Cost of Treatment

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Izzyblizzy
Regular Member


Date Joined Oct 2006
Total Posts : 411
   Posted 5/28/2007 8:33 PM (GMT -6)   
Hi all,
 
Was on our insurance site today and looks like all the claims have been submitted so decided to add up the cost of our treatment (da vinci).  Actually turns out less than we were originally expecting.
 
Hope others will add what their costs were for their treatment (radiation, proton beam, open sugery, etc.)  or estimates, since I am sure it is hard to remember exactly if it wasn't recent.  Hopefully it would help newbies on what to generally expect financially.
 
Pre-Surgery Consults/Office Visits
     Charged:   $940
     Our Cost:  $80
Da Vinci Procedure & Anesthesia
       
Charged:  $6,170
      Our Cost: $735
Labs/Path
       
Charged:  $650
      Our Cost: $90
Hospital Charges
       
Charged:   $38,790 (for one night!!!!)
      Our Cost:  $1,150 (includes $1,000 deductible)

TOTAL:  Charged:   $46,550
            Our Cost:  $2,055     

Note:  For reference, our insurance is 80/20 with $1,000 deductible ($20 copay for office visits).  The "charged" amount is what was submitted to insurance, but most amounts were then reduced by in-network contract limits.

 


Age: 63
Diagnosed: 10/30/06
PSA: 3.7 (2005: 3.4, 2004: 4.0)
Biopsy: 1/10 cancerous, 5% of one core, right apex.
Gleason: 3+3=6
Da Vinci: April 10, 2007, Denver CO
Path results: 1% of prostate involved. Very small tumors on both right and left apex. Negative margins, negative seminal vessicles, lymph nodes left intact. Gleason upgraded 3+4=7.
1st PSA Results: May 11, 2007 <.01
 


lifeguyd
Veteran Member


Date Joined Jul 2006
Total Posts : 677
   Posted 5/28/2007 10:06 PM (GMT -6)   

 

 

Hi Izzy

Good topic....

Medical costs and medical billing is a sore subject with me.  Don't get me started. ok..you already did.. I firmly believe that it is the honorable  duty of all of citizens of the world to give everyone equal access to medical treatment.  Medical access should not be reserved just for the rich or the insured.

I am on medicare and that comes closer to equal access than anything  we have come up with so far in the USA.  We need to expand that to each and every citizen. Then we need to take the "bs" out of it.

We have a disfunctional insurance system that becomes obvious when we see insurance bills.

My medical providers (doctors,hospitals,labs techs, etc)  billed approximately .. $88,334.00... for my prostate cancer treatment and diagnosis.(I might have missed something) They were "allowed" a smaller fraction of that amount and I was asked to pay less than $1000 in addition to my $8300.00 in annual insurance premiums.

I encourage all of you to become proactive and contact your congressmen to let them know we need a better way of providing medical care and pharmaceuticals to everyone.

Have an ok memorial day holiday..

bill


 
Biopsy 10/16/06
T2A,  PSA 4.7
Gleason 4+4=8 right side
adrenocarcinoma of prostate
DaVinci Surgery 01/16/07
Post op report,confirms Gleason4+4=8
no extra extension/invasion identified
age 65
Back on the golf course...
90 day PSA  less than 0.01 (undetectable)
 
 


El Tigre
Regular Member


Date Joined May 2007
Total Posts : 58
   Posted 5/29/2007 12:25 AM (GMT -6)   
I am with Bill on this one. (except I can't imagine the Gov. running any efficient, fair program)

I spent around 4k for the surgery. I think I told Biker 8k the other day in chat. My wife corrected me. Of course that doesn't count the 6k a year BCBS insurance premium or the $500 deductible or 20 dollar copay or the drugs they don't cover.
I sure do wish I had found this site pre-surgery!! RRP 10/25/05 I don't remember all the scores. Have had clean checks ever since. Never had to use the pads!!


pcdave
Regular Member


Date Joined Oct 2006
Total Posts : 444
   Posted 5/29/2007 5:38 AM (GMT -6)   
Hi Folks

I feel very lucky to be on Medicare because they are covering 80% of the cost of my proton radiation treatments and my supplemental AARP insurance is covering the remaining 20%. You may find this as shocking as I did, but the total cost of my treatments is projected at more than $125,000 based on the bill summaries I have received to date. I know that many private insurers will not cover the cost of proton treatments. The reason the proton treatments are so expensive is that the cost of building a new proton center is $125 million or more. Proton is used for many types of cancers, not just prostate cancer. Where I was treated, many children with brain and other cancers were being treated with proton therapy because it is a safer and more tolerable treatment for their young bodies. Hopefully the cost of this form of treatment will go down to a more reasonable level in the future as more and more proton centers are being opened in the US.

Dave
68, 29-core biopsy 9/27/06, PSA 7.1, Stage T1c, Gleason 7 (3+4) [less than 20% in one area],  Gleason 6 [less than 5% in two other areas], negative DRE, bone scan and Endorectal MRI. Completed 39 Proton radiation treatments 2/22/07-4/18/07.
First PSA test to be taken 7/07.


daveed
Regular Member


Date Joined Jul 2006
Total Posts : 172
   Posted 5/29/2007 7:17 AM (GMT -6)   

Good topic

My insurance is thru my wifes employer. We have United Health Care. The operation and related vists were billed out at around $48,000. Don't know how they do this but they negotiated a settlement of $28,000. My cost was $100.00. Which I was extremely suprised knowing Uniteds profits. In 05 they reported 2 billion in net profit. That's right NET. In 06 they reported 3 billion in net profits. With those kinds of profits it seems they would be denying a whole lot of claims. I asked the pharmacy what the retail cost is for the 16 Levitra pills I get a month and they quoted $120.00. I pay $60, so it seems united picks up some of the cost.


Diagnosed March 06
PSA 4.4
Two biopsies. One core of each 5% cancer, two suspicious
Gleason 3+3=6
DaVinci surgery Nov 1, 06
Cancer confined to prostate
Ist PSA 6 weeks post op less than 0.02
2nd PSA 4 months undetectable
Next PSA end of June


Izzyblizzy
Regular Member


Date Joined Oct 2006
Total Posts : 411
   Posted 5/29/2007 10:47 AM (GMT -6)   
Hi Daveed,
 
We have UnitedHealthCare too.  But obviously a different plan!  Do you have a deductible? or was that already fulfilled for the year when you had surgery?  Anyway $100 is great!
 
Strange enough ours covers viagra, etc. without a "limit" on number per month (I don't know if this is because of our plan, or the state we live in or what??).  I thought we had paid $20 for 30 days, but when I was checking online it said $30 for 30 pills of Viagra and $30 for 20 pills of Cialis.  We don't use Levitra, but when I looked that up on our plan, it also said $30 for 30 pills.
 
I also noticed they have a "MyRx Choices" thing on the myuhc.com website where you can order 90 day supplies by mail via medco (hadn't really looked into that before).  It looks like for us it is $60 for 90 pills of any of those which is a VERY good deal!! Since it looks like this is going to be a long-term thingy :), I think next time we go to doctor will ask for a 90 day prescription and try the Medco route. 
 
Tanya
 
 
 
 
Age: 63
Diagnosed: 10/30/06
PSA: 3.7 (2005: 3.4, 2004: 4.0)
Biopsy: 1/10 cancerous, 5% of one core, right apex.
Gleason: 3+3=6
Da Vinci: April 10, 2007, Denver CO
Path results: 1% of prostate involved. Very small tumors on both right and left apex. Negative margins, negative seminal vessicles, lymph nodes left intact. Gleason upgraded 3+4=7.
1st PSA Results: May 11, 2007 <.01
 


daveed
Regular Member


Date Joined Jul 2006
Total Posts : 172
   Posted 5/29/2007 11:57 AM (GMT -6)   

Tanya

Thanks for the info.

It must be different plans. My plan still considers ED meds as recreational not theraputic. I will check out the info you gave me. Thanks


Diagnosed March 06
PSA 4.4
Two biopsies. One core of each 5% cancer, two suspicious
Gleason 3+3=6
DaVinci surgery Nov 1, 06
Cancer confined to prostate
Ist PSA 6 weeks post op less than 0.02
2nd PSA 4 months undetectable
Next PSA end of June


peeweeaz
Regular Member


Date Joined Apr 2007
Total Posts : 27
   Posted 5/30/2007 8:25 AM (GMT -6)   
IzzyBlizzy,
 
Many thanks for providing the detailed costs of your significant
other's surgery. I agree with the others that this info will greatly benefit newbies on a tight budget and who may have to start looking for items in the budget to trim.
 
I had Brachytherapy on May 22 and my wife and I keep wondering what the eventual bottom line is going to be. My pre-therapy folder with BCBS benefit statements keeps getting thicker.   
 
I'm also with lifeguyd on our dysfunctional health care system.  I don't even want to get started on medical insurance or the lack thereof in this country or the quality of treatment depending on what insurance you may or may not have. I need to stop - my blood pressure keeps rising as I type.

tomagolfing
New Member


Date Joined May 2007
Total Posts : 5
   Posted 5/31/2007 4:56 PM (GMT -6)   
 If you are a united healthcare member they give excellent insight into how much medical costs are reimbursed. If you have no health insurance and face a hefty medical bill negotiate the cost with the hospital or your doctor if you are not able to pay the required fee.  In most cases you should be able to lower the costs as they will in most cases take a reduced amount.
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