Item

Cost

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

(50% closure, 40% flaps, 10% grafts)

$2,310.20

+$356.24 +$124.68

2. Initial systemic workup

$140.00

3. Workup and Tx for SLN
   LN recurrence (systemic recurrence included in rate of distant metastases):
   9% SLN = 9% x $3,521.80
   18.2% PALP = 18.2% x $4,039.75
   RT adjuvant to SLN = [0.7% x 9% +9.7% x 18.2%] x $26,000.00

$3,521.80

$317.00

$735.20

$622.80

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 1.48%

(like Tx for primary lesion; no other visits): 1.48% x [$2,685.20 + $3,521.80]

$91.86

6. Workup and Tx for in-transit metastases 3.16%

like Tx for physician (other visits) 3.16% x $8,775.20
+ 2 medium excisions
+ 2 surgical visits
+ (SLN) or TLND

$277.30

7. Workup and Tx for metastatic disease 6.52% x $116,294.18

$7582.38

8. Surveillance (5 y)

$5,166.00

9. Patient time costs 110.33hr x 16.00$/hr

$1,765.33

10. Terminal care costs 6.52% x $14,500.00

$945.40

Total

$20,294.39