Cost of Lupron shot - here's my bill/insurance

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compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 7197
   Posted 2/4/2014 1:30 PM (GMT -6)   
I know from time-to-time we have mentioned the cost of a Lupron shot. I get the 4-month shot. My last one was in late October and I just got my bill. I think my insurance is pretty good, but let's compare. Note that my cost is after the usual insurance negotiated discount and then I pay a percentage, since my urologist is in-network
 
Office Visit: $92. My cost: $20
Urine sample: $14  My cost: $0.60
Lupron: $1024     My cost: $86.81
Administration of the drug: $75. My cost:$5.62
 
Hence, total bill: $1205 and my cost is $113.03
 
So, I'm curious how this compares.
My insurance is a group plan from work. I wonder what I'd be paying with Medicare (and supplement, probably). Less? More?
 
Mel

don826
Veteran Member


Date Joined May 2008
Total Posts : 1010
   Posted 2/4/2014 1:39 PM (GMT -6)   
Mel,

My cost, uninsured, for the same was $960. I now have insurance but have not had a shot yet.

Don

Break60
Veteran Member


Date Joined Jun 2013
Total Posts : 1830
   Posted 2/4/2014 3:39 PM (GMT -6)   
Mel:

From what I've read, your cost with medicare and a medicare supplement plan would be zero. I've had four surgeries in last 16 months including open three orthopedic surgeries and many MRIs and PT sessions and the only thing I have paid is the $147 part B annual deductible for medicare. Of course I pay monthly medicare and medicare supplement premiums. But I'm very happy with my coverages.

Bob

Casper319
Veteran Member


Date Joined Apr 2011
Total Posts : 771
   Posted 2/5/2014 12:18 AM (GMT -6)   
I get the 6 month eligard shot which comes up on the bill as around $1600....I pay $12 for the office visit.
Age:53 Diagnosed: April 2011, Age 50
Original PSA Level 92......Gleason: 9
Treatment: IMRT.... 2 Aug, 2011, 45 sessions
Lupron depot 30MG....3 years (started 13 July)
Now on Eligard every 6 months
PSA: May 2013...381, started Zytiga
Confirmed Bones Mets widespread...current treatment Zytiga/pred and HT
PSA down to 1.5 ...enrolled in Xofigo treatment...had first infusion 19 Sept

Carlos
Regular Member


Date Joined Nov 2009
Total Posts : 486
   Posted 2/5/2014 6:48 AM (GMT -6)   
Mel, My office visit similar to yours was fully covered by Medicare Part B. Medicare usually covers all costs for meds administered in the docs office as well as all lab costs.

Carlos
PCa History and PSA Chart

Chart showing Recent PSA Trend
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