Treatment FAQ

how much is breast cancer treatment without insurance

by Kyra Wilderman Published 2 years ago Updated 2 years ago
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More than 275,000 women in the U.S. will be diagnosed with breast cancer this year. The average treatment will cost anywhere between $20,000 and $100,000.Oct 22, 2020

Full Answer

How much does chemotherapy cost for breast cancer?

For example, women on a BreastCancer.org forum [ 1] report chemotherapy costs of $7,000-$40,000 per treatment. Depending on the individual case and the type and number of treatments needed, the total cost of breast cancer treatment, on average, can reach $100,000 -- or, in advanced cases, $300,000 or more.

How much does cancer treatment cost without health insurance?

Expenses for cancer treatment can reach six figures for people without health insurance. Eligible patients can get help from advocacy organizations. Many different kinds of help are available. Facing the pain and uncertainty of cancer is grueling. Facing it without health insurance can be downright brutal.

How can I deal with the costs of breast cancer treatment?

The best way to deal with the costs of breast cancer treatment is to address them head-on. Learn as much as you can about what expenses you'll have and plan carefully for them. That includes talking to your doctor about how much your treatments will cost.

Is breast cancer treatment covered by health insurance?

Breast cancer treatment typically is covered by health insurance, although some plans might not cover individual drugs or treatments. For patients not covered by health insurance, breast cancer treatment typically costs $15,000-$50,000 or more for a mastectomy or $17,000 to $35,000 or more for a lumpectomy followed by radiation.

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What is the average cost of chemotherapy for breast cancer?

Chemotherapy can cost about $10,000-$100,000 or more, depending on the drugs, the method of administration and the length or number of treatments. For example, women on a BreastCancer.org forum[1] report chemotherapy costs of $7,000-$40,000 per treatment.

What is the average cost of breast cancer surgery?

Table 2Average 0- to 12-month cost, by service per diagnosed patientCategory of serviceAverage allowed cost, $First 12-month total, %Total134,682Inpatient breast cancer surgery47626Outpatient breast cancer surgery11,6911447 more rows

Do you have to pay for breast cancer treatment?

Breast cancer treatment is expensive. These are the costs you may face after a diagnosis—with and without insurance coverage.

How much does a round of chemo cost without insurance?

Average chemotherapy cost If you don't have health insurance, you might pay between $10,000 to $200,000 or more. The total price of chemotherapy also depends on: Type of cancer. The type of cancer will determine what kind of chemo treatment you need.

How much does chemotherapy cost per session?

Expect to pay $650, not including doctor fee or drug fee, for one hour of chemotherapy IV infusion, and about an additional $160 for each additional hour of treatment, with the same drug or another drug. They charge about $780 for chemotherapy administration into the central nervous system, including a spinal puncture.

How much does the average cancer treatment cost?

At an average total of $150,000, cancer treatment costs are more than four times higher than treatment for other common health conditions.

How can I get free treatment for cancer?

Here are the top five institutes in India that offer free cancer treatment:Tata Memorial Hospital, Mumbai. ... The Regional Cancer Centre (RCC), Thiruvananthapuram. ... Cancer Aid and Research Foundation (CARF) ... Kidwai Memorial Institute of Oncology (KMIO), Bangalore. ... The Cancer Institute (WIA), Chennai.

How much is a lumpectomy cost?

For patients not covered by health insurance, a lumpectomy typically costs about $10,000-$20,000 or more.

How do you finance cancer treatment?

Look for grants. Cancer.net has a financial assistance page that will lead people to grants. CancerCare also offers financial assistance, and managecancer.org has links to resources that offer financial help.

Can you be denied chemotherapy?

Can you refuse chemotherapy? Yes. Your doctor presents what he or she feels are the most appropriate treatment options for your specific cancer type and stage while also considering your overall health, but you have the right to make final decisions regarding your care.

How much is a round of R chop?

The mean cost of standard-dose CHOP administered for 6 cycles equaled $3358. The mean cost of 6 cycles of rituximab equaled $17,225 (Table 2)....OutcomeCHOPR-CHOPCostsChemotherapyCHOP$3358$3358Rituximab$17,22510 more rows•Mar 8, 2005

What is the average cost of radiation treatment?

Multiple Factors Influence Cost The median cost for a course of radiation therapy per patient was $8600 (interquartile range [IQR], $7300 to $10300) for breast cancer, $9000 (IQR, $7500 to $11,100) for lung cancer, and $18,000 (IQR, $11,300 to $25,500) for prostate cancer.

How many women say the cost of breast cancer is more than they expected?

In one study, 1 in 3 women said the costs of care were more than they expected -- so much so that some avoided doctor visits. Even if they have good insurance, women with breast cancer find the costs can be front-loaded.

What is the best treatment for breast cancer?

It may include a combination of: Surgeries like lumpectomy, mastectomy, lymph node removal, and breast reconstruction. Radiation to kill cancer cells and shrink tumors.

What kind of cancer did one woman have?

The American Cancer Society looked at medical costs in a different way. In a case study, after one woman was diagnosed with stage I breast cancer, she had a lumpectomy and biopsy. Later, she had chemotherapy, radiation, daily hormone therapy pills, and regular visits to a primary care doctor and oncologists.

What to do when you have breast cancer?

Take Charge of Your Recovery. Breast cancer can come with a hefty price tag. Even when your doctor finds the cancer early, you could face a long road of surgery, radiation, chemotherapy, medications, doctor visits, and tests. And there may be expenses you never anticipated. In one study, 1 in 3 women said the costs of care were more ...

How much does a mental health therapist cost?

Mental health therapy can help you deal with the stresses of cancer treatment. In the U.S., fees per session usually range from $100-$200. Acupuncture can help relieve the nausea, fatigue, and other effects of chemo and radiation. Costs vary depending on where you live.

How long does it take for copays to pile up after breast cancer diagnosis?

Deductibles, co-pays, and co- insurance pile up in the first 2-3 months after diagnosis, before you hit your out-of-pocket maximum. The best way to deal with the costs of breast cancer treatment is to address them head-on. Learn as much as you can about what expenses you'll have and plan carefully for them.

How often do you need to see an oncologist after cancer treatment?

Even after treatment, you may need: Visits to an oncologist, every few months at first and then once a year after 5 years.

Can I be denied cancer treatment without insurance?

You cannot. However, without insurance, you will be charged 100% of the cost of treatment unless you take action. You can negotiate your bill with the hospital. Another option is to apply for charity care. By law, nonprofit hospitals must make charity care (aka indigent care) available to needy patients. Each hospital has its own eligibility rules.

How much does it cost to treat cancer without insurance?

People who have cancer can quickly amass six-figure medical bills. In 2018, AARP reported average cancer treatment costs of around $150,000.

What benefits are cancer patients entitled to?

The Department of Health and Human Services (HHS) keeps a list of healthcare and medical financial assistance programs. Many state agencies help people with healthcare and medical expenses.

What treatments can I receive?

Many drug manufacturers have patient assistance programs that provide medicine at low or no cost. Here are some cancer medications available through such programs:

The bottom line

The high cost of cancer treatment puts patients under serious financial strain. The good news is that there's no need to bear it alone. Many clinics, government programs, and cancer charities offer help and guidance.

How Much Does Cancer Treatment Without Insurance Cost?

Some cancer treatments are more expensive than others, but they almost always come with considerable fees. The cost of cancer can range depending on the stage and location of the disease. However, one study showed it can range from $71,300 to $239.400, depending on if the diagnosis is prostate cancer or acute myeloid leukemia.

What If I Get Cancer Without Insurance?

Having cancer without insurance can be risky. Below are some the main considerations you may face when deciding if you need supplemental cancer insurance to compliment your primary plan:

What Does Cancer Insurance Cover?

Aflac’s cancer insurance can help cover a wide variety of expenses that your primary insurance plan may not completely cover. Our supplemental cancer insurance offers benefits that can help with expenses from hospitalizations, surgeries, and radiation or chemotherapy treatments.

Why Cancer Insurance is Worth the Cost

The cost of a supplemental cancer insurance plan may be worth it because it can save you money long-term, if you are diagnosed with a covered cancer. It can be difficult to pay for cancer treatments completely out-of-pocket.

Aflac Cancer Insurance Can Help Pay for Your Cancer Treatment

We hope you never find yourself in a position where you have cancer and no form of supplemental insurance. Our cancer insurance plans can help you cover a variety of costs associated with covered cancer treatments, that your primary insurance may not cover.

How much does breast cancer cost?

For patients not covered by health insurance, breast cancer treatment typically costs $15,000-$50,000 or more for a mastectomy or $17,000 to $35,000 or more for a lumpectomy followed by radiation.

What is the out-of-pocket cost of breast cancer treatment?

Typical costs: For patients covered by health insurance, out-of-pocket costs for breast 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 easily reach the yearly out-of-pocket maximum. Breast cancer treatment typically is covered by ...

How long is herceptin for breast cancer?

Doc determined that it was Stage 1 (no lymph node intrusion) HER2+ (triple positive) breast cancer. Doc recommended 13 weeks of Herceptin ($13,000/week) and Taxol ($4000/week) concurrently, followed by 5 weeks of daily radiation. She's currently on 10 years of oral Tamoxifen. Basically the doc threw the book at her.

How much does it cost to have a mastectomy?

If a mastectomy is required, the patient might choose to get breast reconstruction. This typically costs $5,000-$15,000 or more per breast for implants or from $25,000-$50,000 or more per breast for "flap" techniques using tissue from the patient's own body.

What is the United Breast Cancer Foundation?

The United Breast Cancer Foundation offers grants [ 18] to help pay for treatment for qualifying patients, typically those with income below two and a half times the federal poverty level. Shopping for breast cancer treatment:

How much does a mammogram cost?

The American Society of Clinical Oncology offers guidelines for follow-up care that include doctor visits every three to six months for the first three years, and a mammogram, which costs about $100, every six to 12 months. Discounts:

Does Pennsylvania offer free cancer treatment?

Some state or regional programs offer free treatment. For example, the Commonwealth of Pennsylvania Breast and Cervical Cancer Prevention and Treatment Program offers free treatment [ 16] to uninsured or underinsured women living in Pennsylvania who meet income guidelines.

Why is cancer so expensive?

Cancer treatment is expensive. For patients without health insurance, those expenses can quickly spiral out of control. One reason is that uninsured patients are responsible for their own healthcare costs . A less obvious reason is that cancer patients are not billed equally for the same services. A new study from the University ...

Why are cancer patients not billed equally?

A less obvious reason is that cancer patients are not billed equally for the same services. A new study from the University of North Carolina at Chapel Hill shows that uninsured patients are charged substantially more than insured patients. As much as 43 times more in some cases.

How much is carboplatin for ovarian cancer?

Carboplatin is a drug used to treat ovarian cancer. Medicare patients were billed $26 per infusion. Uninsured patients were billed $1,124 for the same treatment. Researchers also evaluated what cancer patients paid to see a doctor.

What organizations provide information tailored to cancer patients?

Other organizations provide information tailored to cancer patients. Among them are the Cancer Financial Assistance Coalition and CancerCare. The National Cancer Institute has a searchable database of organizations that provide support to cancer patients.

Can insurance rescind after cancer diagnosis?

After a diagnosis, insurers could rescind coverage or impose annual or lifetime limits. These practices are outlawed by the ACA. It’s easier now for cancer patients to find insurance.”. Under the Affordable Care Act, almost everyone is required to have health insurance.

Can uninsured cancer patients feel sticker shock?

There’s no easy way for patients to do this. Uninsured cancer patients may feel sticker shock, but they lack bargaining power. “There are efforts underway to increase transparency in healthcare pricing,” Dusetzina continued.

Can you get cancer without insurance?

Uninsured Get Slammed with High Treatment Costs for Breast Cancer. Cancer patients without health insurance are charged significantly more for chemotherapy drugs and doctor visits than those with Medicare or other health insurance. Cancer treatment is expensive. For patients without health insurance, those expenses can quickly spiral out of control.

How old do you have to be to get a breast cancer screening?

Between 40 and 64 years of age for breast cancer screening. Between 21 and 64 years of age for cervical cancer screening. A smaller number of states extend similar benefits to both men and women dealing with malignancies affecting other body parts such as the prostate and colorectal organs.

What happens if you don't have health insurance?

What happens if you get cancer and do not have health insurance? Most patients can still get treatment but can run out of money in a hurry. Fortunately, the United States provides residents with a safety net.

What is the ACA?

The Affordable Care Act (ACA) guarantees your ability to get health insurance when you have cancer. The ACA requires that new enrollees receive coverage for any pre-existing health condition with no waiting periods.

How long does self pay insurance last?

Of course, the self-pay options are costly. Fortunately, legal residents of the U.S. only have to bear these high costs for a maximum of twelve months, and often the timing is much shorter. See the next section for timing issues surrounding the start dates for coverage.

What is 501c3 medical?

IRS Section 501 (c) (3) rules require non-profit hospitals and medical centers to meet several standards [I] Provide emergency services regardless of the person’s ability to pay. Offer non-emergency services to people with the ability to pay by themselves. Provide free or subsidized care to the indigent.

When does private health insurance end?

Individuals can buy private health insurance only during the annual open enrollment that begins on November 1 and ends on December 15. Coverage begins on January 1 st of the New Year.

Can cancer patients get Medicaid?

Many cancer patients can easily enroll in Medicaid any time during the year if they live in one of the 36 expansion states. The Affordable Care Act allows states to expand eligibility criteria to include low-income families (below 138% of the federal poverty level – $17,236 for an individual in 2020) who do not fit other narrowly defined groups (see below).

Is Flora from Cancer and Careers cancer free?

Flora was laid off by her employer mid-treatment, which she managed to complete. She has been cancer-free for more than a decade. That experience is a large part of why Flora now volunteers as a job coach at Cancer and Careers helping women reestablish themselves in the workplace.

Is Kathy Flora cancer free?

Sock has been cancer-free for five years as of August. Kathy Flora, 67, had a much different experience. She had a great job and benefits as an executive at a career development company. Flora was diagnosed with a less aggressive form of breast cancer and the majority of her costs were covered by her health insurance.

What happens if you don't have insurance?

So not having any insurance at all means you will be billed at a higher rate. If you simply can’t get insurance or you can’t afford the premiums and out-of-pocket costs, see if your hospital or cancer center has any kind of discount program for people without health insurance. If it doesn’t, there may be another hospital in your area that does.

What to do if you don't have health insurance?

If you don’t have health insurance, talk to the social worker or patient financial counselor at your hospital or cancer center.

What is a state subsidized health insurance plan?

Some states offer state-subsidized health insurance plans for low-income residents. Contact your state's Department of Insurance office for more information. Health insurance risk pools are special state programs that offer insurance to people who have pre-existing medical conditions.

Does Medicare cover breast cancer screening?

The program offers breast cancer screening to low-income, uninsured women. However, states have different age, income, and other requirements that women must meet to qualify for treatment through Medicaid. Medicare is a federal government program funded by the Social Security Administration. Medicare offers health insurance to people who meet ...

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