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Topic: How much did your Neulasta shot cost?

Forum: Managing Side Effects of Breast Cancer and Its Treatment —

This is a place to discuss concerns, tips and strategies for all types of side effects from all types of medications and treatments, (chemo/rads/hormonal/targeted/pain meds/etc.

Posted on: Oct 19, 2008 02:50PM

Wink wrote:

I just got my explanation of benefits yesterday and my insurance was charged $9000 for the Neulasta shot that I received. I heard that it was ~$3000; $9000 is absolutely crazy Surprised!!!!!!!!! 

How much were you all billed for Neulasta?

Donna

Donna "There Are No Accidents" Dx 7/25/2008, IDC, 3cm, Stage IIA, Grade 3, 0/3 nodes, ER-/PR-, HER2-
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Oct 21, 2009 11:49AM kane744 wrote:

Ah yes, bc sisters.  This is why they'll NEVER find a cure.  Much too profitable the way it is.

Dx 9/26/2008, IDC, <1cm, Stage II, Grade 2, 0/14 nodes, ER-/PR-, HER2- Dx 5/2012, IDC, <1cm, Stage I, 0/1 nodes, ER-/PR-, HER2- Surgery 6/25/2012 Lymph node removal: Left, Sentinel; Mastectomy: Left; Prophylactic mastectomy: Right Chemotherapy 7/31/2012 Cytoxan (cyclophosphamide), Taxotere (docetaxel)
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Oct 21, 2009 11:50AM kane744 wrote:

Ah yes, bc sisters.  This is why they'll NEVER find a cure.  Much too profitable the way it is.

Dx 9/26/2008, IDC, <1cm, Stage II, Grade 2, 0/14 nodes, ER-/PR-, HER2- Dx 5/2012, IDC, <1cm, Stage I, 0/1 nodes, ER-/PR-, HER2- Surgery 6/25/2012 Lymph node removal: Left, Sentinel; Mastectomy: Left; Prophylactic mastectomy: Right Chemotherapy 7/31/2012 Cytoxan (cyclophosphamide), Taxotere (docetaxel)
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Oct 21, 2009 10:01PM crazy4carrots wrote:

I remember reading this thread last year after I had finished chemo, and being absolutely astounded at the high costs and great discrepancies in cost.  Now, having read an enormous amount about the current healthcare discussions taking place in the U.S. over the past several months, it's all becoming much clearer -- for-profit healthcare will always charge whatever the market will bear, and there are just too many opportunities for kickbacks, fraud and outright gouging.

I had 12 shots of neupogen between each tx, @$200/shot. That's $2,400 Cdn.  A visiting nurse gave me the first ones, then taught my DH to do it.  If I had lived alone, and wasn't able to do it myself, she would have come to my home every day to do it.  My supplemental insurance paid for the neupogen; the government paid for the visiting nurseSmile.

I believe neulasta costs around $2,500/shot here.  A major advantage (and cost-saving) of a single-payer system is in bulk purchasing, with no middlemen (hospitals, docs, insurance companies) taking their cut.  Think about it......

Cheers, Linda

The demagogue preaches doctrine he knows to be untrue to men he knows to be idiots. Dx 1/10/2008, ILC, 1cm, Stage I, Grade 3, 0/4 nodes, ER+/PR-, HER2-
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Oct 21, 2009 10:25PM LRM216 wrote:

Funny you should ask as today I just got my 19 page print out of all charges by onc since end of April. My Neulasta, which I had after all 8 of my chemo's (AC and then Taxotere) - each cost $6,435.00 but my ins (BC/BS) paid $2,455 for each and I was not responsible for the balance (thank God!), as my oncology center contracted with BC to accept what they paid.  Hope that helps.

Linda

Life isn't about waiting for the storm to end, it's about learning to dance in the rain ... Age 62 at diagnose Dx 2/23/2009, IDC, Right, 1cm, Stage IB, Grade 3, 0/1 nodes, ER-/PR-, HER2- (FISH) Surgery 3/7/2009 Lumpectomy: Right Chemotherapy 4/25/2009 Adriamycin (doxorubicin), Cytoxan (cyclophosphamide), Taxol (paclitaxel), Taxotere (docetaxel) Radiation Therapy 10/21/2009 Breast
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Oct 22, 2009 01:10PM concernedsis wrote:

Sis charged $5700 each for 4 shots during dose dense AC. Insurance coded wrong each time and denied until we called and said injectable and then said oh ok and paid.

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Oct 22, 2009 01:14PM - edited Oct 22, 2009 01:17PM by thepinkbirdie

does anyone know why it costs so much?

ok, i just went back and re-read some posts.  if the cost is relative to the research, then where does the money raised during October go to? 

thepinkbirdie.blogspot.com Dx 6/2/2009, IDC, 1cm, Stage I, Grade 2, 0/3 nodes, ER+/PR+, HER2-
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Oct 24, 2009 04:24AM Tirlie wrote:

I got Neupogen.It did not cost a dime.

There are so many things what you face when having bc. Our govx decied to get  free access to the best medical care. Still there are tears... and other things.

Tirlie, MD, Finland

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Oct 24, 2009 07:55AM charmd wrote:

My first Nuelasta was billed to me at 3000.00 after that the cost went down as I met my overall deductible of 5000.00  However, I had to order my shot through Caremark pharmacy and have it overnight delivered to my house.  My husband gave me the shots each time.  I could have done it myself if needed.  Knowing what I know now, I would advise checking with your insurance company about self ordering and administering the shots.  Also, when I checked with my insurance company I found out that if I went to my onc's office every week for my blood draw, I had to pay a $40.00 co pay.  However, if I went to Quest Diagnostics (an outside lab), I only paid $15 the first time and then nothing else because I had met my deductible by then.  Saving $40.00 a week over several months was worth it.  The insurance company wants to pay as little as possible, and my company (BCBS) had these sorts of arrangements set up to reduce costs, but I did have to call and ask and get instructions etc. 

I may have lost my hair and my tits, but I know that I am destined to be an old woman with no regrets. Dx 1/24/2009, IDC, 5cm, Stage IIIC, Grade 3, 9/17 nodes, ER+/PR+, HER2-
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Oct 27, 2009 03:08PM concernedsis wrote:

Some insurances will pay if your doc gives it and not at home - go figure!

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Oct 27, 2009 03:16PM jenn3 wrote:

I just pulled a statement and my charges were $10,970 for the Neulasta shot - I haven't gotten all of my EOB's yet, so I'm not sure exactly what insurance will pay.  Luckily for me all of the treatments, shot incl. are covered and I don't have to pay additional out of pocket fees.  The charges for these shots sure have a big range.  I wonder what the true cost of the medication would be w/o the padded fees?

Jenn - June 2009 IDC-TN, Stage III, 02/2011 Stage IV mets to the lungs & spine / Laugh until your belly hurts, then laugh some more...........
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Oct 27, 2009 03:23PM crazy4carrots wrote:

jenn, are you saying that $10,970 was  the cost of just ONE neulasta shot?  That's outrageousSurprised!  Who is raking in the dough???
The demagogue preaches doctrine he knows to be untrue to men he knows to be idiots. Dx 1/10/2008, ILC, 1cm, Stage I, Grade 3, 0/4 nodes, ER+/PR-, HER2-
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Oct 27, 2009 03:30PM - edited Oct 27, 2009 03:30PM by my3girls

I have to be honest....it's been over 2 years since I had my tx's...I just remember that my Neulasta shot was expensive...I believe over 2,500.00! I never paid a penny of it. My insurance company paid 100%. Not only that, but they mailed the shot in a Styrofoam cooler and I got it the day I needed it.  My girlfriend is a lab tech..so she stopped over the day after my chemo and gave the shot to me. Very convenient..and such a good friend!

Worry is for "shit"! Live, Laugh, Love! //unilateral mast//reconst. 2/4/08 Dx 3/6/2007, IDC, 3cm, Stage II, Grade 2, 0/22 nodes, ER+/PR+, HER2-
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Oct 27, 2009 03:57PM jenn3 wrote:

Yes, that's what the bill said.  I was shocked as well.....................

Jenn - June 2009 IDC-TN, Stage III, 02/2011 Stage IV mets to the lungs & spine / Laugh until your belly hurts, then laugh some more...........
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Mar 21, 2010 11:08AM tritonlab wrote:

11k in Cambridge, MA.  Dec 2009- March 2010.  I will get the actual pharmaceutical dealer price and post it here within the the next week.

Dx 10/10/2009, DCIS, 2cm, Stage II, 2/4 nodes, ER+/PR+, HER2-
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Apr 2, 2010 03:44PM annamari wrote:

My neulasta cost about $2675 and was paid for by suplimental health bennefits all I paid was the dispencing fee.  I gave the injection to myself 24 hrs after TCH treatment.  I think some companies must be overcharging.  I would complain to the drug companys and insurance as some of the amounts are way out of line.  this is in Canada and I thought everything was cheaper in USA.

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Apr 2, 2010 11:03PM Redbarb804 wrote:

I haven't started chemo yet, I'm still trying to decide whether to have lumpectomy or mastecomy, but I know I will be having chemo.  does everyone who has chemo get the neulasta shots?  I had no idea how much things cost

Dx 2/25/2010, IDC, 1cm, Stage IIA, Grade 3, 0/2 nodes, ER+/PR+, HER2-
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Apr 2, 2010 11:11PM Sugar77 wrote:

Redbarb - I'm not sure if all regimens need/get Neulasta.  I had Taxotere/Cytoxan and did get the Neulasta shot after each treatment because Taxotere really affects neutrophils.  I'm from Ontario, Canada and the cost was just under $3,000 per shot.  My work benefits plan covered the cost of it 100%.

Surgery 9/24/2009 Lumpectomy: Right Dx 10/27/2009, IDC, Right, <1cm, Stage IA, Grade 3, 0/2 nodes, ER-/PR-, HER2- Chemotherapy 12/6/2009 Cytoxan (cyclophosphamide), Taxotere (docetaxel) Dx 12/5/2019, IDC, Right, 3cm, Stage IIA, Grade 2, 0/3 nodes, ER+/PR+, HER2- Surgery 1/26/2020 Mastectomy: Left, Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Chemotherapy 4/2/2020 Cytoxan (cyclophosphamide), Taxotere (docetaxel) Radiation Therapy Whole-breast: Breast Hormonal Therapy Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)
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Apr 9, 2010 02:38PM HairSprayMom wrote:

I had the nulasta shot after every treatment as wekk. It cost $3000.00 for the shot and I had to watch them throw 1/2 of it away every time. My insurance did not cover it through my 1st 4 treatment in 2007, and then they added it onto their drug list. Cancer did 2 thing for me, #1 made me appreciate all I have every day and #2 it put me on the verge of bankruptcy (lost my house and am behind on ALL my bills, plus aquired thousands of dollars worth of New medical bills)! Oh well I guess being alive is better than having money...LOL XOXOXOXO

Regina

DX @37 Sep. 2007 Metaplastic Carcinoma Trip Neg Stage 3B (1&2cm tumor on chest wall) "Always remember CAN'T never could get anything done!" Dx 9/26/2007, 3cm, Stage IIIB, Grade 3, 0/5 nodes, ER-/PR-, HER2-
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Apr 9, 2010 03:49PM maltomlin wrote:

I had the neulasta shot after each chemo but don't know the cost as I live in UK and my treatment didn't cost me a penny.

I really don't know how you girls manage worrying about money in addition to BC.

Mal

Dx 5/2/2008, IDC, 3cm, Stage IIB, Grade 3, 3/24 nodes, ER+/PR+, HER2- Surgery 6/14/2008 Lumpectomy: Right Chemotherapy 7/20/2008 Ellence (epirubicin), Xeloda (capecitabine) Hormonal Therapy 12/28/2008 Femara (letrozole) Radiation Therapy 1/6/2009 Breast
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Apr 10, 2010 11:31AM knowledgeforpower wrote:

I did not have the Neulasta shot after my first round of AC.  I ended up in the hospital for 4 days on IV antibiotics to the tune of a $12,000 bill.  The next two times I had the shot and the cost was somewhere around $8,000 for EACH.  My 4th shot was $12,000........   Insurance covered the cost.  I received the shot in the oncology clinic.

Cathy Dx 1/16/2009, IDC, <1cm, Stage IB, Grade 3, 0/2 nodes, ER+/PR+, HER2-
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Apr 10, 2010 01:40PM crazy4carrots wrote:

knowlege -- Just curious..where did you receive your first 2 shots which cost $8K each?  With all the bad stories others have reported about battling with their insurance for coverage, I'm kind of surprised that your insurance wouldn't question a $4K difference for the same medication.  Makes you wonder what sort of backroom deals really exist between insurance and healthcare providers......hmmmm.
The demagogue preaches doctrine he knows to be untrue to men he knows to be idiots. Dx 1/10/2008, ILC, 1cm, Stage I, Grade 3, 0/4 nodes, ER+/PR-, HER2-
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Apr 10, 2010 10:18PM BossyRenee wrote:

My injections were 5992.00 a pop the day after. My co-pay was 30% each time until I met my annual max. Not charged for last two inj. Having cancer is definitely extremely expensive and hard on the pocketbook.

Dx 8/17/2009, IDC, 4cm, Stage IIA, Grade 3, 0/3 nodes, ER-/PR-, HER2-
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Apr 11, 2010 11:01AM fg2000 wrote:

Ouch. . .I was just informed by my oncologist that I will be getting the Neulasta shot after each chemo treatment to boost my immune system. Thank God the shots will be covered by my insurance. It is hard to fathom that one shot could possibly cost that much money.

I am curious to know how many of you suffered side effects after taking the shot. . .

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Apr 11, 2010 12:54PM 1marmalade1 wrote:

Here in Ontario, the cost of the Neulasta ws $2,600 roughly - all covered.

I only had a reaction after the 1st shot - but I'm not sure if it was that or the Taxotere.  I had terrible bone pain (prescribed oxycodone, and it helped).  The next 3 shots -  I suffered no SE's at all.

Marm Dx 11/11/2009, IDC, 5cm, 0/5 nodes, ER+/PR-, HER2+
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Apr 12, 2010 11:25AM HairSprayMom wrote:

Bone pain is the main side effect. When your bones are forced to produce white blood cells it hurts dang it. I was prescribed Morphine Tabs (allergic to codine) and I also took 2 Zyrteck daily (the allergy med) for 5 days after my nulasta shot. My onc nurse told me something in it helps control the pain.

XO,

Regina

DX @37 Sep. 2007 Metaplastic Carcinoma Trip Neg Stage 3B (1&2cm tumor on chest wall) "Always remember CAN'T never could get anything done!" Dx 9/26/2007, 3cm, Stage IIIB, Grade 3, 0/5 nodes, ER-/PR-, HER2-
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Apr 20, 2010 06:04PM marcy4 wrote:

I had my shot today and it was $2644.00.  My insurance covers the total cost. I will get one shot the day after each chemo session. I am in Ontario.

Dx 1/6/2010, IDC, 4cm, Stage IIB, Grade 3, 3/15 nodes, ER+/PR+, HER2+
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Apr 25, 2010 04:59PM - edited Apr 25, 2010 05:01PM by fg2000

I got my first Neulasta shot yesterday. The nurse who administered it told me the shot costs about $6,000. As crazy as that sounds, she went on to say, without it, if I ended up in the hospital with an infection, the bill could actually run hundreds of thousands of dollars!

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Apr 26, 2010 07:34PM mom2acat wrote:

I had my first Neulasta injection at the hospital last Wednesday, I don't know yet what my cost will be.

My oncologist's main office is out of town; he comes to our town's specialty clinic on Tuesdays, which is why I have my injections at the hospital. When I had chemo in 2003, I had my Neupogen shots given at the hospital too.

Original dx stage II, May 2003; bone mets April 2007 Dx 4/8/2007, 5cm, Stage IV, Grade 2, 5/19 nodes, mets, ER+
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Apr 30, 2010 07:18PM KittyDog wrote:

I got my EOB's yesterday.  I new the shot was expensive and I am happy to say I only had to pay  $10.00.  The infussion center charged 7,500.00 for the shot and the insurance allowed 3,756.00.  So glad we have insurance that covered all these high bills.

4 rounds of AC, 3 rounds of Taxol, UMX 3-29-10, 34 rounds of radiation.finished 7-2-10, ooph & hysterectomy 10-25-10, tamoxifen, femara now on to arimidex, Lymphedema arm, trunk, legs and now my neck...grrr Dx 11/24/2009, IDC, 6cm+, Stage IIIB, Grade 2, 1/5 nodes, ER+/PR+, HER2-
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May 4, 2010 12:26AM 123Donna wrote:

I believe my insurance was billed $11,000 for each Neulasta shot.

Dx 6/09, IDC TNBC, 1.5 cm, Stage 1, Grade 3, 0/5 Nodes, ER-, PR-, HR-, BRCA -, Bilateral Mastectomy, Exchange surgery 11/09, Chemo T/C X 4 finished 9/09. Bisphosonate Trial S0307: Clodronate.

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