10/06/2020
True story. A patient of ours asked us to check out one of his moles. During the visit, we took a photo using a dermoscope — that photo is pictured on this post. This looked concerning, so we did a full excisional biopsy, and lo and behold, it was a melanoma. Cost of procedure at our office: $0. Cost of pathology: $220 (usually about $800). He needed to follow-up with a plastic surgeon for a wider excision. Though he does have health insurance, he preferred to shop for the best cash price. A local health system originally quoted him $89,000 for the procedure. When he mentioned he would like to pay cash, this system lowered the price to $26,000. He also looked into facilities in Cancun, Mexico, and Oklahoma, and was quoted $7,000 at both (after travel). Ultimately, he went with a plastic surgeon about an hour’s drive from our office, who did the procedure for less than $700. He had no complications. This story illustrates, that you, the patient, are a consumer, and that you, the patient, with tenacity and some time investment, can advocate for quality healthcare at a reasonable price. (It also illustrates the necessity of sunscreen!) Thanks to our patient for allowing us to share his story.