facebook tracking Level 7 Radiation Therapy cost in Texas: 24 hospitals compared (APC 5627)

Level 7 Radiation Therapy in Texas

What 24 hospitals in Texas charged and were paid for level 7 radiation therapy (APC 5627), from 2024 Medicare claims.

APC 5627 Outpatient 2024 Medicare data
Average charge $129,332 Hospital list price billed
Average allowed $7,075 Medicare's payment + patient's share
Medicare paid $5,621 Average per service
State rank #22 of 37 1 = lowest average payment

Hospitals in Texas billed an average of $129,332 for level 7 radiation therapy, about 18.3 times the average medicare-allowed amount of $7,075. That payment is 7% 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 $7,075Billed $129,332

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

Texas hospitals: level 7 radiation therapy

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

Hospital Services Avg charge Avg allowed Medicare paid
Univ of Tx M D Anderson CtrHouston 226 $80,664 $7,195 $5,728
Methodist Hospital,TheHouston 59 $253,746 $7,026 $5,558
Memorial Hermann Texas Medical CenterHouston 58 $235,710 $7,221 $5,753
UT Southwestern University HospitalDallas 48 $55,086 $6,775 $5,351
Covenant Children's HospitalLubbock 25 $148,215 $6,757 $5,384
Sierra Medical CenterEl Paso 16 $165,605 $6,420 $5,047
St Joseph Regional Health CenterBryan – – – –
University of Texas Medical Branch GalGalveston – – – –
Jps Health NetworkFort Worth – – – –
CHRISTUS Spohn Hospital Corpus ChristiCorpus Christi – – – –
Scott & White Memorial HospitalTemple – – – –
Baylor Medical Center at IrvingIrving – – – –
University Medical Center at BrackenridgeAustin – – – –
St Lukes Episcopal HospitalHouston – – – –
Hendrick Health SystemAbilene – – – –
Methodist HospitalSan Antonio – – – –
Methodist Richardson Medical CenterRichardson – – – –
Medical City Dallas HospitalDallas – – – –
University Medical CenterLubbock – – – –
University of Texas Health Science Center at TylerTyler – – – –
CHRISTUS St Michael Health SystemTexarkana – – – –
St Luke's the Woodlands HospitalConroe – – – –
Scott & White Hospital-Round RockRound Rock – – – –
Baylor Scott & White Medical Center- College StatiCollege Station – – – –
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Lowest and highest allowed amounts in Texas

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 Texas?

In 2024 Medicare data, level 7 radiation therapy (APC 5627) at 24 hospitals in Texas was billed at $129,332 on average, while the average medicare-allowed amount was $7,075, of which Medicare paid $5,621. 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 Texas, average charges were 18.3 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.