facebook tracking Level 7 Radiation Therapy cost: hospital prices by state (APC 5627)

Level 7 Radiation Therapy

What 650 hospitals in the U.S. charged and were paid for level 7 radiation therapy (APC 5627), from 2024 Medicare claims.

APC 5627 Outpatient 2024 Medicare data
Average charge $82,180 Hospital list price billed
Average allowed $7,615 Medicare's payment + patient's share
Medicare paid $6,121 Average per service
Volume 7,479 Medicare services

Hospitals in the U.S. billed an average of $82,180 for level 7 radiation therapy, about 10.8 times the average medicare-allowed amount of $7,615.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

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Lowest and highest allowed amounts

Among hospitals with at least 20 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

New Hanover Regional Medical CenterWilmington, NC$2,711
Ochsner Foundation HospitalNew Orleans, LA$5,996
Norton Healthcare PavilionLouisville, KY$6,183
University of Kentucky HospLexington, KY$6,276
Mercy Health Center, INCOklahoma City, OK$6,327
University of Kansas HospitalKansas City, KS$6,371
University of Alabama HospitalBirmingham, AL$6,393
Fort Sanders Reg Medical CtrKnoxville, TN$6,422
Huntsville HospitalHuntsville, AL$6,432
Lafayette General Medical CenterLafayette, LA$6,474

Highest

Stanford HospitalPalo Alto, CA$10,954
UCSF Medical CenterSan Francisco, CA$10,954
Sutter General HospitalSacramento, CA$10,894
University of California Davis Medical CenterSacramento, CA$9,700
University of California San Diego Medical CenterSan Diego, CA$9,568
Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica, CA$9,568
City of Hope Natl Medical CtrDuarte, CA$9,568
Hoag Memorial Hospital PresbyterianNewport Beach, CA$9,568
UCLA Medical CenterLos Angeles, CA$9,568
Saint John's Health CenterSanta Monica, CA$9,568

Level 7 Radiation Therapy cost by state

Volume-weighted averages for each state's hospitals. Select a state to see every hospital.

State Hospitals Avg charge Avg allowed Range
Alabama 11 $43,618 $6,410 $6,393 – $6,432
Alaska 1 $87,204 $8,038 –
Arizona 7 $38,092 $6,687 $3,172 – $7,594
Arkansas 6 – – – – –
California 58 $87,210 $9,924 $4,453 – $10,954
Colorado 16 $77,330 $7,413 $7,413 – $7,413
Connecticut 12 $74,257 $8,677 $8,270 – $8,761
Delaware 2 $34,887 $7,813 $7,813 – $7,813
Florida 31 $68,925 $7,012 $6,622 – $7,054
Georgia 26 $79,836 $7,113 $6,582 – $7,227
Hawaii 1 – – –
Idaho 3 – – – – –
Illinois 35 $77,911 $7,373 $7,197 – $7,574
Indiana 29 $103,552 $6,954 $6,661 – $7,095
Iowa 9 $45,514 $6,915 $6,687 – $6,950
Kansas 8 $47,005 $6,518 $6,371 – $6,648
Kentucky 15 $63,551 $6,544 $6,183 – $7,124
Louisiana 13 $37,697 $6,381 $5,996 – $6,584
Maine 3 – – – – –
Massachusetts 16 $49,731 $8,339 $8,285 – $8,362
Michigan 21 $41,773 $6,988 $6,768 – $7,312
Minnesota 12 $64,169 $7,848 $7,322 – $7,991
Mississippi 11 $129,762 $6,495 $6,359 – $6,519
Missouri 17 $75,691 $6,851 $6,530 – $7,325
Montana 9 $15,463 $7,301 $7,301 – $7,301
Nebraska 6 $27,047 $6,723 $6,723 – $6,723
Nevada 2 $125,801 $8,339 $8,339 – $8,339
New Hampshire 5 $41,926 $7,955 $7,955 – $7,955
New Jersey 23 $74,499 $8,068 $3,261 – $8,858
New Mexico 4 $81,760 $6,892 $6,892 – $6,892
New York 27 $99,045 $8,624 $7,812 – $8,858
North Carolina 19 $133,935 $6,707 $2,711 – $7,111
North Dakota 2 $30,904 $7,301 $7,301 – $7,301
Ohio 24 $67,811 $6,663 $6,533 – $6,989
Oklahoma 8 $74,463 $6,556 $6,327 – $6,709
Oregon 9 $90,333 $8,151 $8,100 – $8,170
Pennsylvania 28 $88,083 $7,344 $6,913 – $7,845
Rhode Island 1 $33,597 $7,903 –
South Carolina 12 $70,510 $6,839 $6,692 – $7,416
South Dakota 2 $39,586 $7,194 $7,159 – $7,202
Tennessee 15 $42,337 $6,520 $6,422 – $6,709
Texas 24 $129,332 $7,075 $6,420 – $7,221
Utah 8 $72,596 $6,976 $6,976 – $6,976
Vermont 1 – – –
Virginia 18 $121,335 $6,851 $6,704 – $7,302
Washington 16 $89,144 $7,924 $7,611 – $8,343
West Virginia 4 $40,094 $6,515 $6,515 – $6,515
Wisconsin 18 $71,902 $7,215 $6,963 – $7,463

Hospitals that treat the most Medicare patients for this

HospitalServicesAvg chargeAvg allowed
Univ of Tx M D Anderson CtrHouston, TX226$80,664$7,195
Cleveland Clinic - Main CampusCleveland, OH215$63,275$6,599
Mayo Clinic - Saint Marys HospitalRochester, MN206$72,548$7,991
New York-Presbyterian HospitalNew York, NY164$78,478$8,814
NYU Hospitals CenterNew York, NY156$151,394$8,723
Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia, PA143$147,988$7,845
UPMC Presbyterian ShadysidePittsburgh, PA131$58,551$6,913
Mem Sloan-Kettering Cancer CtrNew York, NY130$33,460$8,858
Roswell Park Cancer InstituteBuffalo, NY130$62,972$8,255
North Carolina Baptist HospitalWinston-Salem, NC123$240,084$7,052
Cjw Medical CenterRichmond, VA117$149,758$6,704
Hoag Memorial Hospital PresbyterianNewport Beach, CA115$94,028$9,568
UCSF Medical CenterSan Francisco, CA113$104,004$10,954
Barnes Jewish HospitalSt Louis, MO101$84,753$6,930
H Lee Moffitt Cancer CenterTampa, FL98$32,193$7,054

Questions

How much does level 7 radiation therapy cost in the U.S.?

In 2024 Medicare data, level 7 radiation therapy (APC 5627) at 650 hospitals in the U.S. was billed at $82,180 on average, while the average medicare-allowed amount was $7,615, of which Medicare paid $6,121. Your own cost depends on your insurance, deductible and the hospital.

Which states pay the most and least for level 7 radiation therapy?

Among states with at least three hospitals reporting, the average medicare-allowed amount was highest in California ($9,924), Connecticut ($8,677), New York ($8,624) and lowest in Louisiana ($6,381), Alabama ($6,410), Mississippi ($6,495).

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this service in the U.S., average charges were 10.8 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.