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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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May 4, 2010 09:49PM crazy4carrots wrote:

I am so amazed that there is such a wide variation in costs and the amounts your various insurance carriers are willing to pay.  One would think that insurers would have some sort of communal "ballpark" figure for tx.  For example: why would Company A be okay with paying $11,000/neulasta shot while Company B only has to pay out half, or less than half, that amount?

What am I missing here?

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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May 5, 2010 02:28AM Mary-Lou wrote:

I remember I skipped that shot one time and had a different shot....Yep, hospital for 4 days. Leg pain for days and my back killed me.

Dx with bone mets July 15 2011 - Dx with Liver Mets July 31, 2014. Dx 9/20/2005, IDC, 6cm+, Grade 3, 4/4 nodes, ER+/PR+, HER2- Dx 7/31/2014, Stage IV Chemotherapy 12/26/2014 Abraxane (albumin-bound or nab-paclitaxel), Methotrexate (Amethopterin, Mexate, Folex), Taxol (paclitaxel), Taxotere (docetaxel), Xeloda (capecitabine)
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May 5, 2010 07:42PM crazy4carrots wrote:

Madalyn, I understand what you're saying about the different insurance agreements with various health providers -- BUT -- I'm still a bit befuddled!  Why would 123Donna's insurance company agree to pay $11,000 per neulasta shot when other insurers are paying far less?  Why would it continue to deal with that particular provider when it would surely know that other providers are charging less?  Or does the law of averages come into play? 

I know I'm at a disadvantage here because I'm used to single-payer, non-profit healthcare  (hmmm, some disadvantage eh?) where costs are the same across the board, so I have some difficulty in understanding all the ins and outs of the for-profit system  But any way you slice it, in the end some patients (or their employers) are apparently paying more than the fair market price.  This must surely be reflected in the cost of premiums....

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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May 5, 2010 07:53PM PauldingMom wrote:

Contact Cancer Care if you need financial help with Chemo. and Neulasta.

Remember the women on the Titanic who passed up the dessert cart. Erma Bombeck Dx 5/27/2009, IDC, 3cm, Stage IIA, Grade 3, 0/1 nodes, ER-/PR-, HER2-
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May 5, 2010 09:36PM MNLinda wrote:

www.cancercare.org.

My Neulasta was $12439.60 per shot, but the insurance company knocked it down to $2502.88 each time.

PILC + autoimmune disorder; DX at age 51, 6 TX neoadjuvant TAC 9/2009-1/2010; BMx 2/2010, 33 rads starting 4/2010, tamoxifen starting 6/2010, Zometa starting 10/2010, reconstruction starting 12/2011, Femara starting 6/2013...right arm lymphedema Chemotherapy 9/22/2009 Adriamycin (doxorubicin), Cytoxan (cyclophosphamide), Taxotere (docetaxel) Surgery 2/18/2010 Mastectomy: Left, Right Radiation Therapy 4/18/2010 Breast, Lymph nodes Hormonal Therapy 7/21/2010 Surgery 12/3/2011 Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Surgery 11/15/2012 Reconstruction (left); Reconstruction (right) Dx 5/28/2013, ILC, 6cm+, Stage IV, Grade 2, 0/10 nodes, mets, ER+/PR+, HER2- Hormonal Therapy 6/20/2013 Femara (letrozole)
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Dec 3, 2011 10:18AM HelenTheresa wrote:

I received my EOB for Neulasta. The charge for EACH of the 4 doses was $18,311.00.($73,244.00 total) The insurance paid $1,647.11 /dose. Thank heaven I am not responsible for the balance.
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Dec 3, 2011 04:59PM Racy wrote:

I haven't read this entire thread but the cost shown on my product box was about $1785 per shot. That's in Australia. I didn't pay a cent as it was prescribed in hospital and covered by some form of medical insurance. I have no idea why the cost for US ladies is so much higher.

Dx 2010, ILC, 2cm, Stage IIA, Grade 3, 0/22 nodes, ER+/PR+, HER2-
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Dec 3, 2011 05:11PM shaah2468 wrote:

Wow, I cannot believe the cost of these shots.  I am in UK and had my first shot yesterday for free on the NHS, National Health Service.

Dx 11/15/2008
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Feb 3, 2012 12:27AM tracyscorner wrote:

$ 18,000.00 dollar Nuelasta shot at Moffitt Cancer Center for Mantle Cell Lymphoma Chemo Treatment . She will have 8 of these over 4 mths. Oh well ,if it saves her life , who gives a damn....i'd sell my house and everything else i have  to save my tracy's life !

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Feb 9, 2012 02:27PM Blondvoyage1 wrote:

My onc pushed to give me a neupogen shot at $7,000. It was supposed to be 1 of 3, but bone pain from the first shot was so unbearable that pain meds didn't touch it. I felt like my back was broken, my ribs were broken and I had knives poking into my shoulder blades for 3 days! I refused to take anymore shots. My nutrition therapy (weekly Felice nutrition IVs and eating to boost WBC) works great, boosting neutrophils and WBC from low to high figures in just a few days. My onc said nutrition therapy doesn't work but I proved her wrong. Her own CBC test results don't lie.

Dx 7/24/2011, ILC, 2cm, Stage IIA, Grade 2, 1/12 nodes, ER+/PR+, HER2-
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Feb 9, 2012 02:44PM SuzieQToo wrote:

Wow! I'm in Canada.  Each Neulasta shot is $2500. 

Dx 9/27/2011, ILC, 3cm, Stage II, Grade 3, 0/7 nodes, ER+/PR+, HER2-
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Feb 9, 2012 02:55PM SuzieQToo wrote:

I only had one shot so far and it wasn't that bad. I had some bone pain in my legs and lower back for a couple of days but tylenol took care of it.

Dx 9/27/2011, ILC, 3cm, Stage II, Grade 3, 0/7 nodes, ER+/PR+, HER2-
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Feb 9, 2012 04:03PM jenlee wrote:

I know this is an old thread, but...

I'm working on my medical bills and am my head is rolling at the outrageous amounts on the medical bills.  My neulasta shots are $5492 each.

My insurance company has a contracted rate with a mailorder pharmacy, so the MO's office has to order it from them. 

Jenifer, completed TAC x 8 on 4/24/2012. Lumpectomy on 5/23/2012. BMX & immediate DIEH stage 1 on 6/5/2012 NOLA; stage 2 surgery 10/4/12 NOLA. Tamoxifen since 6/2012. Switched to Arimidex 9/2013. Dx 10/20/2011, IDC, 4cm, Stage IIA, Grade 2, 0/1 nodes, ER+/PR+, HER2-
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Feb 9, 2012 08:35PM momof3boys wrote:

My MO quoted $3500 per shot. Insurance is paying it 100%. Shot is given in oncologists office by nurse one day after chemo.

BMX w TE reconstruction 11/11/11, 4 TC, 3/12, 25 Rads 5/12 Tamoxifin 6/12, Prophalactic hysterectomy 12/18/12, Oncotype 16 Dx 10/14/2011, ILC, 4cm, Stage IIA, Grade 2, 0/1 nodes, ER+/PR+, HER2-
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Jun 3, 2012 11:59AM tomrocha wrote:

The phameceutical companies would like you to think the cost is to recover the cost of research and development but there is a very, very large element of B.S. in that statement. Any prior year expenses incurred in the development were written off in those years yet the companies' still prospered. Nor does that explanation explain why the companies' charge U.S. customers much higher amounts than overseas customers.

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Aug 19, 2012 09:33AM SoccerMama3 wrote:

I just started chemo on friday and had my first Neulasta shot yesterday...so far not feeling any side effects ...The cost in Ontario is $2650 per shot which fortunately insurance will cover. Amazing the differences in US and Canadian costs???? 

Dx 6/19/2012, IDC, 3cm, Stage IV, Grade 3, 5/26 nodes, mets, ER+/PR+, HER2- Surgery 7/8/2012 Lymph node removal: Left, Underarm/Axillary; Mastectomy: Left Chemotherapy 8/17/2012 Doxil (doxorubicin), Ellence (epirubicin), Fluorouracil (5-fluorouracil, 5-FU, Adrucil), Navelbine (vinorelbine), Taxol (paclitaxel), Taxotere (docetaxel), Xeloda (capecitabine) Hormonal Therapy Radiation Therapy Breast, Lymph nodes
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Sep 3, 2012 12:57PM - edited Feb 15, 2013 08:01PM by Cottontail

This Post was deleted by Cottontail.
oh these little earthquakes doesn’t take much to rip us into pieces Dx 3/27/2012, IDC, <1cm, Stage IA, Grade 2, 0/9 nodes, ER+/PR+, HER2- Chemotherapy 4/25/2012 Adriamycin (doxorubicin), Cytoxan (cyclophosphamide), Taxotere (docetaxel) Surgery 8/29/2012 Lumpectomy: Left; Lymph node removal: Left, Underarm/Axillary Radiation Therapy 10/1/2012 Breast, Lymph nodes Hormonal Therapy 11/25/2012
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Sep 6, 2012 05:43PM - edited Sep 6, 2012 05:43PM by cyano

Wow - some of these prices are crazy. The bill from the oncologist's office was $3600 for each shot, my insurance paid them $2200 and I've maxed out my copays so I don't pay anything.

Dx 4/2012, IDC, 1cm, Stage IA, Grade 1, 0/1 nodes, ER+/PR+, HER2- Surgery 5/25/2012 Lymph node removal: Left, Sentinel; Mastectomy: Left Chemotherapy 6/27/2012 Cytoxan (cyclophosphamide), Taxotere (docetaxel) Hormonal Therapy 10/3/2012 Surgery 8/27/2013 Prophylactic ovary removal
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Sep 6, 2012 06:15PM SweetCaroline2 wrote:

Cottontail- for those who don't have insurance, you can google the Neulasta website and apply to recieve FREE Neulasta from the company. I have insurance, but I complained bitterly about the $10,000 bill for my first Neulasta injection (after insurance adjustment, I paid $1500 for the shot) and my oncologists office applied to Neulasta for me and all of my following injections were FREE! I recieved something that looks like a credit card that I show the staff at the chemotherapy center. 

Dx 3/2/2012, ILC, 6cm+, Stage IIIA, Grade 2, 3/18 nodes, ER+/PR+, HER2- Chemotherapy 3/22/2012 Cytoxan (cyclophosphamide), Taxotere (docetaxel) Surgery 9/11/2012 Lymph node removal: Right; Mastectomy: Right; Reconstruction (right): Latissimus dorsi flap Radiation Therapy 12/19/2012 Breast Hormonal Therapy 2/1/2013 Arimidex (anastrozole), Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)
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Sep 7, 2012 11:08AM - edited Feb 15, 2013 07:56PM by Cottontail

This Post was deleted by Cottontail.
oh these little earthquakes doesn’t take much to rip us into pieces Dx 3/27/2012, IDC, <1cm, Stage IA, Grade 2, 0/9 nodes, ER+/PR+, HER2- Chemotherapy 4/25/2012 Adriamycin (doxorubicin), Cytoxan (cyclophosphamide), Taxotere (docetaxel) Surgery 8/29/2012 Lumpectomy: Left; Lymph node removal: Left, Underarm/Axillary Radiation Therapy 10/1/2012 Breast, Lymph nodes Hormonal Therapy 11/25/2012
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Jul 2, 2013 09:03PM cancerfamilytx wrote:

I know this thread is old but I had to comment on the cost of Neulasta as I see others continue to do so.  My wife just finished chemo and took the a Neulasta shot after each of 6 cycles.  We think it helped but blood counts were still erratic. Our insurance was billed at about $5,700 per shot but through the "negotiated” rates only paid $2,800.  What’s really amazing is there’s only 6mg (mg = milligrams) of medicine in each shot at that price!  If you do the math at $5,700 per 6mg that makes this stuff cost about $27 MILLION per ounce.  That’s outrageous, even if made from Unicorn tears and Fairy dust.   How much could it have really cost to research develop and manufacture?  TO put in prospective, a regular 12 oz 6-pack (pardon the comparison) would cost almost $2 Billion! I know they’ve made at least that much of the stuff through the years.

Offering to pay part of the cost also makes me suspicious too.

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Jul 2, 2013 09:43PM Moderators wrote:

Although not available with every medicine, there are many resources to help with the costs of BC medications. You can read more about these plans and organizations at the Tips to Lower Medicine Costs on the main Breastcancer.org site.

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To send a Private Message to the Mods: community.breastcancer.org/mem...
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Nov 2, 2013 10:20AM - edited Nov 2, 2013 10:24AM by Chemonurse

The reason you were billed the same is because Neulasta is a pre-filled single dose syringe. Sometimes the doctors will choose to lower your dose. So only part of a syringe is used. Due to it being a single dose, the remaining medication can not be reused and has to be discarded. When it is billed to the insurance we have to put your dose plus how much was wasted. So the total billed is always the same number of units.

Also in regards to cost, insurance only pays a certain % of medication regardless of what type of insurance. In order to break even, facilities must charge certain % higher so that insurances will reimburse the cost of the initial. I work in outpatient chemotherapy center. We do not make money on the medications. We make money on the administration. Very offer we actually lose money on the medication itself. With obamacare coming, I guarantee we will barely break even.

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Oct 14, 2015 01:05AM wckdredhead wrote:

In 2009, mine was billed at $10,000 a pop x 4!.

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Jul 14, 2016 09:06PM 7of9 wrote:

my hospital billed $18000 for a neulasta shot!!!! Cmon pharmaceutical company....that was my downpayment on my house!!! This is too screwed up for words. Yes, I think companies should make money for research but $18 grand a shot!?! I had four of these... Thats half my house...BS...it worked but what was in it, liquid gold? For that much it should cure the damn disease...so angry...

If you're going through hell, keep on going. You might get out before the devil even knows you're there. Dx 1/18/2012, IDC, Left, 2cm, Stage IIB, Grade 2, 0/2 nodes, ER+/PR+, HER2- Surgery 6/1/2012 Lymph node removal: Left; Mastectomy: Left, Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Surgery 11/1/2012 Reconstruction (left); Reconstruction (right) Dx 12/23/2015, IDC, Left, 2cm, Grade 2, 10/14 nodes, ER+/PR+, HER2- Surgery 1/19/2016 Lymph node removal: Left, Underarm/Axillary Surgery 1/19/2016 Prophylactic ovary removal Radiation Therapy 2/11/2016 Whole-breast: Breast, Lymph nodes, Chest wall Chemotherapy 4/1/2016 Taxotere (docetaxel) Hormonal Therapy Arimidex (anastrozole)
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Jul 14, 2016 09:13PM NancyHB wrote:

Four years ago my insurance company was billed $2,000 for each shot. I only know that because my copay was 10%. I had 10 shots, so I shelled out $2,000 just for the Neulasta. I haven't seen a bill for this round of Neulasta shots (only had 6, but used the auto-injector body button, which I loved) because it's covered at 100%. I can't comprehend how insurance companies can be billed so differently for the exact same medication.

"Be happy for this moment. This moment is your life." - Omar Khayyam Dx 11/22/2011, IDC, Left, 1cm, Grade 2, ER+/PR-, HER2- (FISH) Surgery 12/5/2011 Lumpectomy: Left; Lymph node removal: Sentinel Chemotherapy 1/19/2012 AC + T (Taxol) Radiation Therapy 6/12/2012 Whole-breast: Breast, Lymph nodes Dx 1/27/2016, IDC, Left, 1cm, Grade 3, 0/4 nodes, ER-/PR-, HER2- Surgery 2/15/2016 Lumpectomy; Lymph node removal: Left Chemotherapy 3/1/2016 Cytoxan (cyclophosphamide), Taxotere (docetaxel) Surgery 7/21/2016 Mastectomy: Left; Reconstruction (left): DIEP flap Dx 1/31/2017, IDC, Stage IV, metastasized to bone
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Jul 14, 2016 10:07PM Maya15 wrote:

I think I win this one so far. My hospital billed $23,000 per shot! I had 6. I thought that was extortionately expensive when I was on AC. But then came Taxol/Herceptin/Perjeta. For Herceptin they billed $46,000 per dose and Perjeta $93,000 each!!! I'm up to around 2 million dollars so far this year. I could mortgage my whole apartment, it would still only pay for one chemo session. And even then it doesn't guarantee a cure.

Dx 12/2/2015, Paget's, Right Dx 12/8/2015, IDC, Right, 6cm+, Stage IIIA, Grade 3, ER-/PR-, HER2+ (IHC) Chemotherapy 12/31/2015 AC + T (Taxol) Targeted Therapy 3/3/2016 Herceptin (trastuzumab) Targeted Therapy 3/3/2016 Perjeta (pertuzumab) Surgery 6/1/2016 Lymph node removal: Right, Underarm/Axillary; Mastectomy: Right; Reconstruction (right): Tissue expander placement Surgery 9/29/2016 Mastectomy: Left; Reconstruction (left): DIEP flap; Reconstruction (right): DIEP flap Surgery 11/28/2016 Surgery 1/5/2017 Reconstruction (left): Fat grafting, Nipple reconstruction; Reconstruction (right): Fat grafting, Nipple reconstruction
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Jul 15, 2016 01:46PM - edited Jul 15, 2016 01:48PM by Momine

5 years ago, around 800 Euros. Insurance paid. Each chemo treatment was around 650, including the actual drugs. Private hospital in Greece.

Dx 6/1/2011, ILC, 5cm, Stage IIIB, Grade 2, 7/23 nodes, ER+/PR+, HER2- Chemotherapy 6/20/2011 Cytoxan (cyclophosphamide), Ellence (epirubicin), Fluorouracil (5-fluorouracil, 5-FU, Adrucil), Taxotere (docetaxel) Surgery 9/13/2011 Mastectomy: Left, Right Radiation Therapy 1/9/2012 Surgery 3/8/2012 Prophylactic ovary removal Hormonal Therapy 4/1/2012 Femara (letrozole)
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Jul 16, 2016 12:23AM molliefish wrote:

This is ridiculous the money they are charging... I am fortunate to have coverage and my Neulasta shots in Canada cost my insurance about $2400 all in.. I had 4 of them.

Dx 5/24/2015, IDC, Left, 1cm, Stage IA, Grade 3, 0/3 nodes, ER+/PR+, HER2- Surgery 6/8/2015 Lumpectomy: Left Chemotherapy 8/14/2015 Cytoxan (cyclophosphamide), Taxotere (docetaxel) Hormonal Therapy 1/10/2016 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Radiation Therapy Whole-breast: Breast
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Jul 16, 2016 12:28AM Angtee15 wrote:

Mine were a bit over $4,000 each. I had four.

Dx 11/9/2015, IDC, Left, 2cm, Stage IIA, Grade 3, 0/4 nodes, ER-/PR-, HER2- Chemotherapy 12/6/2015 Adriamycin (doxorubicin), Carboplatin (Paraplatin), Cytoxan (cyclophosphamide), Taxol (paclitaxel) Surgery 5/11/2016 Mastectomy: Left, Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement

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