Table 1. Assignment of Costs (Mid Atlantic Medicare Reimbursements)
Item |
Cost |
New patient visit (dermatology, oncology, surgery)* |
|
Level 3 |
$189.00 |
Level 4 |
$280.00 |
Level 5 |
$375.00 |
Follow-up visit (dermatology, oncology, surgery)* |
|
Level 3 |
$93.00 |
Level 4 |
$155.00 |
Level 5 |
$248.00 |
Visit added facility fee |
|
Level 3 |
$74l.80 |
Level 4 |
$82.30 |
Level 5 |
$127.20 |
Procedures |
|
Skin biopsy primary melanoma (by dermatology) |
$200.00 |
Wide-margin excision of skin melanoma (average) |
$1,396.00 |
Surgical excision of skin lesion (total) |
$7,149.92 |
Skin flap |
$890.60 |
Skin graft |
$1,246.80 |
Mohs micrographic surgery |
$1,732,10 |
Office excision with HE sections |
$1,271,30 |
Ambulatory surgical excision with frozen sections |
$2214,85 |
SLN biopsy (total) |
$2,536.98 |
LN dissection (average all patients) |
$2,386.60 |
Needle biopsy of lesions (metastases) by interventional radiology (IR) |
$2,700.00 |
Central line insertion by IR (TOTAL) |
$3,000.00 |
Catheter access |
$98.50 |
CVD chemotherapy (Total/1 cycle) |
$1,967.10 |
Blood work (TOTAL) (CBC $59, CMP $129, BMP $50, PT$43) |
$223.00 |
ER level V visit |
$1,200.00 |
Admission 7 days for neutropenic fever (Total) |
$32,545.67 |
Level 2 room |
$1,535.00/day |
Level 3 room |
$1,800.00/day |
Radiology studies |
|
PET (TOTAL) |
$5,121.40 |
CXR |
$80.00 |
CT |
|
Brain |
$1,410.20 |
Chest |
$2,110.00 |
Abdomen |
$1,973.00 |
Pelvis |
$1,639.00 |
Neck |
$1,463.00 |
MRI |
|
Brain |
$4,066.00 |
Neck |
$2,353.00 |
Pathology reading |
|
Punch biopsy of the skin and core biopsies** |
$53.71 |
Excisional skin biopsy, SLN biopsy, and LN dissection (last item may be x2 or x3 depending on how many cases submitted by surgeon)** |
$75.78 |
Added x3 IHC stains** |
$34.95 x3 |
Cytology FNA reading |
|
Performing FNA |
$110.00 |
Smear prep + FNA interp + cyto fill + prep + cyto block*** |
$140.16 |
Cyto gropi stain added*** |
$266.91 |
Radiation therapy (RT) |
|
Whole brain (WBRT) 10-14 Treatments |
$15,000.00 |
Palliative lung 10-14 T |
$15,000.00 |
Lymph nodes (LN) 22-25 Tx |
$26,000.00 |