What 7 hospitals in Delaware charged and were paid for level 3 urology and related services (APC 5373), from 2024 Medicare claims.
Hospitals in Delaware billed an average of $11,034 for level 3 urology and related services, about 5.6 times the average medicare-allowed amount of $1,982. That payment is 4% above the U.S. average of $1,912.
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 18¢ was paid for every $1 hospitals in Delaware billed for this service.
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 | 546 | $9,630 | $2,015 | $1,591 |
| Bayhealth - Kent General HospitalDover | 234 | $11,294 | $1,961 | $1,562 |
| Beebe Medical CenterLewes | 200 | $14,850 | $2,044 | $1,623 |
| Bayhealth Hospital, Sussex CampusMilford | 127 | $11,395 | $1,770 | $1,408 |
| Nanticoke Memorial HospitalSeaford | 32 | $7,800 | $2,044 | $1,622 |
| St Francis HospitalWilmington | – | – | – | – |
| Nemours Children's Hospital, DelawareWilmington | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Bayhealth Hospital, Sussex CampusMilford, DE | $1,770 |
|---|---|
| Bayhealth - Kent General HospitalDover, DE | $1,961 |
| Christiana Care Health Services, INC.Newark, DE | $2,015 |
| Beebe Medical CenterLewes, DE | $2,044 |
| Nanticoke Memorial HospitalSeaford, DE | $2,044 |
| Nanticoke Memorial HospitalSeaford, DE | $2,044 |
|---|---|
| Beebe Medical CenterLewes, DE | $2,044 |
| Christiana Care Health Services, INC.Newark, DE | $2,015 |
| Bayhealth - Kent General HospitalDover, DE | $1,961 |
| Bayhealth Hospital, Sussex CampusMilford, DE | $1,770 |
In 2024 Medicare data, level 3 urology and related services (APC 5373) at 7 hospitals in Delaware was billed at $11,034 on average, while the average medicare-allowed amount was $1,982, of which Medicare paid $1,571. 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 Delaware, average charges were 5.6 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.