Item

Cost

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

(30% closure, 50% flaps, 20% grafts)

$2,685.20

+$445.30 +$249.36

2. Initial systemic workup

$140.00

3. Workup and Tx for SLN $3,521.80 x 26.98%
   LN recurrence (systemic recurrences included in rate of distant metastases):
   34% SLN = 34% SLN x $3,521.80
   58.3% palpable = 58.3% x $4,039.75
   RT adjunctive chemotherapy to SLN = [0.7% x 34% + 9.7 x 58.3%] x $26,000.00

$950.18

$1,197.40
$2,355.20

$561.80

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 8.23%

(like Tx for primary lesion; no other visits): 8.23% x [$2,685.20 + $3,521.80]

$510.80

6. Workup and Tx for in-transit metastases 9.0%

(like Tx for physician no other visits) 9.0% x $8,775.20
+ 2 medium excisions
+ 2 surgical visits
+ (SLN) or TLND

$789.70

7. Workup and Tx for metastatic disease 30.37% x $116,294.18

$35,318.54

8. Surveillance (5 y)

$6,029.00

9. Patient time costs 233.9hr x 16.00$/hr

$3741.87

10. Terminal care costs 30.37% x 14,500.00

$4,403.65

Total

$59,377.20