Item

Cost

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

(20% closure, 55% flaps, 25% grafts)

$2685.20

+$489.83 +$311.70

2. Initial systemic workup

$140.00

3. Workup and Tx for SLN:
   LN recurrence (systemic recurrence included in rate of distant metastases):
   53% SLN = 53% SLN x $3,521.80
   62% palpable = 62% x $4,039.75
   RT adjunctive chemotherapy to SLN = [0.7% x 53% + 9.7% x 62%] x $26,000.00

$1866.50
$2504.60

$925.20

4. W/u 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 13.2%

(like Tx for primary lesion; no other visits): 13.2% x [$2,685.20 + $3,521.80]

$819.30

6. Workup and Tx for in-transit metastases 8.95%

(like Tx for primary lesion; no other visits) 8.95% x $8,775.20
+ 2 medium excisions
+ 2 surgical visits
+ (SLN) or TLND

$785.40

7. Workup and Tx for metastatic disease 72% x $116,294.18

$83,731.80

8. Surveillance (5 y)

$6,678.00

9. Patient time costs 421.9hr x 16.00$/hr

$6,750.93

10. Terminal care costs 72% x 14,500.00

$10,440.00

Total

$118,128.46