Table 2.
Annual Estimated Treatment Costs for Skin Cancer and Other Cancer Sites in the U.S.
| All skin cancer (melanoma or nonmelanoma) |
Nonmelanoma skin cancer | Melanoma skin cancer | All cancer sites (excluding skin cancer) |
|||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2002–2006 | 2007–2011 | p-valuea | 2002–2006 | 2007–2011 | p-valuea | 2002–2006 | 2007–2011 | p-valuea | 2002–2006 | 2007–2011 | p-valuea | |
| Total annual national costs ($) in millionsb | 3570 (354) | 8075 (1357) | 0.001 | 2726 (243) | 4752 (382) | <0.001 | 864 (223) | 3349 (1317) | 0.063 | 63,720 (3,513) | 79,713 (4,431) | 0.005 |
| Average annual costs per person ($)b | 1044 (95) | 1643 (280) | 0.043 | 882 (68) | 1105 (84) | 0.04 | 2320 (540) | 4780c (1840) | 0.2 | 8,159 (391) | 7,705 (379) | 0.405 |
| Median annual costs per person ($)b | 307 (15) | 325 (16) | 0.409 | 309 (16) | 323 (17) | 0.547 | 285 (51) | 347 (40) | 0.339 | 814 (51) | 755 (48) | 0.399 |
| % (SE) | % (SE) | % (SE) | % (SE) | % (SE) | % (SE) | |||||||
| Costs by source of payment | ||||||||||||
| Private health insurance | 35.8 (3.1) | 43.4 (8.4) | 0.396 | 33.8 (2.9) | 37.1 (4.0) | 0.508 | 46.3 (2.5) | 45.2 (2.6) | 0.761 | |||
| Medicare | 35.5 (3.9) | 41.1 (8.5) | 0.551 | 34.8 (3.4) | 41.8 (4.0) | 0.182 | 35.7(2.3) | 36.1 (2.2) | 0.898 | |||
| Out-of-pocket | 13.2 (1.8) | 6.7 (1.3) | 0.003 | 14.2 (2.1) | 9.6 (1.4) | 0.076 | 7.2 (1.3) | 4.9 (0.3) | 0.086 | |||
| Medicaid/CHIP | 4.4c(2.0) | 1.9c(0.7) | 0.248 | 3.2c(1.5) | 2.4c(0.9) | 0.621 | 5.0 (0.6) | 5.6 (1.0) | 0.603 | |||
| Other | 11.1 (2.6) | 7.0 (1.9) | 0.192 | 14.0 (3.4) | 9.1 (2.7) | 0.256 | 5.9 (0.8) | 8.3 (1.1) | 0.095 | |||
| Costs by type of service | ||||||||||||
| Office-based medical provider | 67.7 (3.6) | 52.1 (7.3) | 0.054 | 71.9 (3.7) | 73.2 (4.1) | 0.806 | 27.2 (1.5) | 32.7 (2.0) | 0.029 | |||
| Outpatient department | 19.9 (2.7) | 10.5c(4.2) | 0.060 | 17.6 (2.8) | 10.7c(3.6) | 0.122 | 19.1 (1.6) | 17.4 (1.1) | 0.387 | |||
| Hospital inpatient | 8.0c(2.7) | 32.3 (9.4) | 0.014 | 6.7c(2.9) | 10.1c(3.3) | 0.438 | 44.8 (2.1) | 36.1 (2.0) | 0.002 | |||
| Prescription medication | 3.7 (0.9) | 3.3c(1.0) | 0.730 | 3.1 (0.4) | 3.4 (0.9) | 0.812 | 4.4 (0.7) | 9.5 (1.1) | <0.001 | |||
| Other | 0.7c(0.3) | 1.9c(0.9) | 0.196 | 0.7c(0.4) | 2.7c(1.1) | 0.095 | 4.5 (0.5) | 4.3 (0.6) | 0.805 | |||
Note: Boldface indicates statistical significance (p<0.05). Estimates are based on weighted data from the 2002–2011 Medical Expenditure Panel Survey. All costs are in 2011 U.S. dollars. Other type of service includes home health and emergency room. Costs by source of payment and type of service are not available for melanoma due to small sample size and unreliable estimates.
a
Difference from 2002–2006 and 2007–2011.
b
Values in parentheses are SEs.
c
Estimates with a relative SE >0.30 are considered unreliable.
CHIP, Children’s Health Insurance Program.