facebook tracking Level 7 Radiation Therapy cost in Tennessee: 15 hospitals compared (APC 5627)

Level 7 Radiation Therapy in Tennessee

What 15 hospitals in Tennessee charged and were paid for level 7 radiation therapy (APC 5627), from 2024 Medicare claims.

APC 5627 Outpatient 2024 Medicare data
Average charge $42,337 Hospital list price billed
Average allowed $6,520 Medicare's payment + patient's share
Medicare paid $5,195 Average per service
State rank #6 of 37 1 = lowest average payment

Hospitals in Tennessee billed an average of $42,337 for level 7 radiation therapy, about 6.5 times the average medicare-allowed amount of $6,520. That payment is 14% 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 $6,520Billed $42,337

About 15¢ was paid for every $1 hospitals in Tennessee billed for this service.

Tennessee hospitals: level 7 radiation therapy

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

Hospital Services Avg charge Avg allowed Medicare paid
Vanderbilt University HospitalNashville 27 $40,999 $6,508 $5,185
Fort Sanders Reg Medical CtrKnoxville 24 $50,422 $6,422 $5,117
St Thomas HospitalNashville 14 $31,059 $6,709 $5,345
Sumner Regional Medical CenterGallatin – – – –
Skyline Medical CenterNashville – – – –
Wellmont Bristol Regional Medical CenterBristol – – – –
Univ of Tn Mem HospitalKnoxville – – – –
Baptist Memorial HospitalMemphis – – – –
Saint Thomas Rutherford HospitalMurfreesboro – – – –
Johnson City Medical CenterJohnson City – – – –
Maury Regional HospitalColumbia – – – –
Memorial Healthcare System, INCChattanooga – – – –
Erlanger Medical CenterChattanooga – – – –
Centennial Medical CenterNashville – – – –
St Francis HospitalMemphis – – – –
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Lowest and highest allowed amounts in Tennessee

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

Lowest

Fort Sanders Reg Medical CtrKnoxville, TN$6,422
Vanderbilt University HospitalNashville, TN$6,508
St Thomas HospitalNashville, TN$6,709

Highest

St Thomas HospitalNashville, TN$6,709
Vanderbilt University HospitalNashville, TN$6,508
Fort Sanders Reg Medical CtrKnoxville, TN$6,422

Level 7 Radiation Therapy in other states

Questions

How much does level 7 radiation therapy cost in Tennessee?

In 2024 Medicare data, level 7 radiation therapy (APC 5627) at 15 hospitals in Tennessee was billed at $42,337 on average, while the average medicare-allowed amount was $6,520, of which Medicare paid $5,195. 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 Tennessee, average charges were 6.5 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.