Just received Medicare Summary Notice for my RT. Note: No co-pay if charges within Medicare approved charges.

"Set radiation therapy field" - $836.80**
"Radiation physics consult" - 2 x $562.10**
"Radiation treatment delivery" - 10 x $482.78**
** Amount charged by Scripps/Dr. Trapuraneni was within Medicare approved rates.

"1 Ct scan for therapy guide" - Amount charged - $99.00, Medicare approved amt. - $42.73

Other charges noted as "Information provided does not support this service or item" for the initial SIMS planning appointment done 3 weeks prior to beginning actual radiation treatment (itemized as therapy planning, set radiation therapy field, radiation treatment aid professional charge and Special teletx port plan professional charge) totaled $1,032 Note: The "Ct scan for therapy guide" listed above as paid by Medicare was done at the SIMS planning. It is reasonable to me that at least some of the unapproved charges can be documented, but I don't know if Scripps will provide documentation for these charges or not.

Scripps charges, I assume, were aligned with Medicare coverage, but I don't know. I hope knowing Medicare Approved amounts will help others in planning their treatment. Remember that my dosage was 1.8Gy for each of the 10 sessions of electron radiation therapy. I would think that a higher dosage would cost more.