Other respiratory system operating room procedures with complications in Delaware
What 1 hospital in Delaware charged and were paid for a Medicare hospital stay for other respiratory system operating room procedures with complications (DRG 167), from 2024 Medicare claims.
Average charge
$76,364
Hospital list price billed
Average payment
$19,596
Medicare + patient + other payers
Medicare paid
$17,118
Average per stay
Volume
18
Medicare hospital stays
Hospitals in Delaware billed an average of $76,364 for other respiratory system operating room procedures with complications, about 3.9 times the average total payment of $19,596. That payment is 9% below the U.S. average of $21,619.
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 $19,596Billed $76,364
About 26¢ 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: other respiratory system operating room procedures with 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 | 18 | $76,364 | $19,596 | $17,118 |
Other respiratory system operating room procedures with complications in other states
Questions
How much does other respiratory system operating room procedures with complications cost in Delaware?
In 2024 Medicare data, a hospital stay for other respiratory system operating room procedures with complications (DRG 167) at 1 hospital in Delaware was billed at $76,364 on average, while the average total payment was $19,596, of which Medicare paid $17,118. 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 3.9 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.