Item

Cost

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

(15% closure, 60% flaps, 25% grafts)

$2,685.20

+$534.36 +$311.70

2. Initial systemic workup

$13,836.00

3. Workup and treatment for SLN $3,521.8 x 32.8% =
   LN recurrence (systemic recurrence included in rate of distant metastases):
   28% PALP = 28% x $4,039.75
   RT adjunctive chemotherapy to SLN = [9.7 x 128%] x $26,000

$1,155.10

$1,131.10

$3,228.20

4. Workup and treatment for palpable LN: $4,039.75 x 67.2%
   LN recurrence (systemic recurrence included in rate of distant metastases)
   28% x $4,039.75 = $1,131.10
   RT adjunctive chemotherapy to TLND

$2,714.70

5. Workup and Tx for LR 15.6%

(like treatment for primary lesion; no other visits) 15.6%

15.6% x [$2,685.2 + $3,521.8]

$1,737.90

6. Workup and treatment for in-transit metastases 12.9%

(like treatment for physician no other visits) 12.9% x $8,775.20
+ 2 medium excisions
+ 2 surgical visits
+ (SLN) or TLND

$1,132.00

7. Workup and Tx for metastatic disease: 76.7% x $116,294.18

$89,197.64

8. Surveillance (5 y)

$50,566.44

9. Patient time costs 471.4hr x 16.00$/hr

$7,542.93

10. Terminal care costs 76.7% x 14,500.00

$11,121.50

Total

$186,894.77