Bone marrow transplant cost guide
- What is bone marrow transplant?
- Where is it better to carry out transplant?
- Bone marrow transplant price comparison
- What influences the price of bone marrow transplant?
- How much does a bone marrow transplant cost?
- Why is bone marrow transplant so expensive?
- Bone marrow transplant cost with insurance
- Echocardiogram or MUGA scan and EKG
- Chest and sinus x-rays
- Pulmonary function test (PFT)
- 24-hour urine collection
- Blood tests (including screening for infectious diseases)
- Imaging studies (PET, CT, MRI scans)
- Bone marrow aspirate and biopsy
- Psychosocial evaluation
- HLA (human leukocyte antigen) typing (needed for allogeneic patients only).
- autologous — a person receives cells taken from your blood; this type is used mainly in patients with malignancies that do not affect the bone marrow
- allogeneic from a related donor — BMT with the use of a bone marrow from a relative donor
- allogeneic from an unrelated donor — a patient receives bone marrow from the Bank of Donors. Special blood test can accurately determine compatibility of a donor and recipient for transplantation procedure.
- Type of illness that requires a transplant
- Stage of disease
- Presence of comorbidities and complications
- Opted form of BMT
- Doctor's fee
- Pricing policy of the hospitals, where the manipulation is performed.
- Cost of a bone marrow transplant in Germany
- Cost of a bone marrow transplant in Turkey
- Cost of a bone marrow transplant in Italy
- Cost of a bone marrow transplant in Israel
- Cost of a bone marrow transplant in India
- Cost of a bone marrow transplant in the USA
What is bone marrow transplant?
A bone marrow transplant (or stem cell transplant, or HCT — hematopoietic cell transplantation) is a procedure in which damaged bone marrow is replaced with healthy bone marrow stem cells. This complex procedure is performed as a main part of treatment for certain types of cancers. BMT is used to treat leukemia (blood cancer), to restore stem cells destroyed by chemotherapy and for patients with sickle cell anemia or other blood diseases.
A bone marrow transplant (BMT) is a method of treating hematologic and autoimmune pathologies. It is a remedy for people of all ages suffering from various types of lymphoma, myeloma and immune deficiency.
The human bone marrow consists of pluripotent stem cells that are the predecessors of blood cells. Lifeblood is composed of leukocytes, erythrocytes and platelets. Leukocytes protect our organism from infectious agents, erythrocytes transport oxygen, and platelets control blood coagulation. In case of a bone marrow malfunction, the number of stem cells either increases, which leads to leukemia, or reduces — in this case aplastic anemia develops. And an urgent bone marrow transplant (or hematopoietic cell transplantation) is the main option for the disorder treatment.
Tests and imaging before a bone marrow transplant
Pre-transplant evaluation includes a variety of medical tests that provide complete information about patient's overall health. Patients may undergo the following tests/procedures:
Before the procedure, following pre-transplant tests, a patient will begin a process known as conditioning.
During which they will undergo a chemotherapy (or radiation therapy) to destroy cancer cells and suppress the immune system so that the body won't reject the transplanted stem cells.
The cost of tests and imaging before a BMT may vary between $1,500 and $10,000 depending on amount and complexity of procedures.
Types of stem cell transplants for cancer treatment
There are 3 types of bone marrow transplants:
Where is it better to carry out transplant?
Patients are often concerned what medical facility is better to carry out a bone marrow transplant. The choice of the hospital is affected by a number of factors and Bookimed team made a list of world's top centers considering them.
Fahad Mawlood MD, Senior Physician-Coordinator at Bookimed International Patients Support Center.
Bookimed has brought key medical centers for bone marrow transplant together. We provide you with the full information about the specifics of treatment in each of the selected countries and have answers to all your questions.
Bookimed Doctors-Coordinators have already helped 41 patients to successfully undergo a BMT procedure abroad.
Bone marrow transplant price comparison
Bookimed doctors-coordinators help people from different countries to find the best hospital and a highly-qualified hematologist for a bone marrow transplant.
Bookimed accompanies you at every step of treatment and takes care of all the arrangements with the selected medical institution on BMT. Bookimed acts as a guarantor of fair financial relationship between a patient and a hospital. We check all the bills from a medical facility for compliance with initially declared and the volume of provided services. This means a patient has no financial relationship with Bookimed.
Get an individual treatment program
What influences the bone marrow price?
The following factors affect bone marrow transplant cost:
How much does a bone marrow transplant cost?
Why is bone marrow transplant so expensive?
BMT is a highly specialized, resource intensive and costly medical procedure. The total costs of a stem cell transplant depend on whether the procedure is autologous (patient's own marrow or stem cells) or allogeneic (cells, harvested from a donor). Increased costs are significantly associated with age, use of donors other than matched siblings, and advanced disease.
Transplants usually are more expensive and associated with more hospitalized days in patients younger than 20 years (pediatric patients).
For example, pediatric patients had 1.6 times higher median total costs and expenses for outpatient care compared with adult recipients of allogeneic HCT for acute leukemia. The median total duration of hospitalization was 43 days vs 30 days, respectively according to Costs of Autologous and Allogeneic Hematopoietic Cell Transplantation in the United States: A Study Using a Large National Private Claims Database.
In general, the costs are greater among pediatric recipients and this difference is more pronounced with allogeneic HCT. An allogeneic bone marrow transplant typically costs 40% more than the total cost for an autologous transplant. This increased cost is due to price for finding a donor, donors testings, placing under general anesthesia and admitting a donor to an operating room so that bone marrow can be collected.
The major factors contributing to the cost are also related to the post-transplant complications which are also the increased stay in a hospital.
a) infections (bacterial, fungal and viral)
b) admission to the intensive care units or ventilator support
d) graft-versus-host disease (GvHD is a condition that occurs when donor bone marrow or stem cells attack the recipient).
Also, various infective and non-infective complications can develop later on, following the discharge from a hospital, and can increase the total cost of stem cell transplantation.
Bone marrow transplant cost with insurance
For patients covered by health insurance, the out-of-pocket costs for a bone marrow transplant typically consist of doctor's fee, lab and prescription drug copays as well as coinsurance of 10%-50% for procedure. Most health insurance plans cover all or part of the total cost, which includes preliminary testing, the collection and delivery of stem cells, the procedure and post-operative recovery costs. The costs can vary depending on a region and hospital.
Personal expenses associated with bone marrow transplants, such as food and lodging expenses incurred when a patient and his or her family moves to be closer to a transplant center, are not covered by insurance.