facebook tracking Major gastrointestinal disorders and peritoneal infections with major complications cost in Delaware: 2 hospitals compared (DRG 371)

Major gastrointestinal disorders and peritoneal infections with major complications in Delaware

What 2 hospitals in Delaware charged and were paid for a Medicare hospital stay for major gastrointestinal disorders and peritoneal infections with major complications (DRG 371), from 2024 Medicare claims.

DRG 371 Inpatient 2024 Medicare data
Average charge $66,951 Hospital list price billed
Average payment $16,001 Medicare + patient + other payers
Medicare paid $14,130 Average per stay
Volume 38 Medicare hospital stays

Hospitals in Delaware billed an average of $66,951 for major gastrointestinal disorders and peritoneal infections with major complications, about 4.2 times the average total payment of $16,001. That payment is 8% below the U.S. average of $17,357.

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 $16,001Billed $66,951

About 24¢ was paid for every $1 hospitals in Delaware billed for this stay.

Delaware hospitals: major gastrointestinal disorders and peritoneal infections 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 23 $71,079 $17,292 $15,050
Beebe Medical CenterLewes 15 $60,620 $14,020 $12,719
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Major gastrointestinal disorders and peritoneal infections with major complications in other states

Questions

How much does major gastrointestinal disorders and peritoneal infections with major complications cost in Delaware?

In 2024 Medicare data, a hospital stay for major gastrointestinal disorders and peritoneal infections with major complications (DRG 371) at 2 hospitals in Delaware was billed at $66,951 on average, while the average total payment was $16,001, of which Medicare paid $14,130. 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 4.2 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.