Outpatient / APC 5627
APC 5627 · 198 hospitals · 9,098 services
Level 7 Radiation Therapy
Hospital outpatient departments billed Medicare for 9,098 services in APC 5627 in 2024. They charged an average of $77,406; Medicare allowed $7,559 — a ratio of 10.2 to 1 — and paid $6,072 of it, the patient's coinsurance making up most of the rest. Average charges ranged from $7,769 to $308,307 across hospitals.
- 1Average charge $77,406
- 2Medicare allowed $7,559
- 3Reporting hospitals 198
- 4Services 9,098
By state
The average charge for this service was highest in Texas ($124,558) and lowest in Maine ($14,450). The allowed amount is set by Medicare's outpatient fee schedule, adjusted for local wages, so it varies much less.
| State | Services | Avg charge | Avg allowed |
|---|---|---|---|
| Texas | 506 | $124,558 | $7,043 |
| North Carolina | 421 | $122,098 | $6,729 |
| Nevada | 22 | $110,844 | $8,034 |
| Virginia | 316 | $109,658 | $6,885 |
| Mississippi | 102 | $108,045 | $6,363 |
| New York | 855 | $97,031 | $8,622 |
| Colorado | 173 | $91,188 | $7,370 |
| Alaska | 12 | $87,204 | $8,038 |
| Pennsylvania | 520 | $84,641 | $7,329 |
| California | 904 | $83,172 | $9,885 |
| Washington | 239 | $81,332 | $7,932 |
| Oregon | 74 | $80,149 | $8,224 |
| Georgia | 257 | $79,938 | $7,062 |
| Kentucky | 127 | $77,426 | $6,656 |
| New Jersey | 199 | $75,251 | $8,096 |
| New Mexico | 40 | $74,873 | $6,917 |
| Oklahoma | 83 | $72,183 | $6,563 |
| Illinois | 404 | $71,792 | $7,359 |
| Missouri | 236 | $70,255 | $6,856 |
| Utah | 56 | $70,230 | $6,947 |
| South Carolina | 175 | $68,263 | $6,835 |
| Florida | 580 | $68,081 | $7,017 |
| Connecticut | 128 | $67,533 | $8,634 |
| Indiana | 135 | $67,306 | $6,841 |
| Ohio | 473 | $64,549 | $6,585 |
| Wisconsin | 134 | $62,245 | $7,030 |
| Minnesota | 311 | $60,293 | $7,812 |
| District of Columbia | 21 | $56,022 | $7,968 |
| Kansas | 99 | $48,255 | $6,612 |
| Massachusetts | 322 | $47,936 | $8,341 |
| Alabama | 109 | $45,510 | $6,294 |
| Idaho | 18 | $44,231 | $7,126 |
| Iowa | 132 | $42,507 | $6,882 |
| New Hampshire | 33 | $40,706 | $7,858 |
| Michigan | 201 | $40,145 | $6,947 |
| Louisiana | 120 | $39,992 | $6,433 |
| South Dakota | 73 | $39,586 | $7,194 |
| Tennessee | 119 | $38,795 | $6,520 |
| Nebraska | 35 | $38,232 | $6,698 |
| West Virginia | 67 | $37,743 | $6,466 |
| Arizona | 94 | $36,798 | $6,841 |
| Delaware | 20 | $34,003 | $7,813 |
| Rhode Island | 28 | $33,597 | $7,903 |
| Arkansas | 18 | $30,231 | $6,716 |
| North Dakota | 23 | $28,711 | $7,481 |
| Montana | 57 | $19,399 | $7,414 |
| Maine | 15 | $14,450 | $7,183 |
Highest average charges
| Hospital | Charge | Allowed |
|---|---|---|
| Merit Health Central Jackson, MS | $308,307 | $6,519 |
| Houston Methodist Hospital Houston, TX | $253,746 | $7,026 |
| North Carolina Baptist Hospital Winston-Salem, NC | $240,084 | $7,052 |
| Memorial Hermann Texas Medical Center Houston, TX | $235,710 | $7,221 |
| Los Robles Hospital & Medical Center Thousand Oaks, CA | $234,669 | $9,568 |
| Carolinas Medical Center/Behav Health Charlotte, NC | $220,721 | $6,997 |
| Northwestern Memorial Hospital Chicago, IL | $212,289 | $7,350 |
| Research Medical Center Kansas City, MO | $204,824 | $6,801 |
| University Hospital S U N Y Health Science Center Syracuse, NY | $191,494 | $8,255 |
| Mount Sinai South Nassau Oceanside, NY | $187,013 | $8,772 |
Lowest average charges
| Hospital | Charge | Allowed |
|---|---|---|
| Ochsner Lafayette General Medical Center Lafayette, LA | $7,769 | $6,474 |
| Huntsville Hospital Huntsville, AL | $8,362 | $6,432 |
| Umass Memorial Medical Center Inc Worcester, MA | $11,984 | $8,362 |
| St Cloud Hospital Saint Cloud, MN | $14,734 | $7,912 |
| Billings Clinic Hospital Billings, MT | $15,463 | $7,301 |
| Henry Ford Health Hospital Detroit, MI | $16,731 | $6,810 |
| Unm Hospital Albuquerque, NM | $16,964 | $6,892 |
| Ochsner Lsu Health Shreveport Shreveport, LA | $18,910 | $6,474 |
| Mayo Clinic Hospital Phoenix, AZ | $20,332 | $7,594 |
| Duke Health Raleigh Hospital Raleigh, NC | $21,831 | $7,011 |
An APC groups services of similar cost, so a hospital's average mixes the specific procedures it does most. Charges are list prices; the allowed amount is the fee-schedule total that Medicare and the patient together pay the hospital.
Source: CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024. Checked 2026-10-24. Methodology.