From: Modelling the healthcare costs of skin cancer in South Africa
Private sector | Public sector | Weighted costa(ZAR) | Weighted costa(USD) | Source | |
---|---|---|---|---|---|
Cost of a dermatologist or surgeon visit | 458 | 268 | 298 | 51 | UPFS tariffs #1012 + #1010 (facility fee level 2) |
Cost of a GP visit | 335 | 158 | 186 | 32 | UPFS tariff #1011 + #1010 (facility fee level 2), private: review of invoices |
Cost of a diagnostic biopsy (includes immunohistology) | 750 | 593 | 618 | 105 | UPFS tariff #1112 + #1110 (facility fee level 2), private: R750 dxbiopsy + excision |
Cost of excision | 4643 | 593 | 1241b | 211 | UPFS tariff #1112 + #1110 (facility fee level 2), private: review of invoices |
Cost of an excision with reconstructive surgery | 4433 | 2091 | 2466 | 418 | UPFS tariff #1612 cosmetic surgery cat A -specialist \practitioner + 75 facility feeb |
Cost of cryotherapy | 1257 | 593 | 699 | 119 | UPFS tariff #1112 + #1110 (facility fee level 2),b |
Cost of topical cream | 548 | 548 | 548 | 93 | Master procurement list - Imiquimod 5 % 12 sachets #180346230 |
Cost of photodynamic therapy | 2514 | 1186 | 1399 | 237 | UPFS tariff #1112 + #1110 (facility fee level 2), need 2 sessionsb |
Cost of curettage and cautery | 1257 | 593 | 699 | 119 | UPFS tariff #1112 + #1110 (facility fee level 2),b |
Cost of radiotherapy - whole course | 62334 | 29403 | 34672 | 5884 | Annex N for Radiology - MR planning for radiotherapy course (oncol radiotherapy not available) Have used Aust. Price $7325 for whole coursec |
Cost of chemotherapy - whole course | 31185 | 31185 | 31185 | 5292 | Dacarbazine was not on the procurement list therefore price is based on fotemustine, AU $7769 per coursec |
Cost of treatment for SCC or BCC in primary care by GP | 1018 | 480 | 566 | 96 | UPFS tariff #1112 + #1010 (facility fee level 2),b |
Cost of adjuvant immunotherapy with interferon - interferon alpha, 1 syringe injection | 367 | 367 | 367 | 62 | Master procurement list interferon alpha 2b syringe 9 MIU/0.5 mL #180348820 - daily injection for 10–24 weeks, then 3 ×/week for up to 6 mths |
Cost of PET scan | 11195 | 4224 | 5339 | 906 | UPFS tariff #1952 + #1950 (facility fee level 2), private: review of invoices |
Cost of a radical lymph node dissection | 6632 | 593 | 1559 | 265 | UPFS tariff #1112 + #1010 (facility fee level 2), |
Cost of sentinel lymph node biopsy | 750 | 593 | 618 | 105 | UPFS tariff #1112 + #1010 (facility fee level 2),b |
Cost of follow up | 1694 | 158 | 404 | 69 | UPFS tariff #1031 + #1010 (facility fee level 2) |
Cost of hospitalisation - 1 night for melanoma with SLNB | 2105 | 993 | 1171 | 199 | UPFS tariff #0612 + #0610 (facility fee level 2) same as day patient #0663b |