facebook tracking Major chest procedures without complications cost in Delaware: 2 hospitals compared (DRG 165)

Major chest procedures without complications in Delaware

What 2 hospitals in Delaware charged and were paid for a Medicare hospital stay for major chest procedures without complications (DRG 165), from 2024 Medicare claims.

DRG 165 Inpatient 2024 Medicare data
Average charge $44,545 Hospital list price billed
Average payment $18,781 Medicare + patient + other payers
Medicare paid $15,057 Average per stay
Volume 29 Medicare hospital stays

Hospitals in Delaware billed an average of $44,545 for major chest procedures without complications, about 2.4 times the average total payment of $18,781. That payment is 4% below the U.S. average of $19,593.

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 $18,781Billed $44,545

About 42¢ was paid for every $1 hospitals in Delaware billed for this stay.

Delaware hospitals: major chest procedures without 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 17 $55,446 $19,004 $13,804
Nanticoke Memorial HospitalSeaford 12 $29,103 $18,464 $16,832
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Major chest procedures without complications in other states

Questions

How much does major chest procedures without complications cost in Delaware?

In 2024 Medicare data, a hospital stay for major chest procedures without complications (DRG 165) at 2 hospitals in Delaware was billed at $44,545 on average, while the average total payment was $18,781, of which Medicare paid $15,057. 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 2.4 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.