With Health Insurance: Copays + 10%-50% Coinsurance
Without Health Insurance: $2,000-$100,000+
Typical costs:
For patients with health insurance, out-of-pocket costs for cervical cancer treatment typically consist of doctor visit, lab and prescription drug copays as well as coinsurance of 10%-50% for surgery and other procedures, which can reach the yearly out-of-pocket maximum. Cervical cancer treatment typically is covered by health insurance, although some plans may not cover certain drugs or treatments.
For patients without health insurance, cervical cancer treatment cost can range from less than $2,000 for a procedure to remove pre-cancerous or cancerous cells from the cervix, to $100,000 or more for advanced cases in which the cancer has spread and surgery and chemotherapy are required.
For example, the cost for loop electrosurgical excision procedure (LEEP)[1] to remove precancerous, or sometimes cancerous cells, at NOVA Women's Health Care, in Virginia, costs $1,500 -- or $1,700 with deep sedation. Patients on a forum[2] at DailyStrength.com report costs ranging from $500 to $1,500. A hysterectomy, a surgery to remove the uterus which is sometimes recommended to treat cervical cancer, typically costs $10,000-$20,000 or more.
Chemotherapy often is combined with radiation for treating advanced cervical cancer. Chemotherapy typically costs $10,000-$200,000, depending on which drugs are used, how they are administered and the number of treatments required. A study[3] published in the journal Gynecologic Oncology reports that a commonly used treatment for cervical cancer, the chemotherapy drug Cisplatin combined with radiation, typically costs about $40,000 total, while adding the drug Gemcitabine increased the total cost to more than $60,000.
According to a study[4] on cervical cancer treatment costs by the Jacobs Institute of Women's Health, total cervical cancer treatment costs for Medicaid recipients, for the first six months after diagnosis, ranged from just under $4,000 to more than $45,000, depending on whether and how far the cancer had spread.
For precancerous changes to the cervix or for very early stage cervical cancer that is confined to the surface of the cervix, treatment typically involves removal of the abnormal cells with either loop electrosurgical excision procedure (LEEP)[5] , laser ablation, cryotherapy or cold knife conization[6] , a procedure in which the doctor removes a cone-shaped piece of tissue from the cervix and cervical canal and a pathologist checks for cancer cells. LEEP typically is done in a doctor's office using local anesthesia, and the other procedures usually are done in a hospital with general anesthesia.
In some cases, especially when the cancer is confined to just the cervix or the cervix and the upper part of the vagina, a hysterectomy might be recommended. This could be a total hysterectomy[7] or a radical hysterectomy[8] . In some cases, the fallopian tubes, ovaries and possibly some nearby lymph nodes might also be removed. If a woman has very early stage cervical cancer and wants to have children in the future, a radical trachelectomy[9] , in which the cervix and part of the vagina are removed, might be recommended as an alternative.
Radiation therapy might be recommended for any stage of cervical cancer -- often in combination with surgery and/or chemotherapy. Chemotherapy often is used to treat cervical cancer that has spread, especially to distant parts of the body. The chemotherapy medication[10] most commonly used to treat cervical cancer is Cisplatin[11] .
The American Society of Clinical Oncology offers a guide to cervical cancer[12] diagnosis, staging and treatment.
Additional costs:
Patients will need regular follow-up[13] doctor visits and Pap tests, which typically cost $25-$60.
Discounts:
Many hospitals give discounts of up to 30% or more to uninsured/cash-paying patients. For example, Washington Hospital Healthcare System[14] in California offers a 35% discount.
Some states offer free treatment for qualifying patients. For example, the Commonwealth of Pennsylvania Breast and Cervical Cancer Prevention and Treatment Program offers free treatment[15] to uninsured or underinsured women living in Pennsylvania who meet income guidelines. And the Illinois Breast and Cervical Cancer Program offers free treatment[16] to uninsured women aged 35-64 (or, in some cases, younger) who live in Illinois.
The Cancer Financial Assistance Coalition offers a financial assistance locator[17] by zip code or state.
Shopping for cervical cancer treatment:
The American Society of Clinical Oncology has a guide[18] to managing the costs of cancer care.
The American Society of Clinical Oncology offers an oncologist locator[19] by state. The National Cancer Institute has a search tool[20] for NCI-designated cancer centers.
WebMD offers a guide to types of cancer specialists[21] , and the National Cancer Institute offers a guide[22] to finding a doctor or cancer treatment facility.
ClinicalTrials.gov offers a list of clinical trials for cervical cancer[23] .
Material on this page is for informational purposes only and should not be construed as medical advice. Always consult your physician or pharmacist regarding medications or medical procedures.
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Before surgery the amount quoted for the procedure was $2800. However. The bill was for $10000. Am waiting to see what my insurance will cover. And will make calls to find out why the outrageous price difference
Without insurance the procedure would have cost about $1,000. My insurance isn't great, but it still came to only $45. The procedure was performed without anesthesia.
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