facebook tracking Level 7 Radiation Therapy cost in North Carolina: 19 hospitals compared (APC 5627)

Level 7 Radiation Therapy in North Carolina

What 19 hospitals in North Carolina charged and were paid for level 7 radiation therapy (APC 5627), from 2024 Medicare claims.

APC 5627 Outpatient 2024 Medicare data
Average charge $133,935 Hospital list price billed
Average allowed $6,707 Medicare's payment + patient's share
Medicare paid $5,331 Average per service
State rank #11 of 37 1 = lowest average payment

Hospitals in North Carolina billed an average of $133,935 for level 7 radiation therapy, about 20.0 times the average medicare-allowed amount of $6,707. That payment is 12% 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 $6,707Billed $133,935

About 5¢ was paid for every $1 hospitals in North Carolina billed for this service.

North Carolina hospitals: level 7 radiation therapy

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

Hospital Services Avg charge Avg allowed Medicare paid
North Carolina Baptist HospitalWinston-Salem 123 $240,084 $7,052 $5,609
Duke University Medical CenterDurham 77 $22,998 $6,806 $5,378
Carolinas Medical Center/Behav HealthCharlotte 56 $220,721 $6,997 $5,575
ECU Health Medical CenterGreenville 42 $77,586 $6,777 $5,399
UNC HospitalsChapel Hill 25 $28,401 $7,111 $5,666
New Hanover Regional Medical CenterWilmington 21 $38,314 $2,711 $2,160
Memorial Mission Hospital and Asheville Surgery CeAsheville 13 $55,785 $6,777 $5,399
Duke Health Raleigh HospitalRaleigh 12 $21,831 $7,011 $5,586
Carolinas Medical Center-NortheastConcord – – – –
Forsyth Memorial HospitalWinston-Salem – – – –
Cape Fear Valley Medical CenterFayetteville – – – –
Caromont Regional Medical CenterGastonia – – – –
Southeastern Regional Medical CenterLumberton – – – –
Presbyterian HospitalCharlotte – – – –
Moses H Cone Memorial Hospital, theGreensboro – – – –
Rex HospitalRaleigh – – – –
Firsthealth Moore Regional HospitalPinehurst – – – –
Catawba Valley Medical CenterHickory – – – –
Presbyterian Hospital HuntersvilleHuntersville – – – –
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Lowest and highest allowed amounts in North Carolina

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

Highest

UNC HospitalsChapel Hill, NC$7,111
North Carolina Baptist HospitalWinston-Salem, NC$7,052
Duke Health Raleigh HospitalRaleigh, NC$7,011
Carolinas Medical Center/Behav HealthCharlotte, NC$6,997
Duke University Medical CenterDurham, NC$6,806

Level 7 Radiation Therapy in other states

Questions

How much does level 7 radiation therapy cost in North Carolina?

In 2024 Medicare data, level 7 radiation therapy (APC 5627) at 19 hospitals in North Carolina was billed at $133,935 on average, while the average medicare-allowed amount was $6,707, of which Medicare paid $5,331. 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 North Carolina, average charges were 20.0 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.