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Cost of Chemo & Radiology Treatments

Jean T. Szabo
Posts: 193
Joined: Sep 2010

Do insurance companies pay for the Chemo and Radiology? Should I call them now to find out or after the Onc. appt.? What is the usual cost? What is the usual number of treatments? Reading the discussion board it sounds like 6 treatments is the norm. What terrible side effects..God Bless all going through this...with courage and persistence. Will see my Onc. doctor to talk about treatment options.

2Floridiansisters's picture
2Floridiansisters
Posts: 361
Joined: May 2010

I'm pretty sure the cost involved will vary from place to place, but I know each one of my chemo treatments were $6000.00 and I had 4 of them, my rads treatments are $3000.00 each, and I'm getting a total of 33. Quite expensive, isn't it? Yes call them and ask plenty of questions.

carriesoup's picture
carriesoup
Posts: 144
Joined: Sep 2010

my insurance covered everything. so glad i have excellent insurance! not sure what i would do without it! i know for each round of A/C, including blood work, therapeutic iv drugs and chemo, costs about 3,000$! (i only have to pay a 20$ co-pay) i have 4 rounds of that. then 12 rounds of Taxol. not sure the cost of radiation, yet. i have to do 5 days a week for 6 weeks of radiation.
keep your chin up! courage and persistence is so important!

*hugs*

carrie :)

Snowkitty's picture
Snowkitty
Posts: 295
Joined: Jun 2010

Oh my goodness! My chemos cost a little over 9,000 each (had 4 T/C). I can check on line what each thing costs. My rads aren't up there yet. Everything is so expensive. I have excellent insurance and it only costs me $15 co pay plus 500.00 deductible. I am keeping tract of everything they are paying and it's incredible.

Cindy

seof
Posts: 826
Joined: Jun 2007

Absolutely call your insurance company. They may not be able to tell you whether they will cover you until you and your Drs. have decided on the treatments, but I believe in being prepared and having as much information as possible. If your insurance won't cover all or part of your treatment, ask your Dr. about financial help, or go to the hospital's billing department to see if they have any financial aid resources. You could also go to your local American Cancer Society and ask them about resources for financial help. This stuff is too important and too expensive to try to do it on your own.

Take care, seof

carkris's picture
carkris
Posts: 4513
Joined: Aug 2009

I think my rads were 2k per day and I know the neulasdta shot was 14K each. I had two botox shots that I paid for and they were 640.00 dollars each. I did get reimbursed. Interesting the difference in cost.

Double Whammy's picture
Double Whammy
Posts: 2259
Joined: Jun 2010

For some reason, I haven't received an explanation of benefits from from my insurance since my first chemo, but it is fully covered by my insurance, as is the radiation. The EOB that I received for my first chemo was billed at $15,000 and the insurance paid $12,000 per their contract with the facility. The $3000 just disappears because of what they have negotiated in their contract. I about fainted, both at the amount billed and the amount paid. Since I haven't seen another EOB, I'm wondering if that was for all 4 rounds of chemo vs only 1. I had no co-pays for chemo, only when I see my oncologist.

Be sure to check with your insurance to know what any co-pays and deductibles to anticipate in addition to what is covered.

Ok, my Neulasta shots were $4K each. My copay $40. I have no idea what my insurance is contracted to pay of the $4K.

I was apalled to see how little the insurance paid for my partial mastectomy vs the amount billed because what was billed for that did not seem excessive to me (I think it was about $36,000 and included surgeon fees, anesthesia, nuclear medicine,and radiology). Then I got an EOB for my hysterectomy and my one-night hospital stay was billed at $90,000 (! this was NOT the surgeon's fees, OR, anesthesia, or anything - just a night in the hospital - or at least that's what it looked like) and the insurance paid only $3K of that and the rest is a wash. My co-pay was $250. I just don't get it. I don't get how the inflated charges are determined and how the insurance contracts work, but it is mind blowing - and I'm glad I'm covered.

Suzanne

Boppy_of_5's picture
Boppy_of_5
Posts: 1138
Joined: Apr 2010

I was blessed that my insurance paid really well. My chemo was about 14,000.00 per treatment 4 rounds of T/C. My rads were about 45000.00 for all 30. I cannot rem the cost of surgery and stuff that day. I am guessing it varies by where we live and how much we get in each dose on the chemo anyway. God Bless
(((Hugs))) Janice

DianeBC's picture
DianeBC
Posts: 3888
Joined: Jun 2009

Yes, contact your insurance before you have rad treatments. My rads oncologist's office contacted my insurance for me to make sure the treatments were covered, and, they were. I don't know what the cost was, but, someone kept throwing around $100,000 to $150,000. But, we paid nothing. I didn't have chemo, so, I don't know about that.

Diane

racergirl
Posts: 50
Joined: Oct 2010

Most Drs offices have a person or persons that work on billing the insurance companies, that is who you need to talk to. They know the ins and outs of the business and can generally give you a good idea of what will be billed to you. Good luch and best thoughts

cahjah75's picture
cahjah75
Posts: 2623
Joined: Jun 2010

your oncologist will talk about what chemo cocktail and then you'll meet with a radiology/oncologist re rads. I called my insurance company before I met with my onc to inquire about copays. I pay a copay for each chemo (I'm having 6 every 3 weeks) and I pay a copay for Neulasta shot the next day. I also go for blood labs the 2 weeks inbetween and have a nurse evaluation and pay a copay. My insurance covers rads differently. Some people have rads for 5 days/week for 6 weeks. My copay would not be for every day. You really should ask your insurance company so that you are prepared and not surprised.
{{hugs}} Char

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