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

$10,333.00

3. Workup and Tx for SLN $3,521.80 x 60.4%
   LN recurrence (systemic recurrence included in rate of distant metastases):
   20.65% palpable = 20.65% x $4,039.75
   RT adjunctive chemotherapy to SLN = [9.7 x 120.65%] x $26,000.00

$2127.20

$834.20

$3,042.80

4. Workup and Tx for palpable LN = 4,039.75 x 39.6%
   LN recurrence (systemic recurrences included in rate of distant metastases)
   RT adjunctive chemotherapy to TLND

$1,599.70

5. Workup and treatment for LR 15.6%

(like treatment for primary lesion; no other visits): 15.6% x [$2,685.20 + $3,521.80]

$1,281.75

6. Workup and Tx for in-transit metastases 17%

(like Tx for primary lesion; no other visits) 17% x $8,775.20
+ 2 medium executions
+ 2 surgical visits
+ (SLN) or TLND

$1,491.80

7. Workup and Tx for metastatic disease 67.4% x $116,294.18

$78,382.28

8. Surveillance (5 y)

$55,043.00

$50,566.44

9. Patient time costs 447.6hr x 16.00$/hr

$7,161.60

10. Terminal care costs 67.4% x 14,500.00

$9,773.00

Total

$170,125.03