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Cost of Testicular Cancer (in America)

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  • Cost of Testicular Cancer (in America)

    I thought there might be some of you out there who would like to know the costs associated with Testicular Cancer, so I have put together a complete list of all of my claims thus far. I am sure that costs vary widely from place to place, but I imagine this could still prove interesting to some. I have left most of it just as it is on my insurance report though I have shuffled a few things around and changed the descriptions so it might make a bit more sense.

    I should mention that I have had all of this done in the states of Idaho and Washington. Also, I have a high deductible plan through my employer, but they reimburse us for $4500 of the $5000 deductible. I have been very fortunate in that everything has been in network for me. All told, I have paid exactly $1000 of my own money for my entire cancer journey to date. Of course I am only speaking of medical needs.

    As for non medical costs, I have made two 700 mile round trip drives from north Idaho to Seattle. The first was for my consult, which required a night at a hotel for about $175, plus food. The second trip was for the surgery itself, where we spent the night before surgery and the night after discharge. My wife also spent one night in a hotel, but spent the other 3 nights in my room (she’s too good!). Those stays were also about $175 per day, plus food of course. We left our car at the hospital for the 5 days and that fee came to $50 or so.

    Regarding time off work, my employer has been extremely generous and covered all of my lost hours. Other than an hour or two each for all of the various appointments, I took a week for my orchiectomy, two days for my consult in Seattle, and four weeks for the RPLND itself. I could have returned to work after 3 weeks without too much hassle, but the extra week was nice just to be sure and to help with the mental side of it. I remember thinking I could manage going back at two weeks, but it would not have been very comfortable and I would have been too limited in my mobility to make it worthwhile. I’m very thankful I had the option to give it the full four weeks, even at six and seven weeks I have had intermittent pains and discomfort.

    Fortunately (for me anyway!) this will not help anyone curious about the costs of chemo. My main intent is to help those that might be considering traveling for a RPLND, and to share the other costs that maybe get forgotten. Many people I talk to in my daily life don’t seem to realize just how much goes into beating this, or any cancer for that matter, so my hope is that this can help shed some light on the big picture.

    Lastly, this is obviously an ongoing process and is not complete. It is current up to my discharge from the hospital for my RPLND. I had a follow up with my Urologist last week that hasn’t been billed yet, and I will have at least one more blood draw this year. That being said, here goes!
    Date Description Charges Network Savings Deductible Copay Coinsurance Insurance Paid
    3/15/2017 Family Dr. visit $137.00 $10.19 $0.00 $30.00 $0.00 $96.81
    3/16/2017 Urologist visit $279.00 $36.80 $0.00 $30.00 $0.00 $212.20
    3/16/2017 Ultrasound $372.00 $83.07 $288.93 $0.00 $0.00 $0.00
    3/16/2017 Ultrasound reading fee $104.00 $45.49 $58.51 $0.00 $0.00 $0.00
    3/16/2017 Chest X-Ray $195.00 $60.60 $134.40 $0.00 $0.00 $0.00
    3/16/2017 Chest X-Ray reading fee $35.00 $14.96 $20.04 $0.00 $0.00 $0.00
    3/16/2017 Abdomen/Pelvis CT $2,248.00 $506.38 $1,741.62 $0.00 $0.00 $0.00
    3/16/2017 Abdomen/Pelvis CT reading fee $289.00 $121.16 $167.84 $0.00 $0.00 $0.00
    3/16/2017 Pre Op Blood/Lab $32.80 $7.15 $25.65 $0.00 $0.00 $0.00
    3/16/2017 Pre Op Blood/Lab $40.00 $22.00 $18.00 $0.00 $0.00 $0.00
    3/16/2017 Pre Op Blood/Lab $42.20 $9.14 $33.06 $0.00 $0.00 $0.00
    3/16/2017 Pre Op Blood/Lab $43.50 $7.56 $35.94 $0.00 $0.00 $0.00
    3/16/2017 Pre Op Blood/Lab $51.50 $2.50 $49.00 $0.00 $0.00 $0.00
    3/16/2017 Pre Op Blood/Lab $55.10 $2.60 $52.50 $0.00 $0.00 $0.00
    3/16/2017 Pre Op Blood/Lab $55.10 $2.60 $52.50 $0.00 $0.00 $0.00
    3/16/2017 Pre Op Blood/Lab $55.43 $0.00 $55.43 $0.00 $0.00 $0.00
    3/16/2017 Pre Op Blood/Lab $63.15 $0.00 $63.15 $0.00 $0.00 $0.00
    3/20/2017 Orchiectomy Hospital fees $4,149.39 $2,383.00 $1,766.39 $0.00 $0.00 $0.00
    3/20/2017 Orchiectomy Anesthesia $824.00 $408.00 $416.00 $0.00 $0.00 $0.00
    3/20/2017 Orchiectomy Surgeon fees $1,156.00 $253.07 $21.04 $0.00 $176.38 $705.51
    3/20/2017 Pathology/Lab $720.00 $0.00 $0.00 $0.00 $144.00 $576.00
    3/20/2017 Pathology/Lab $516.00 $73.65 $0.00 $0.00 $66.77 $375.58
    3/20/2017 Pathology/Lab $172.00 $0.00 $0.00 $0.00 $0.00 $172.00
    3/23/2017 Chest CT $1,231.00 $329.53 $0.00 $0.00 $0.00 $901.47
    3/23/2017 Chest CT reading fee $201.00 $86.75 $0.00 $0.00 $22.85 $91.40
    3/27/2017 Post Op follow up with Urologist $177.00 $18.89 $0.00 $30.00 $0.00 $128.11
    4/13/2017 Post Op Blood/Lab $20.00 $11.00 $0.00 $0.00 $0.00 $9.00
    4/13/2017 Post Op Blood/Lab $51.50 $2.50 $0.00 $0.00 $0.00 $49.00
    4/13/2017 Post Op Blood/Lab $55.43 $0.00 $0.00 $0.00 $0.00 $55.43
    4/13/2017 Post Op Blood/Lab $63.15 $0.00 $0.00 $0.00 $0.00 $63.15
    4/27/2017 Pathology - Second look $267.10 $124.32 $0.00 $0.00 $0.00 $142.78
    5/2/2017 RPLND Consult with second Urologist $282.60 $66.07 $0.00 $0.00 $0.00 $216.53
    5/12/2017 Abdomen/Pelvis CT $2,248.00 $506.38 $0.00 $0.00 $0.00 $1,741.62
    5/12/2017 Abdomen/Pelvis CT reading fee $289.00 $121.16 $0.00 $0.00 $0.00 $167.84
    5/12/2017 Pre RPLND Blood/Lab $20.00 $11.00 $0.00 $0.00 $0.00 $9.00
    5/12/2017 Pre RPLND Blood/Lab $32.80 $7.15 $0.00 $0.00 $0.00 $25.65
    5/12/2017 Pre RPLND Blood/Lab $55.43 $0.00 $0.00 $0.00 $0.00 $55.43
    5/12/2017 Pre RPLND Blood/Lab $63.15 $0.00 $0.00 $0.00 $0.00 $63.15
    5/18/2017 RPLND Hospital fees $38,568.95 $17,699.67 $0.00 $0.00 $0.00 $20,869.28
    5/19/2017 RPLND Surgeon fees $3,785.60 $1,741.25 $0.00 $0.00 $0.00 $2,044.35
    5/19/2017 RPLND Surgeon fees $3,226.40 $2,353.20 $0.00 $0.00 $0.00 $873.20
    5/19/2017 RPLND Anesthesia $2,990.00 $2,196.95 $0.00 $0.00 $0.00 $793.05
    5/19/2017 RPLND Anesthesia $2,990.00 $2,196.95 $0.00 $0.00 $0.00 $793.05
    5/19/2017 Physicians $335.70 $153.98 $0.00 $0.00 $0.00 $181.72
    5/19/2017 Cardiology $199.50 $93.30 $0.00 $0.00 $0.00 $106.20
    5/19/2017 Pathology/Lab $266.00 $124.40 $0.00 $0.00 $0.00 $141.60
    5/19/2017 Pathology/Lab $266.00 $124.40 $0.00 $0.00 $0.00 $141.60
    5/19/2017 Pathology/Lab $266.00 $124.40 $0.00 $0.00 $0.00 $141.60
    5/19/2017 Pathology/Lab $121.00 $56.69 $0.00 $0.00 $0.00 $64.31
    5/19/2017 Pathology/Lab $121.00 $56.69 $0.00 $0.00 $0.00 $64.31
    5/20/2017 RPLND Anesthesia Injections $345.00 $162.90 $0.00 $0.00 $0.00 $182.10
    5/22/2017 RPLND Anesthesia Injections $345.00 $162.90 $0.00 $0.00 $0.00 $182.10
    Totals $70,518.48 $32,582.35 $5,000.00 $90.00 $410.00 $32,436.13
    Last edited by iamstaley; 07-07-17, 01:52 PM.

  • #2
    Those are in-line with what I saw for retail costs + insurance discount as a Minnesota resident with group employer insurance. I also had an RPLND. My out of pocket max is 3200/yr (family). But I have a wife, a 2.5 yr old, and a 3 month old so we pretty much hit the 3200/yr for the last 3 years even without my cancer treatment.

    IIRC retail cost on my 4xEP chemotherapy was something like $3,000/day all-in (meds, nurses, supplies, etc). So that is 20 days of chemo or ~$60,000. The 3 neulasta shots I got retailed for something like $3,000 each too. Seems like insurance gets a discount to about 2/3rds of retail or less on most things.

    The annoying costs will be with surveillance. The labs, scans, and DR appointments pretty much mean high costs for ~5 years after treatment.
    6/5/15: bHCG 27,AFP 8.66, LDH 361, 5.6cm lymph node - Stage IIC
    6/16/15: Left I/O 85% EC, 10% chorio, 5% yolk sac opinion 2 (mayo) 90% EC, 10% yolk sac
    7/7/15: bHCG 56, AFP 42, LDH 322
    7/13/15 - 9/18/15: 4xEP
    10/1/15: bloodwork normal, ct scan shows 2 lymph nodes 1.0cm
    10/26/15: 2nd opinion on CT results - lymph nodes normal. Surveillance!
    4/6/16: 1.7cm X 1.5cm lymph node found with markers normal.
    4/20/16: RPLND @ IU - teratoma only!
    9/18/2017 all clears up to this date!

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    • #3
      Yeah I was amazed to see the discounts that insurance received. Crazy how much that chemo costs, man are they proud of that stuff! Though of course there isn't a price too high for survival!

      I know what you mean about the annoying surveillance costs, it's been on my mind lately. My employer is moving across the country (I'm staying) so after next August I will be at the mercy of whatever insurance plan I end up on. Before TC I rarely used my medical each year lol. Good news at least is that my surveillance schedule sounds fairly minimal due to the lack of findings in my RPLND so fingers crossed that it isn't too bad.

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