What 29 hospitals in Indiana charged and were paid for level 7 radiation therapy (APC 5627), from 2024 Medicare claims.
Hospitals in Indiana billed an average of $103,552 for level 7 radiation therapy, about 14.9 times the average medicare-allowed amount of $6,954. That payment is 9% below 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.
About 7¢ was paid for every $1 hospitals in Indiana billed for this service.
Every Indiana hospital that billed Medicare for this service at least 11 times. Click a column to sort.
In 2024 Medicare data, level 7 radiation therapy (APC 5627) at 29 hospitals in Indiana was billed at $103,552 on average, while the average medicare-allowed amount was $6,954, of which Medicare paid $5,512. Your own cost depends on your insurance, deductible and the hospital.
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 Indiana, average charges were 14.9 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.