facebook tracking Comprehensive Observation Services cost in Delaware: 7 hospitals compared (APC 8011)

Comprehensive Observation Services in Delaware

What 7 hospitals in Delaware charged and were paid for comprehensive observation services (APC 8011), from 2024 Medicare claims.

APC 8011 Outpatient 2024 Medicare data
Average charge $16,076 Hospital list price billed
Average allowed $2,718 Medicare's payment + patient's share
Medicare paid $2,159 Average per service
State rank #37 of 49 1 = lowest average payment

Hospitals in Delaware billed an average of $16,076 for comprehensive observation services, about 5.9 times the average medicare-allowed amount of $2,718. That payment is 3% above the U.S. average of $2,634.

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 $2,718Billed $16,076

About 17¢ was paid for every $1 hospitals in Delaware billed for this service.

Delaware hospitals: comprehensive observation services

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

Hospital Services Avg charge Avg allowed Medicare paid
Christiana Care Health Services, INC.Newark 1,883 $13,217 $2,701 $2,141
Bayhealth - Kent General HospitalDover 1,206 $17,736 $2,742 $2,181
Beebe Medical CenterLewes 1,001 $19,476 $2,728 $2,169
Bayhealth Hospital, Sussex CampusMilford 457 $19,249 $2,722 $2,163
Nanticoke Memorial HospitalSeaford 201 $9,759 $2,697 $2,142
St Francis HospitalWilmington 164 $14,840 $2,693 $2,140
Nemours Children's Hospital, DelawareWilmington – – – –
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Lowest and highest allowed amounts in Delaware

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Comprehensive Observation Services in other states

Questions

How much does comprehensive observation services cost in Delaware?

In 2024 Medicare data, comprehensive observation services (APC 8011) at 7 hospitals in Delaware was billed at $16,076 on average, while the average medicare-allowed amount was $2,718, of which Medicare paid $2,159. 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 Delaware, average charges were 5.9 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.