Level 7 Radiation Therapy in South Dakota
What 2 hospitals in South Dakota charged and were paid for level 7 radiation therapy (APC 5627), from 2024 Medicare claims.
Average charge
$39,586
Hospital list price billed
Average allowed
$7,194
Medicare's payment + patient's share
Medicare paid
$5,716
Average per service
Volume
73
Medicare services
Hospitals in South Dakota billed an average of $39,586 for level 7 radiation therapy, about 5.5 times the average medicare-allowed amount of $7,194. That payment is 6% 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 $7,194Billed $39,586
About 18¢ was paid for every $1 hospitals in South Dakota billed for this service.
South Dakota hospitals: level 7 radiation therapy
Every South Dakota hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Avera McKennan Hospital & University Health CenterSioux Falls | 59 | $35,636 | $7,202 | $5,718 |
| Sanford Usd Medical CenterSioux Falls | 14 | $56,236 | $7,159 | $5,704 |
Level 7 Radiation Therapy in other states
Questions
How much does level 7 radiation therapy cost in South Dakota?
In 2024 Medicare data, level 7 radiation therapy (APC 5627) at 2 hospitals in South Dakota was billed at $39,586 on average, while the average medicare-allowed amount was $7,194, of which Medicare paid $5,716. 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 South Dakota, average charges were 5.5 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.