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

Level 7 Radiation Therapy in Nevada

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

APC 5627 Outpatient 2024 Medicare data
Average charge $125,801 Hospital list price billed
Average allowed $8,339 Medicare's payment + patient's share
Medicare paid $6,707 Average per service
Volume 15 Medicare services

Hospitals in Nevada billed an average of $125,801 for level 7 radiation therapy, about 15.1 times the average medicare-allowed amount of $8,339. That payment is 9% 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 $8,339Billed $125,801

About 7¢ was paid for every $1 hospitals in Nevada billed for this service.

Nevada hospitals: level 7 radiation therapy

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

Hospital Services Avg charge Avg allowed Medicare paid
Saint Mary's Regional Medical CenterReno 15 $125,801 $8,339 $6,707
Renown Regional Medical CenterReno – – – –
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Level 7 Radiation Therapy in other states

Questions

How much does level 7 radiation therapy cost in Nevada?

In 2024 Medicare data, level 7 radiation therapy (APC 5627) at 2 hospitals in Nevada was billed at $125,801 on average, while the average medicare-allowed amount was $8,339, of which Medicare paid $6,707. 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 Nevada, average charges were 15.1 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.