Item

Cost

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

(40% closure, 45% flaps, 15% grafts)

$2,310.20

+$400.77 +$187.02

2.     Initial systemic workup

$140.00

3.     Workup and Tx for SLN
LN recurrence (systemic recurrence included in rate of distant metastases):
24% SLN = 24% x $3,521.80
45.5% PALP = 45.5% x $4,039.75
RT adjunctive chemotherapy to SLN = [0.7% x 24% + 9.7% x 45.5%] x $26,000.00

$845.20
$1,838.10
$317.20

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

NA

5.     Workup and Tx for LR 4.86%

(like Tx for primary lesion; no other visits): 4.86% [$2,685.20 + $3,521.80]

$301.60

6.     Workup and Tx for in-transit metastases 7.16%

(like Tx for primary lesion; no other visits) 7.16% x $8,775.20
+ 2 medium excisions
+ 2 surgical visits
+ (SLN) or TLND

$628.30

7.     Workup and Tx for metastatic disease: 12.49% x $116,294.18

$14,525.14

8.     Surveillance (5 y)

$5,794.00

9.     Patient time costs 147.47hr x 16.00$/hr

$2,359.47

10.   Terminal care costs 12.49% x 14,500.00

$1,811.05

Total

$29,619.94