› Forums › General Melanoma Community › Cost of Yervoy?
- This topic has 9 replies, 3 voices, and was last updated 12 years ago by
awillett1991.
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- May 29, 2013 at 10:16 pm
I've had two in fusions of Yervoy and I have received the first claim submitted to my insurance company. My provider charged my insurance company over $205,000 for one infusion. My insurance company has a contract with the provider for $102,000 for one infusion. My dosage was 336 mg. I thought this drug was about $30,000 for 200mg. Is this normal for providers to charge this kind of money for drugs?
I've had two in fusions of Yervoy and I have received the first claim submitted to my insurance company. My provider charged my insurance company over $205,000 for one infusion. My insurance company has a contract with the provider for $102,000 for one infusion. My dosage was 336 mg. I thought this drug was about $30,000 for 200mg. Is this normal for providers to charge this kind of money for drugs? I am shocked. My insurance has a yearly cap of $250,000. I'll run out of coverage with my 3rd infusion. Any advice or help with this kind of situation would be greatly appreciated.
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- May 29, 2013 at 11:45 pm
Amy, that seem so high! My last infusion was July 2012, and then the negotiated price was around $23,000/infusion. I know drug prices have gone up…I’d be very curious to hear from others who’ve done Yervoy in 2013. BTW, did you have to get prior approval? I did not for Yervoy (at the time) but I did for Zelbarof–around $11,000/month.
Karen
Are you sure it’s $102k PER INFUSION? -
- May 29, 2013 at 11:45 pm
Amy, that seem so high! My last infusion was July 2012, and then the negotiated price was around $23,000/infusion. I know drug prices have gone up…I’d be very curious to hear from others who’ve done Yervoy in 2013. BTW, did you have to get prior approval? I did not for Yervoy (at the time) but I did for Zelbarof–around $11,000/month.
Karen
Are you sure it’s $102k PER INFUSION? -
- May 29, 2013 at 11:45 pm
Amy, that seem so high! My last infusion was July 2012, and then the negotiated price was around $23,000/infusion. I know drug prices have gone up…I’d be very curious to hear from others who’ve done Yervoy in 2013. BTW, did you have to get prior approval? I did not for Yervoy (at the time) but I did for Zelbarof–around $11,000/month.
Karen
Are you sure it’s $102k PER INFUSION?-
- May 30, 2013 at 1:40 am
Yes, I've been on the phone with my insurance company and the Cleveland Clinic where I received the drug. The negotiated amount is $102,000 per infusion. When I initially looked at the claim I thought it might have been for all 4 treatments, but htat's not the case. I did not have to get prior approval. I'm thinking maybe it would be cheaper to go out of network. Can anyone tell me if I can call other hospitals and ask what the price would be? I'm thinking maybe going out of network would be cheaper. I'm just at a loss as to what to do at this point. I'm scheduled for my third infusion on Tuesday. I have asked for an itemized bill and put an appeal on the claim. Tomorrow I am going to get a case manager at the insurance company and talk to a financial counselor at the clinic. I should have done all this at the time of diagnosis. I did ask my oncologist at the time we agreed to go ahead with the yervoy if what I was reading at the time of around $30,000 was correct and he said he didn't know, but was probably in line with other drugs in that category of thousands of dollars, not hundreds of thousands of dollars.
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- May 30, 2013 at 1:40 am
Yes, I've been on the phone with my insurance company and the Cleveland Clinic where I received the drug. The negotiated amount is $102,000 per infusion. When I initially looked at the claim I thought it might have been for all 4 treatments, but htat's not the case. I did not have to get prior approval. I'm thinking maybe it would be cheaper to go out of network. Can anyone tell me if I can call other hospitals and ask what the price would be? I'm thinking maybe going out of network would be cheaper. I'm just at a loss as to what to do at this point. I'm scheduled for my third infusion on Tuesday. I have asked for an itemized bill and put an appeal on the claim. Tomorrow I am going to get a case manager at the insurance company and talk to a financial counselor at the clinic. I should have done all this at the time of diagnosis. I did ask my oncologist at the time we agreed to go ahead with the yervoy if what I was reading at the time of around $30,000 was correct and he said he didn't know, but was probably in line with other drugs in that category of thousands of dollars, not hundreds of thousands of dollars.
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- May 30, 2013 at 1:40 am
Yes, I've been on the phone with my insurance company and the Cleveland Clinic where I received the drug. The negotiated amount is $102,000 per infusion. When I initially looked at the claim I thought it might have been for all 4 treatments, but htat's not the case. I did not have to get prior approval. I'm thinking maybe it would be cheaper to go out of network. Can anyone tell me if I can call other hospitals and ask what the price would be? I'm thinking maybe going out of network would be cheaper. I'm just at a loss as to what to do at this point. I'm scheduled for my third infusion on Tuesday. I have asked for an itemized bill and put an appeal on the claim. Tomorrow I am going to get a case manager at the insurance company and talk to a financial counselor at the clinic. I should have done all this at the time of diagnosis. I did ask my oncologist at the time we agreed to go ahead with the yervoy if what I was reading at the time of around $30,000 was correct and he said he didn't know, but was probably in line with other drugs in that category of thousands of dollars, not hundreds of thousands of dollars.
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- May 30, 2013 at 1:58 am
Whoa, that is a lot. So unfair, I’m sorry. I finished mine in Dec and it was billed to our ins at 55k per infusion and took over 3 wks to get approved. My onc didnt have any idea what it would cost either. I don’t see what it would hurt to call around.Have you looked into the yervoy copay program??
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- May 30, 2013 at 1:58 am
Whoa, that is a lot. So unfair, I’m sorry. I finished mine in Dec and it was billed to our ins at 55k per infusion and took over 3 wks to get approved. My onc didnt have any idea what it would cost either. I don’t see what it would hurt to call around.Have you looked into the yervoy copay program??
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- May 30, 2013 at 1:58 am
Whoa, that is a lot. So unfair, I’m sorry. I finished mine in Dec and it was billed to our ins at 55k per infusion and took over 3 wks to get approved. My onc didnt have any idea what it would cost either. I don’t see what it would hurt to call around.Have you looked into the yervoy copay program??
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