Immunology

How Much Does Lupus (Systemic Lupus Erythematosus) Treatment Cost?

Lupus is a chronic autoimmune disease where the immune system attacks healthy tissue throughout the body, including joints, skin, kidneys, blood cells, brain, heart, and lungs. It causes inflammation, pain, and damage. Flares and remissions are characteristic of the disease.

Mild
$3.0K — $8.0K
Moderate
$15K — $40K
Severe
$50K — $150K
Estimated Total Procedure-Based Cost
$87 — $145
Based on common procedures at commercial insurance rates (1.5x-2.5x Medicare)

Treatment Cost Breakdown

Diagnosis & Acute Treatment

6 procedures
$87 — $145
Comprehensive Metabolic Panel (CMP)
Blood test, comprehensive group of blood chemicals
CPT 80053
$16 — $26
Medicare: $11
Urinalysis with Microscopic Examination
Manual urinalysis test with examination using microscope, automated
CPT 81001
$5 — $8
Medicare: $3
Urine Microalbumin (protein) Level
Urine microalbumin (protein) level
CPT 82043
$9 — $14
Medicare: $6
Complete Blood Count (CBC) with Differential
Complete blood cell count (red cells, white blood cell, platelets), automated
CPT 85025
$12 — $19
Medicare: $8
Measurement of Antibody for Rheumatoid Arthritis Assessment
Measurement of antibody for rheumatoid arthritis assessment
CPT 86200
$19 — $32
Medicare: $13
Measurement of Antibody for Assessment of Autoimmune Disorder, Any Method
Measurement of antibody for assessment of autoimmune disorder, any method
CPT 86235
$27 — $45
Medicare: $18

Common Medications for Lupus (Systemic Lupus Erythematosus)

NADAC pharmacy acquisition costs from CMS

NADAC prices are pharmacy acquisition costs and do not reflect what patients pay. Actual costs depend on insurance, pharmacy, and discount programs. Browse all drug prices

Questions to Ask Your Doctor About Costs

Before your appointment, ask these questions to avoid surprise bills

  • "What is the total estimated cost for my Lupus (Systemic Lupus Erythematosus) treatment, including all follow-up visits?"
  • "Are there less expensive treatment alternatives that would be equally effective?"
  • "Can any of these procedures be done in an outpatient or office setting instead of a hospital?"
  • "Will all the providers involved in my care (anesthesiologist, radiologist, etc.) be in-network?"
  • "Do you offer payment plans or financial assistance for patients?"
  • "What will my insurance cover, and what is my estimated out-of-pocket responsibility?"

Frequently Asked Questions

How much does Lupus (Systemic Lupus Erythematosus) treatment cost?

Treatment for Lupus (Systemic Lupus Erythematosus) typically costs $15K — $40K depending on severity and location.

Does insurance cover Lupus (Systemic Lupus Erythematosus) treatment?

Most health insurance plans cover medically necessary treatment for Lupus (Systemic Lupus Erythematosus). Your out-of-pocket cost depends on your deductible, copay, and whether you use in-network providers.

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