Well, we're not in a Penthouse! so can't answer. In the Concierge Cats where we're booked, one has to pay.
Excursions, adult beverages, self-serve laundry, internet, telephone are extra. Cabin is smaller with a reportedly smaller bathroom....no hot breakfasts under Penthouse Cats nor is there full dinner room service from the Main Dining room....if what I'm reading on another board is accurate.
Yep, these "extras" add up but hopefully we'll still have a great experience and again, hopefully we'll not pay more for less..... The itinerary is good and fellow cruisers who've posted sound nice.