facebook tracking Level 4 Endovascular Procedures cost in Delaware: 6 hospitals compared (APC 5194)

Level 4 Endovascular Procedures in Delaware

What 6 hospitals in Delaware charged and were paid for level 4 endovascular procedures (APC 5194), from 2024 Medicare claims.

APC 5194 Outpatient 2024 Medicare data
Average charge $111,963 Hospital list price billed
Average allowed $17,524 Medicare's payment + patient's share
Medicare paid $15,890 Average per service
State rank #40 of 48 1 = lowest average payment

Hospitals in Delaware billed an average of $111,963 for level 4 endovascular procedures, about 6.4 times the average medicare-allowed amount of $17,524. That payment is 8% above the U.S. average of $16,197.

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 $17,524Billed $111,963

About 16¢ was paid for every $1 hospitals in Delaware billed for this service.

Delaware hospitals: level 4 endovascular procedures

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 51 $111,109 $17,554 $15,918
Bayhealth - Kent General HospitalDover 25 $89,405 $17,599 $15,967
St Francis HospitalWilmington 11 $167,187 $17,214 $15,582
Nanticoke Memorial HospitalSeaford – – – –
Beebe Medical CenterLewes – – – –
Bayhealth Hospital, Sussex CampusMilford – – – –
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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.

Lowest

Highest

Level 4 Endovascular Procedures in other states

Questions

How much does level 4 endovascular procedures cost in Delaware?

In 2024 Medicare data, level 4 endovascular procedures (APC 5194) at 6 hospitals in Delaware was billed at $111,963 on average, while the average medicare-allowed amount was $17,524, of which Medicare paid $15,890. 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 6.4 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.