Table 1. Assignment of Costs (Mid Atlantic Medicare Reimbursements)

 

Item

Cost

New patient visit (dermatology, oncology, surgery)*

 

Level 3

$189.00

Level 4

$280.00

Level 5

$375.00

Follow-up visit (dermatology, oncology, surgery)*

 

Level 3

$93.00

Level 4

$155.00

Level 5

$248.00

Visit added facility fee

 

Level 3

$74l.80

Level 4

$82.30

Level 5

$127.20

Procedures

 

Skin biopsy primary melanoma (by dermatology)

$200.00

Wide-margin excision of skin melanoma (average)

$1,396.00

Surgical excision of skin lesion (total)

$7,149.92

Skin flap

$890.60

Skin graft

$1,246.80

Mohs micrographic surgery

$1,732,10

Office excision with HE sections

$1,271,30

Ambulatory surgical excision with frozen sections

$2214,85

SLN biopsy (total)

$2,536.98

LN dissection (average all patients)

$2,386.60

Needle biopsy of lesions (metastases) by interventional radiology (IR)

$2,700.00

Central line insertion by IR (TOTAL)

$3,000.00

Catheter access

$98.50

CVD chemotherapy (Total/1 cycle)

$1,967.10

Blood work (TOTAL)

(CBC $59, CMP $129, BMP $50, PT$43)

$223.00

ER level V visit

$1,200.00

Admission 7 days for neutropenic fever (Total)

$32,545.67

Level 2 room

$1,535.00/day

Level 3 room

$1,800.00/day

Radiology studies

 

PET (TOTAL)

$5,121.40

CXR

$80.00

CT

 

Brain

$1,410.20

Chest

$2,110.00

Abdomen

$1,973.00

Pelvis

$1,639.00

Neck

$1,463.00

MRI

 

Brain

$4,066.00

Neck

$2,353.00

Pathology reading

 

Punch biopsy of the skin and core biopsies**

$53.71

Excisional skin biopsy, SLN biopsy, and LN dissection

(last item may be x2 or x3 depending on how many cases submitted by surgeon)**

$75.78

Added x3 IHC stains**

$34.95 x3

Cytology FNA reading

 

Performing FNA

$110.00

Smear prep + FNA interp + cyto fill + prep + cyto block***

$140.16

Cyto gropi stain added***

$266.91

Radiation therapy (RT)

 

Whole brain (WBRT) 10-14 Treatments

$15,000.00

Palliative lung 10-14 T

$15,000.00

Lymph nodes (LN) 22-25 Tx

$26,000.00