facebook tracking Level 7 Radiation Therapy cost in Virginia: 18 hospitals compared (APC 5627)

Level 7 Radiation Therapy in Virginia

What 18 hospitals in Virginia charged and were paid for level 7 radiation therapy (APC 5627), from 2024 Medicare claims.

APC 5627 Outpatient 2024 Medicare data
Average charge $121,335 Hospital list price billed
Average allowed $6,851 Medicare's payment + patient's share
Medicare paid $5,450 Average per service
State rank #15 of 37 1 = lowest average payment

Hospitals in Virginia billed an average of $121,335 for level 7 radiation therapy, about 17.7 times the average medicare-allowed amount of $6,851. That payment is 10% 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 $6,851Billed $121,335

About 6¢ was paid for every $1 hospitals in Virginia billed for this service.

Virginia hospitals: level 7 radiation therapy

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

Hospital Services Avg charge Avg allowed Medicare paid
Cjw Medical CenterRichmond 117 $149,758 $6,704 $5,341
University of Virginia Medical CenterCharlottesville 80 $148,388 $7,008 $5,555
Riverside Regional Medical CenterNewport News 26 $44,674 $6,705 $5,342
Inova Fairfax HospitalFalls Church 25 $39,248 $7,302 $5,818
Medical College of Virginia HospitalsRichmond 20 $49,120 $6,713 $5,348
Sentara Rmh Medical CenterHarrisonburg – – – –
Winchester Medical Center INCWinchester – – – –
Sentara Norfolk General HospitalNorfolk – – – –
Bon Secours - Maryview Medical CenterPortsmouth – – – –
Centra Health - Lynchburg Gen HospitalLynchburg – – – –
Mary Washington Hospital, INCFredericksburg – – – –
Carilion Medical CenterRoanoke – – – –
Lewisgale Medical CenterSalem – – – –
Virginia Hospital Center - ArlingtonArlington – – – –
Clinch Valley Medical CenterRichlands – – – –
Martha Jefferson HospitalCharlottesville – – – –
Pulaski Community HospitalPulaski – – – –
Henrico Doctors' HospitalRichmond – – – –
Advertisement

Lowest and highest allowed amounts in Virginia

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

Cjw Medical CenterRichmond, VA$6,704
Riverside Regional Medical CenterNewport News, VA$6,705
Medical College of Virginia HospitalsRichmond, VA$6,713
University of Virginia Medical CenterCharlottesville, VA$7,008
Inova Fairfax HospitalFalls Church, VA$7,302

Highest

Inova Fairfax HospitalFalls Church, VA$7,302
University of Virginia Medical CenterCharlottesville, VA$7,008
Medical College of Virginia HospitalsRichmond, VA$6,713
Riverside Regional Medical CenterNewport News, VA$6,705
Cjw Medical CenterRichmond, VA$6,704

Level 7 Radiation Therapy in other states

Questions

How much does level 7 radiation therapy cost in Virginia?

In 2024 Medicare data, level 7 radiation therapy (APC 5627) at 18 hospitals in Virginia was billed at $121,335 on average, while the average medicare-allowed amount was $6,851, of which Medicare paid $5,450. 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 Virginia, average charges were 17.7 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.