Estimating the Cost of CAR T-Cell Therapy in Israel
The overall cost of CAR T-cell therapy in Israel varies based on several factors: the patient's medical condition, the chosen accommodation, dietary preferences, and the number of caregivers accompanying the patient. While patients are required to have at least one caregiver with them during their stay, some opt for an additional helper, which influences the overall cost.
Medical Expenses
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Preliminary Testing for CAR T:
- Duration: Patients typically spend their initial 1-3 weeks in Israel undergoing comprehensive blood tests and other essential assessments to determine their eligibility for CAR T-cell therapy.
- Criteria: It's imperative that the patient doesn't have another type of cancer or any active infections or diseases to qualify for CAR-T.
- Scope & Cost: The extent and nature of the tests vary based on individual diagnoses. Some patients undergo these tests on an outpatient basis, while others may require hospitalization. Costs for these tests range from $3,000 to $20,000 USD.
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Pre-CAR-T Chemotherapy:
- Some patients may need bridging chemotherapy before CAR-T therapy. The associated costs vary significantly, ranging between $4,000 and $20,000.
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Hospitalization:
- Duration & Cost: According to the 2023 CAR T protocol, patients must be hospitalized for a minimum of 21 days to monitor their health and manage potential side effects. Hospitalization costs range from $1,500 to $2,500 USD per day, totaling between $31,500 and $52,500 USD for the 21-day period.
- Extended Stay: Certain medical conditions may necessitate longer hospital stays, either before or after the CAR T-cell infusion.
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Post-Hospitalization:
- Patients typically undergo a PET CT scan one month post-treatment to evaluate the CAR-T therapy's effectiveness, extending their stay in Israel by an additional 1-2 weeks.
Total Medical Costs: The comprehensive medical expenses can range from $70,000 to $150,000 USD, with higher costs in exceptional cases. It's worth noting that hospitals generally request a substantial deposit before the patient's arrival.
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Accommodation Costs
Patients are usually accompanied by at least one caregiver. While the patient is hospitalized, their caregiver often stays with them, eliminating accommodation costs during this period. In some cases, a third person may accompany the patient. One of the attendants should possess a reasonable command of the English language for effective communication.
For the preliminary CAR T evaluation period, spanning 1-3 weeks, patients often seek nearby hotel rooms or short-term apartments. Hotel rooms typically cost between $120 to $190 per night. Short-term apartment rentals around hospitals might offer a more affordable option, based on availability.
Living Expenses in Israel
Israel ranks among the pricier countries globally. Dining out may set individuals back by $20-$40 per person. However, some patients opt for accommodations with kitchen facilities, allowing them to prepare meals, which can be a cost-saving measure. As of 2023, a SIM card offering one month of internet and phone service is priced at 80 shekels.
In Conclusion
Navigating the cost of CAR T-cell therapy in Israel can be complex, with expenses ranging from medical fees to living costs. By understanding the breakdown and potential variations, patients can better prepare for their medical journey in Israel.
