Extensive operating room procedures unrelated to principal diagnosis with major complications in Delaware
What 3 hospitals in Delaware charged and were paid for a Medicare hospital stay for extensive operating room procedures unrelated to principal diagnosis with major complications (DRG 981), from 2024 Medicare claims.
Average charge
$169,913
Hospital list price billed
Average payment
$48,939
Medicare + patient + other payers
Medicare paid
$42,086
Average per stay
State rank
#32 of 42
1 = lowest average payment
Hospitals in Delaware billed an average of $169,913 for extensive operating room procedures unrelated to principal diagnosis with major complications, about 3.5 times the average total payment of $48,939. That payment is 4% above the U.S. average of $47,051.
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 $48,939Billed $169,913
About 29¢ was paid for every $1 hospitals in Delaware billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Delaware:
Delaware hospitals: extensive operating room procedures unrelated to principal diagnosis with major complications
Every Delaware hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Christiana Care Health Services, INC.Newark | 53 | $181,724 | $53,936 | $44,566 |
| Beebe Medical CenterLewes | 14 | $141,169 | $36,026 | $33,853 |
| Bayhealth - Kent General HospitalDover | 13 | $152,719 | $42,468 | $40,844 |
Lowest and highest payments in Delaware
Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Beebe Medical CenterLewes, DE | $36,026 |
|---|---|
| Bayhealth - Kent General HospitalDover, DE | $42,468 |
| Christiana Care Health Services, INC.Newark, DE | $53,936 |
Highest
| Christiana Care Health Services, INC.Newark, DE | $53,936 |
|---|---|
| Bayhealth - Kent General HospitalDover, DE | $42,468 |
| Beebe Medical CenterLewes, DE | $36,026 |
Extensive operating room procedures unrelated to principal diagnosis with major complications in other states
Questions
How much does extensive operating room procedures unrelated to principal diagnosis with major complications cost in Delaware?
In 2024 Medicare data, a hospital stay for extensive operating room procedures unrelated to principal diagnosis with major complications (DRG 981) at 3 hospitals in Delaware was billed at $169,913 on average, while the average total payment was $48,939, of which Medicare paid $42,086. 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 stay in Delaware, average charges were 3.5 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.