Costs of Transplant and Engraftment

Shortly before or while the hematopoietic cells are being collected and delivered, the patient receives a preparative regimen (myleoablative or non-myeloablative) to destroy the diseased or malignant (cancerous) cells. Then, the hematopoietic cells are infused (transplanted) into the patient.  The patient is monitored to ensure the donor cells engraft (grow and regenerate).

Because medical costs vary by region of the country and other factors, a listing of the common procedures are included.  

Costs for transplant and engraftment include:  

• Pre-transplant health evaluation
• Central intravenous line
• Transplant center’s lab
• Pharmacy: chemotherapy and other medications for preparative regimen
• Health professionals (physician, nurse, dietician, therapist) 
• Hospital room with laminar flow to minimize infections
• Medications and blood products such as:
  • Platelet transfusions
  • Filgrastim (G-CSF) to produce more blood cells
  • Total parenteral nutrition (TPN) to provide the calories, nutrition and fluid needed when a patient cannot eat
• Housing near the transplant center for the patient and caregiver
• Other costs of living away from home, such as food and transportation