
Total Posts : 150
   Posted 9/6/2010 1:51 PM (GMT -6)   
The Rad Onco billed out my 32 treatments at about $3,000 per to BCBS. My out of pocket was $0. My Medicare Advantage plan administered by BCBS covered 100% of the RT, planning etc included.
Roger
68; Biopsy 4/20/09; G 4+3 in 2/2 cores, G 3+3 in 5/10 cores. CT & Bone Scan negative. Stage T2C. psa 4.02. DaVinci RP 8/27/09; Gleason 3+3 w/tertiary 4. Pos. margins L & R posterior, seminal vesicle invasion. Stage PT3b. 4 wk psa <0.01.
10/21/09 begin 8 months of HT w/Lupron. 1/14/10 begin IMRT 32 treatments. All psa tests return <0.01. Continent 5/1/10.

don826
Veteran Member


Date Joined May 2008
Total Posts : 1010
   Posted 9/6/2010 7:10 PM (GMT -6)   
Hi James,
 
Total cost including hospital fee, urologist, radiation oncologist, beacon implants, mapping CT scan and 45 IGRT/IMRT treatments using Varian machine was $44,000. This was a discounted cost since I was uninsured.
 
Best to you.
Don

livinadream
Veteran Member


Date Joined Apr 2008
Total Posts : 1382
   Posted 9/7/2010 4:51 AM (GMT -6)   
My insurance company was billed $1405 per session. WOW that is a lot of money when I sit back and think about it.

peace to you
Dale
My PSA at diagnosis was 16.3
age 47 (current)

http://www.caringbridge.org/visit/dalechildress

My gleason score from prostate was 4+5=9 and from the lymph nodes (3 positive) was 4+4=8
I had 44 IMRT's
I was on Lupron, Casodex, and Avodart for two years with my last shot March 2009. I am currently (7-22-2010) not on any medication.
My Oncology hospital is The Cancer Treatment Center of America in Zion IL
PSA July of 2007 was 16.4
PSA May of 2008 was.11
PSA July 24th, 2008 is 0.04
PSA Dec 16th, 2008 is .016
PSA Mar 30th, 2009 is .02
PSA July 28th 2009 is .01
PSA OCt 15th 2009 is .11
PSA Jan 15th 2010 is .13
PSA April 16th of 2010 is .16
PSA July 22nd of 2010 is .71
Testosterone keeps rising, the current number is 156, up from 57 in May

T level dropped to 37 Mar 30th, 2009
cancer in 4 of 6 cores
92%
80%
37%
28%

Jerry1
Regular Member


Date Joined Mar 2007
Total Posts : 460
   Posted 9/7/2010 11:41 AM (GMT -6)   
 
James,
 
Between Medicare and AARP they actually paid 106,000 for 35 treatments.  I did  not pay anything out of pocket.  I guess if I had to pay I might not have been able to do it, but then again it did not work anyway.
 
Jerry1

Fairwind
Veteran Member


Date Joined Jul 2010
Total Posts : 3747
   Posted 9/7/2010 11:52 AM (GMT -6)   
If you get into a jam paying for this stuff, help IS available..You just have to go looking for it..There are all kinds of agencies and foundations, charitable organizations, that, when prodded, will take some or all of the load off..That's why these safety nets are in place, so you don't have to lose your home to pay for radiation treatments..But you pretty much have to be broke before they will step in...

When my daughter Ann was fighting her battle with breast cancer, a local BC charitable organization picked up her mortgage payments when things got rough and our families cash reserves were pretty much depleted...
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