facebook tracking Level 7 Radiation Therapy cost in New York: 27 hospitals compared (APC 5627)

Level 7 Radiation Therapy in New York

What 27 hospitals in New York charged and were paid for level 7 radiation therapy (APC 5627), from 2024 Medicare claims.

APC 5627 Outpatient 2024 Medicare data
Average charge $99,045 Hospital list price billed
Average allowed $8,624 Medicare's payment + patient's share
Medicare paid $6,992 Average per service
State rank #35 of 37 1 = lowest average payment

Hospitals in New York billed an average of $99,045 for level 7 radiation therapy, about 11.5 times the average medicare-allowed amount of $8,624. That payment is 13% 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 $8,624Billed $99,045

About 9¢ was paid for every $1 hospitals in New York billed for this service.

New York hospitals: level 7 radiation therapy

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

Hospital Services Avg charge Avg allowed Medicare paid
New York-Presbyterian HospitalNew York 164 $78,478 $8,814 $7,182
NYU Hospitals CenterNew York 156 $151,394 $8,723 $7,091
Mem Sloan-Kettering Cancer CtrNew York 130 $33,460 $8,858 $7,226
Roswell Park Cancer InstituteBuffalo 130 $62,972 $8,255 $6,623
Long Island Jewish Medical CenterNew Hyde Park 60 $138,287 $8,531 $6,899
University Hospital S U N Y Health Science CenterSyracuse 43 $191,494 $8,255 $6,623
South Nassau Communities HospitalOceanside 32 $187,013 $8,772 $7,140
Northern Westchester HospitalMt Kisco 27 $144,357 $8,376 $6,744
University HospitalStony Brook 22 $74,945 $8,695 $7,063
John T Mather Memorial Hospital of Port JeffersonPort Jefferson 16 $81,527 $7,812 $6,180
Mount Sinai HospitalNew York 14 $70,319 $8,858 $7,226
Good Samaritan Hospital Medical CenterWest Islip 13 $68,210 $8,695 $7,063
Montefiore Medical CenterBronx 11 $68,781 $8,768 $7,136
Albany Medical Center HospitalAlbany – – – –
Vassar Brothers Medical CenterPoughkeepsie – – – –
Wynn HospitalUtica – – – –
Mount Sinai WestNew York – – – –
St Peter's HospitalAlbany – – – –
Garnet Health Medical CenterGoshen – – – –
Mary Imogene Bassett HospitalCooperstown – – – –
Staten Island University HospitalStaten Island – – – –
St Francis Hospital, RoslynRoslyn – – – –
Glens Falls HospitalGlens Falls – – – –
Claxton-Hepburn Medical CenterOgdensburg – – – –
Westchester Medical CenterValhalla – – – –
Strong Memorial HospitalRochester – – – –
White Plains Hospital CtrWhite Plains – – – –
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Lowest and highest allowed amounts in New York

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Level 7 Radiation Therapy in other states

Questions

How much does level 7 radiation therapy cost in New York?

In 2024 Medicare data, level 7 radiation therapy (APC 5627) at 27 hospitals in New York was billed at $99,045 on average, while the average medicare-allowed amount was $8,624, of which Medicare paid $6,992. 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 New York, average charges were 11.5 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.