Table 3.
Cancer-attributable annualized average costs* in 2019 US dollars for medical services (Medicare Parts A & B) and oral prescription drugs (Medicare Part D) by cancer site, phase of care and stage of disease at diagnosis.
| Medical Services Costs in 2019
Thousand dollars |
|||||||||
|---|---|---|---|---|---|---|---|---|---|
| Initial |
Continuing |
EOL-cancer |
|||||||
| Site | Local# | Regional | Distant | Local | Regional | Distant | Local | Regional | Distant |
| Bladder | $19.4 | $64.8 | $86.1 | $5.7 | $9.1 | $14.4 | $73.3 | $104.9 | $139.4 |
| Breast | $30.4 | $50.7 | $67.4 | $2.9 | $5.2 | $22.3 | $65.7 | $72.0 | $91.9 |
| Cervix Uteri | $41.1 | $66.3 | $78.2 | $2.7 | $4.4 | $15.4 | $77.9 | $92.2 | $111.0 |
| Colorectal | $46.4 | $78.9 | $125.8 | $4.6 | $6.8 | $31.4 | $89.1 | $100.9 | $126.7 |
| Esophagus | $74.7 | $103.4 | $94.7 | $9.0 | $8.2 | $19.2 | $101.5 | $122.0 | $120.5 |
| Kidney | $35.2 | $47.5 | $70.5 | $7.7 | $9.1 | $20.0 | $81.3 | $87.8 | $112.5 |
| Liver | $60.7 | $63.2 | $72.3 | $17.6 | $19.3 | $11.9 | $81.9 | $89.9 | $116.4 |
| Lung | $51.4 | $70.6 | $88.1 | $8.9 | $12.1 | $26.2 | $80.5 | $95.6 | $123.1 |
| Lung-NSC | $51.0 | $69.7 | $87.8 | $8.9 | $12.0 | $27.3 | $80.3 | $94.7 | $123.4 |
| Lung-SC | $67.0 | $80.8 | $89.6 | $11.6 | $13.7 | $17.5 | $84.6 | $102.1 | $121.4 |
| Melanoma | $8.8 | $28.9 | $60.9 | $2.8 | $6.5 | $15.5 | $65.6 | $75.3 | $119.2 |
| Oral Cavity | $30.2 | $77.0 | $88.4 | $4.8 | $6.3 | $8.1 | $86.1 | $108.4 | $123.3 |
| Ovary | $44.2 | $67.4 | $86.6 | $2.7 | $9.0 | $21.9 | $79.8 | $92.5 | $111.3 |
| Pancreas | $79.8 | $121.7 | $101.1 | $11.4 | $18.5 | $33.6 | $104.5 | $119.9 | $130.4 |
| Prostate# | - | $26.8 | $33.0 | - | $2.3 | $14.4 | - | $69.0 | $78.7 |
| Stomach | $62.5 | $103.7 | $96.8 | $5.6 | $7.0 | $17.1 | $100.9 | $120.4 | $132.8 |
| Thyroid | $18.3 | $30.9 | $61.8 | $3.6 | $4.2 | $9.2 | $83.7 | $104.6 | $122.1 |
| Uterus | $29.5 | $53.4 | $75.5 | $2.4 | $5.1 | $9.7 | $80.6 | $86.5 | $110.9 |
|
| |||||||||
| Oral Prescription Drug Costs in
2019 Thousand dollars |
|||||||||
| Initial |
Continuing |
EOL-cancer |
|||||||
| Site | Local# | Regional | Distant | Local | Regional | Distant | Local | Regional | Distant |
| Bladder | $0.6 | $0.7 | $0.9 | $0.6 | −$0.1 | −$0.2 | $2.0 | $0.7 | $1.3 |
| Breast | $1.1 | $1.6 | $1.7 | $0.8 | $1.2 | $2.3 | $2.8 | $2.8 | $2.7 |
| Cervix Uteri | −$0.2 | −$0.5 | −$0.7 | −$0.4 | −$1.0 | −$0.8 | $2.9 | $0.3 | −$0.4 |
| Colorectal | $0.4 | $0.4 | $1.1 | $0.3 | $0.1 | $0.5 | $1.3 | $1.3 | $1.6 |
| Esophagus | $1.4 | $1.0 | $2.9 | $1.0 | $0.0 | $1.2 | $1.0 | $0.7 | $1.4 |
| Kidney | $1.2 | $1.7 | $20.0 | $1.5 | $2.7 | $13.0 | $7.9 | $11.2 | $16.8 |
| Liver | $7.1 | $12.6 | $18.6 | $7.1 | $8.8 | $10.1 | $10.9 | $14.5 | $13.4 |
| Lung | $2.0 | $2.5 | $7.7 | $1.8 | $2.6 | $6.9 | $3.9 | $4.2 | $5.0 |
| Lung-NSC | $2.0 | $2.5 | $8.4 | $1.9 | $2.7 | $7.7 | $4.0 | $4.5 | $5.7 |
| Lung-SC | $2.1 | $2.2 | $2.5 | $1.0 | $1.2 | $1.1 | $1.7 | $2.0 | $1.8 |
| Melanoma | $0.6 | $1.8 | $2.1 | $0.4 | $0.7 | $0.6 | $3.5 | $3.5 | $3.9 |
| Oral Cavity | $0.6 | $0.4 | $0.5 | $0.3 | −$0.2 | $0.0 | $1.4 | $0.6 | $1.3 |
| Ovary | $0.4 | $0.8 | $1.4 | $0.1 | −$0.2 | $0.3 | $1.9 | $0.7 | $1.0 |
| Pancreas | $3.0 | $4.8 | $9.0 | $2.7 | $3.6 | $7.0 | $3.9 | $5.4 | $7.0 |
| Prostate# | - | $0.3 | $1.5 | - | $0.3 | $4.5 | - | $5.5 | $6.8 |
| Stomach | $3.8 | $1.7 | $5.5 | $2.1 | $1.5 | $10.5 | $2.1 | $1.5 | $2.0 |
| Thyroid | $0.9 | $0.7 | $3.4 | $0.8 | $1.0 | $3.4 | $7.9 | $5.7 | $3.2 |
| Uterus | $0.1 | $0.2 | $0.9 | $0.0 | $0.0 | −$0.1 | $1.5 | $0.9 | $1.3 |
Costs calculated from 2007–2013 Medicare claims for patients diagnosed with cancer between 2000 and 2012 and 65 years or older. Phases of care are: initial, first 12 months after each diagnosis; end-of-life (EOL), the 12 months before death, and the continuing, the months in-between the initial and the EOL phases.
We used the SEER historical stage that classifies solid tumors into localized, regional and distant. For prostate cancer historical stage classifies tumors into local/regional versus distant.
AML= Acute Myeloid Leukemia; CLL= Chronic Lymphocytic Leukemia; CML= Chronic Myeloid Leukemia; NSC=Non-Small Cell; SC= Small Cell.