Skip to main content

Table 2 Estimated unit costs (2014/2015 South African Rand ZAR and USD) and sources

From: Modelling the healthcare costs of skin cancer in South Africa

  Private sector Public sector Weighted costa(ZAR) Weighted costa(USD) Source
Cost of a dermatologist or surgeon visit 458 268 298 51 UPFS tariffs #1012 + #1010 (facility fee level 2)
Cost of a GP visit 335 158 186 32 UPFS tariff #1011 + #1010 (facility fee level 2), private: review of invoices
Cost of a diagnostic biopsy (includes immunohistology) 750 593 618 105 UPFS tariff #1112 + #1110 (facility fee level 2), private: R750 dxbiopsy + excision
Cost of excision 4643 593 1241b 211 UPFS tariff #1112 + #1110 (facility fee level 2), private: review of invoices
Cost of an excision with reconstructive surgery 4433 2091 2466 418 UPFS tariff #1612 cosmetic surgery cat A -specialist \practitioner + 75 facility feeb
Cost of cryotherapy 1257 593 699 119 UPFS tariff #1112 + #1110 (facility fee level 2),b
Cost of topical cream 548 548 548 93 Master procurement list - Imiquimod 5 % 12 sachets #180346230
Cost of photodynamic therapy 2514 1186 1399 237 UPFS tariff #1112 + #1110 (facility fee level 2), need 2 sessionsb
Cost of curettage and cautery 1257 593 699 119 UPFS tariff #1112 + #1110 (facility fee level 2),b
Cost of radiotherapy - whole course 62334 29403 34672 5884 Annex N for Radiology - MR planning for radiotherapy course (oncol radiotherapy not available) Have used Aust. Price $7325 for whole coursec
Cost of chemotherapy - whole course 31185 31185 31185 5292 Dacarbazine was not on the procurement list therefore price is based on fotemustine, AU $7769 per coursec
Cost of treatment for SCC or BCC in primary care by GP 1018 480 566 96 UPFS tariff #1112 + #1010 (facility fee level 2),b
Cost of adjuvant immunotherapy with interferon - interferon alpha, 1 syringe injection 367 367 367 62 Master procurement list interferon alpha 2b syringe 9 MIU/0.5 mL #180348820 - daily injection for 10–24 weeks, then 3 ×/week for up to 6 mths
Cost of PET scan 11195 4224 5339 906 UPFS tariff #1952 + #1950 (facility fee level 2), private: review of invoices
Cost of a radical lymph node dissection 6632 593 1559 265 UPFS tariff #1112 + #1010 (facility fee level 2),
Cost of sentinel lymph node biopsy 750 593 618 105 UPFS tariff #1112 + #1010 (facility fee level 2),b
Cost of follow up 1694 158 404 69 UPFS tariff #1031 + #1010 (facility fee level 2)
Cost of hospitalisation - 1 night for melanoma with SLNB 2105 993 1171 199 UPFS tariff #0612 + #0610 (facility fee level 2) same as day patient #0663b
  1. UPFS Uniform Patient Fee Schedule, GP general practitioner, SLNB sentinel lymph node biopsy, PETpositron emission tomography, SCC squamous cell carcinoma, BCC basal cell carcinoma, MR magnetic radiation
  2. aWeighting based on 16 % private and 84 % public [23]. Sensitivity analyses are based on the private and public sector values
  3. bIn the absence of a private fee, it was assumed a 2.12 to 1.00 ratio of private to public based on the cost of a GP visit differential between private and public sectors
  4. cConverted to ZAR by http://eppi.ioe.ac.uk/costconversion/default.aspx
  5. Note: Sensitivity values were created with a 15 % change in the public sector probability when weighting the cost. (low = 84 %*0.85;high = 84 %*1.15). For probabilistic sensitivity analyses, gamma distributions were assigned to costs to account for uncertainty
\