facebook tracking Level 7 Radiation Therapy cost in Delaware: 2 hospitals compared (APC 5627)

Level 7 Radiation Therapy in Delaware

What 2 hospitals in Delaware charged and were paid for level 7 radiation therapy (APC 5627), from 2024 Medicare claims.

APC 5627 Outpatient 2024 Medicare data
Average charge $34,887 Hospital list price billed
Average allowed $7,813 Medicare's payment + patient's share
Medicare paid $6,225 Average per service
Volume 18 Medicare services

Hospitals in Delaware billed an average of $34,887 for level 7 radiation therapy, about 4.5 times the average medicare-allowed amount of $7,813. That payment is 3% above the U.S. average 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.

Paid $7,813Billed $34,887

About 22¢ was paid for every $1 hospitals in Delaware billed for this service.

Delaware hospitals: level 7 radiation therapy

Every Delaware hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
Christiana Care Health Services, INC.Newark 18 $34,887 $7,813 $6,225
Nanticoke Memorial HospitalSeaford – – – –
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Level 7 Radiation Therapy in other states

Questions

How much does level 7 radiation therapy cost in Delaware?

In 2024 Medicare data, level 7 radiation therapy (APC 5627) at 2 hospitals in Delaware was billed at $34,887 on average, while the average medicare-allowed amount was $7,813, of which Medicare paid $6,225. Your own cost depends on your insurance, deductible and the hospital.

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 Delaware, average charges were 4.5 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.