Level 7 Radiation Therapy in Kentucky
What 15 hospitals in Kentucky charged and were paid for level 7 radiation therapy (APC 5627), from 2024 Medicare claims.
Average charge
$63,551
Hospital list price billed
Average allowed
$6,544
Medicare's payment + patient's share
Medicare paid
$5,162
Average per service
State rank
#7 of 37
1 = lowest average payment
Hospitals in Kentucky billed an average of $63,551 for level 7 radiation therapy, about 9.7 times the average medicare-allowed amount of $6,544. That payment is 14% 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.
Paid $6,544Billed $63,551
About 10¢ was paid for every $1 hospitals in Kentucky billed for this service.
Kentucky hospitals: level 7 radiation therapy
Every Kentucky hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| University of Kentucky HospLexington | 23 | $85,691 | $6,276 | $4,906 |
| Norton Healthcare PavilionLouisville | 21 | $29,844 | $6,183 | $4,823 |
| Lourdes HospitalPaducah | 17 | $70,923 | $7,124 | $5,675 |
| University of Louisville HospitalLouisville | 13 | $100,206 | $6,709 | $5,345 |
| St Elizabeth Med Center-SouthEdgewood | 11 | $26,896 | $6,698 | $5,336 |
| Saint Joseph HospitalLexington | – | – | – | – |
| Hardin Memorial HospitalElizabethtown | – | – | – | – |
| Murray-Calloway County HospitalMurray | – | – | – | – |
| Hazard Arh Regional Medical CenterHazard | – | – | – | – |
| Owensboro Medical Health SystemOwensboro | – | – | – | – |
| Pikeville Medical CenterPikeville | – | – | – | – |
| Jennie Stuart Medical CenterHopkinsville | – | – | – | – |
| Central Baptist HospitalLexington | – | – | – | – |
| Western Baptist HospitalPaducah | – | – | – | – |
| Baptist Hospital EastLouisville | – | – | – | – |
Lowest and highest allowed amounts in Kentucky
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Norton Healthcare PavilionLouisville, KY | $6,183 |
|---|---|
| University of Kentucky HospLexington, KY | $6,276 |
| St Elizabeth Med Center-SouthEdgewood, KY | $6,698 |
| University of Louisville HospitalLouisville, KY | $6,709 |
| Lourdes HospitalPaducah, KY | $7,124 |
Highest
| Lourdes HospitalPaducah, KY | $7,124 |
|---|---|
| University of Louisville HospitalLouisville, KY | $6,709 |
| St Elizabeth Med Center-SouthEdgewood, KY | $6,698 |
| University of Kentucky HospLexington, KY | $6,276 |
| Norton Healthcare PavilionLouisville, KY | $6,183 |
Level 7 Radiation Therapy in other states
Questions
How much does level 7 radiation therapy cost in Kentucky?
In 2024 Medicare data, level 7 radiation therapy (APC 5627) at 15 hospitals in Kentucky was billed at $63,551 on average, while the average medicare-allowed amount was $6,544, of which Medicare paid $5,162. 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 Kentucky, average charges were 9.7 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.