facebook tracking Level 7 Radiation Therapy cost in Rhode Island: 1 hospitals compared (APC 5627)

Level 7 Radiation Therapy in Rhode Island

What 1 hospital in Rhode Island charged and were paid for level 7 radiation therapy (APC 5627), from 2024 Medicare claims.

APC 5627 Outpatient 2024 Medicare data
Average charge $33,597 Hospital list price billed
Average allowed $7,903 Medicare's payment + patient's share
Medicare paid $6,297 Average per service
Volume 28 Medicare services

Hospitals in Rhode Island billed an average of $33,597 for level 7 radiation therapy, about 4.3 times the average medicare-allowed amount of $7,903. That payment is 4% 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 $7,903Billed $33,597

About 24¢ was paid for every $1 hospitals in Rhode Island billed for this service.

Rhode Island hospitals: level 7 radiation therapy

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

Hospital Services Avg charge Avg allowed Medicare paid
Rhode Island HospitalProvidence 28 $33,597 $7,903 $6,297
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Level 7 Radiation Therapy in other states

Questions

How much does level 7 radiation therapy cost in Rhode Island?

In 2024 Medicare data, level 7 radiation therapy (APC 5627) at 1 hospital in Rhode Island was billed at $33,597 on average, while the average medicare-allowed amount was $7,903, of which Medicare paid $6,297. 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 Rhode Island, average charges were 4.3 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.