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

Level 7 Radiation Therapy in Wisconsin

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

APC 5627 Outpatient 2024 Medicare data
Average charge $71,902 Hospital list price billed
Average allowed $7,215 Medicare's payment + patient's share
Medicare paid $5,724 Average per service
State rank #24 of 37 1 = lowest average payment

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.

Paid $7,215Billed $71,902

About 10¢ was paid for every $1 hospitals in Wisconsin billed for this service.

Wisconsin hospitals: level 7 radiation therapy

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 – – – –
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Lowest and highest allowed amounts in Wisconsin

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 Wisconsin?

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.

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 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.