What 18 hospitals in Wisconsin charged and were paid for level 7 radiation therapy (APC 5627), from 2024 Medicare claims.
Hospitals in Wisconsin billed an average of $71,902 for level 7 radiation therapy, about 10.0 times the average medicare-allowed amount of $7,215. That payment is 5% 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.
About 10¢ was paid for every $1 hospitals in Wisconsin billed for this service.
Every Wisconsin hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Froedtert Mem Lutheran HsptlMilwaukee | 32 | $107,680 | $6,963 | $5,473 |
| University of Wi Hospitals & Clinics AuthorityMadison | 31 | $23,419 | $7,269 | $5,792 |
| Marshfield Medical CenterMarshfield | 19 | $83,371 | $7,463 | $5,946 |
| Aurora St Lukes Medical CenterMilwaukee | 15 | $81,247 | $7,328 | $5,838 |
| Waukesha Memorial HospitalWaukesha | – | – | – | – |
| Aspirus Rhinelander HospitalRhinelander | – | – | – | – |
| Aspirus Wausau HospitalWausau | – | – | – | – |
| Aurora Sheboygan Mem Med CtrSheboygan | – | – | – | – |
| Mercy Hlth Sys CorpJanesville | – | – | – | – |
| St Vincent HsptlGreen Bay | – | – | – | – |
| Gundersen Luth Med CtrLa Crosse | – | – | – | – |
| St Agnes HsptlFond du Lac | – | – | – | – |
| Beloit Mem HsptlBeloit | – | – | – | – |
| Holy Family Memorial INCManitowoc | – | – | – | – |
| Ascension SE Wisconsin HospitalMilwaukee | – | – | – | – |
| Appleton Med CtrAppleton | – | – | – | – |
| Aurora Baycare Med CtrGreen Bay | – | – | – | – |
| Aurora Medical CenterSummit | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Froedtert Mem Lutheran HsptlMilwaukee, WI | $6,963 |
|---|---|
| University of Wi Hospitals & Clinics AuthorityMadison, WI | $7,269 |
| Aurora St Lukes Medical CenterMilwaukee, WI | $7,328 |
| Marshfield Medical CenterMarshfield, WI | $7,463 |
| Marshfield Medical CenterMarshfield, WI | $7,463 |
|---|---|
| Aurora St Lukes Medical CenterMilwaukee, WI | $7,328 |
| University of Wi Hospitals & Clinics AuthorityMadison, WI | $7,269 |
| Froedtert Mem Lutheran HsptlMilwaukee, WI | $6,963 |
In 2024 Medicare data, level 7 radiation therapy (APC 5627) at 18 hospitals in Wisconsin was billed at $71,902 on average, while the average medicare-allowed amount was $7,215, of which Medicare paid $5,724. Your own cost depends on your insurance, deductible and the hospital.
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 Wisconsin, average charges were 10.0 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.