Item

Cost

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

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

$2,685.20

+$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):
   14% PALP = 14% x $4,039.75
   RT adjunctive chemotherapy to SLN = [9.7% x 114%] x $26,000.00

$3,521.80

$565.50

$2875.10

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

No palpable LN in III_A

5. Workup and treatment for LR 15.7%

(like treatment for primary lesion; no other visits): 15.7% x [$2,685.20 + $3,521.80]

$974.50

6. Workup and treatment for in-transit metastases 27%

(like treatment for physician; 0 other visits): 27% x $8,775.20
+ 2 medium excisions
+ 2 surgical visits
+ (SLN) or TLND

$2,369.30

7. W/u and Tx for metastatic disease 66.8% x $116,294.18

$77,684.51

8. Surveillance (5 y)

$42,525.84

9. Patient time costs 425.5hr x 16.00$/hr

$6,808.53

10. Terminal care costs 66.8% x $14,500.00

$9,686.00

Total

$150,637.81