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Medical Forum / Diseases and Disorders / Prostate Cancer / September 2004

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Prostate IMRT cost

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Ajay Kapur - 11 Sep 2004 02:26 GMT
I would greatly appreciate any feedback wrt how much prostate IMRT
costs.  This is for my father who has recently been diagnosed with
prostate cancer and has been advised to undergo prostate IMRT
radiation treatment. However as he lives abroad, he does not have
medical insurance for coverage in the US.

Thank you very much for any help on this.

Ajay Kapur
Alan Meyer - 13 Sep 2004 22:18 GMT
> I would greatly appreciate any feedback wrt how much prostate IMRT
> costs.  This is for my father who has recently been diagnosed with
[quoted text clipped - 5 lines]
>
> Ajay Kapur

I can't help you with cost information because my treatment
was entirely free.  I paid nothing for tests, drugs, radiation or
follow up care.  I didn't even pay for parking.

The way I got all this for free was by participating in a
clinical trial at the National Cancer Institute.  My treatment,
which I believe was state of the art, was paid for by research
funds.  Neither I nor my insurance company paid one cent.

If cost is a problem, or even if it's not, you might investigate
clinical trials.  See: http://www.cancer.gov/search/clinicaltrials/

   Alan
Dave P - 14 Sep 2004 19:50 GMT
My bill was close to $100,000 for 40 treatments of IMRT. Thats alot of money
for lying beneath a sun lamp for 5 minutes for 40 sessions.

I couldnt believe it when I received the bill. Insurance covered 95% of it.

I was lucky.

Put the 100k on top of the 15k plus for the RP.

Dave P

> > I would greatly appreciate any feedback wrt how much prostate IMRT
> > costs.  This is for my father who has recently been diagnosed with
[quoted text clipped - 19 lines]
>
>     Alan
CDS in TX - 18 Sep 2004 01:06 GMT
My 42 IMRT treatments at MD Anderson in Houston between Nov 03 and Jan 04
was in the $60k+ range plus the doctor's charges. Of course, Medicare only
paid a fraction of those costs.
--CDS in TX

> My bill was close to $100,000 for 40 treatments of IMRT. Thats alot of money
> for lying beneath a sun lamp for 5 minutes for 40 sessions.
[quoted text clipped - 30 lines]
> >
> >     Alan
Alan Meyer - 20 Sep 2004 22:19 GMT
> My bill was close to $100,000 for 40 treatments of IMRT. Thats alot of money
> for lying beneath a sun lamp for 5 minutes for 40 sessions.
> ...

I presume there is other stuff in that grossly inflated
bill besides the actual treatment, but it's interesting
to calculate the per minute and per/hour charges.

At 5 minutes per session x 40 sessions = 200 minutes
= $500/minute = $30,000/hour.

The two technicians who actually did the treatment
(sometimes there was only one treating me) probably
got paid no more than $50/hour.

   Alan
Olfart - 20 Sep 2004 23:23 GMT
> > My bill was close to $100,000 for 40 treatments of IMRT. Thats alot of
> money
[quoted text clipped - 13 lines]
>
>     Alan

Mine was around $ 100,000 for 42 treatments, however Medicare paid alot less
than was actually billed since they have a prearranged agreement of costs
with the provider. I had no out of pocket expense except the gas to drive
the 20 miles and back.
You have to also consider the cost of the 'sunlamp", the cost of the
building where it's located, the cost of machine maintenace, initial mapping
scans and setup and weekly xrays and Doctors exams. I have no idea what a
"fair" cost should be, but it does vary alot depending on a person's
insurance coverage or lack thereof.
By the way - still having some side effects, mainly inflammation of the
intestinal tract and colon even though my treatments ended 3 months ago.
That coupled with Hormone Blocker therapy can be annoying at times although
there is a sloooow improvement each day.
George
Age - 69
8/12/02 - PSA 3.7
10/13/03 - PSA 4.69
11/11/03 - PSA 4.8
11/18/03 - Biopsy - 10 cores
one core-25% of core-Gleason 4+4=8
all other cores benign tissue
12/10/03 - Consult - Oncologist MD
12/16/03 - Consult - Radiation Oncologist
Treatment Plan - Northeast Ga Cancer Center
HT - started 12/17/03 - Eulixen & Lupron (2nd 4 mo Lupron-4/26)
2/10/04 - Started - Flowmax and Megastrol
Radiation - IMRT to begin 3/30/04 - 42 treatments - Completed 6/8/04
8/30/04 - 1 yr Viadur Implant instead of 4mo Lupron
Bill Denton - 14 Sep 2004 15:11 GMT
"how much prostate IMRT costs[?]"

I thought someone w/ more info on this than I would respond but I'll
go ahead and say that somewhere along the line I heard that IMRT was
much more expensive than plain ole 3D RT. The figures in my head are
$40,000-ish USD for the latter and $70,000 for the former. Both
figures were shocking to me.

Bill Denton
RP 2/12/02
Memphis
 
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