Item

Cost

1.     Primary lesion Tx (biopsy, WLE, pathology, dermatology and surgery visits)

(60% closure, 35% flaps, 5% grafts)

$2,310.20

+$311.71 + $62.34

2.     Initial systemic workup

0

3.     Workup and Tx for SLN
LN recurrence (systemic recurrence included in rate of distant metastases):
2% SLN = 2% x $3,521.80
2% PALP = 2% x $4,039.75
RT adjunctive chemotherapy to SLN = (2% x 0.7% + 2% x 9.7) x $26,000.00

0

$248.00

$326.40
$50.44

4.     Workup and Tx for palpable LN
LN recurrence (systemic included in rate of distant metastases)
RT adjunctive chemotherapy to TLND

NA

5.     Workup and Tx for LR 0.45%

(like Tx for primary lesion; no other visits): 0.45% x [$2,685.20 + $3,521.80]

$27.90

6.     Workup and Tx for in-transit metastases

(like treatment for physician; no other visits)
1.59% x $8,775.20
including 2 medium excisions
2 surgical visits
SLN or TLND

$139.50

7.     Workup and Tx for metastatic disease 2.1% x $116,294.18

$2,442.18

8.     Surveillance (5 y)

$3,759.00

9.     Patient time costs 70.8hr x 16.00$/hr

$1,132.8

10.   Terminal care costs 2.1% x $14,500.00

$304.50

Total

$11,114.97