Pulmonary edema and respiratory failure in Delaware
What 6 hospitals in Delaware charged and were paid for a Medicare hospital stay for pulmonary edema and respiratory failure (DRG 189), from 2024 Medicare claims.
Average charge
$41,708
Hospital list price billed
Average payment
$12,021
Medicare + patient + other payers
Medicare paid
$9,518
Average per stay
State rank
#37 of 50
1 = lowest average payment
Hospitals in Delaware billed an average of $41,708 for pulmonary edema and respiratory failure, about 3.5 times the average total payment of $12,021. That payment is 1% below the U.S. average of $12,197.
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 $12,021Billed $41,708
About 29¢ was paid for every $1 hospitals in Delaware billed for this stay.
Delaware hospitals: pulmonary edema and respiratory failure
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 | 283 | $43,437 | $12,133 | $9,551 |
| Beebe Medical CenterLewes | 43 | $41,987 | $10,054 | $8,526 |
| Nanticoke Memorial HospitalSeaford | 40 | $20,792 | $12,307 | $11,287 |
| Bayhealth - Kent General HospitalDover | 35 | $40,616 | $14,913 | $8,703 |
| Bayhealth Hospital, Sussex CampusMilford | 21 | $45,505 | $9,954 | $8,967 |
| St Francis HospitalWilmington | 16 | $60,087 | $11,010 | $9,672 |
Lowest and highest payments in Delaware
Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Bayhealth Hospital, Sussex CampusMilford, DE | $9,954 |
|---|---|
| Beebe Medical CenterLewes, DE | $10,054 |
| St Francis HospitalWilmington, DE | $11,010 |
| Christiana Care Health Services, INC.Newark, DE | $12,133 |
| Nanticoke Memorial HospitalSeaford, DE | $12,307 |
Highest
| Bayhealth - Kent General HospitalDover, DE | $14,913 |
|---|---|
| Nanticoke Memorial HospitalSeaford, DE | $12,307 |
| Christiana Care Health Services, INC.Newark, DE | $12,133 |
| St Francis HospitalWilmington, DE | $11,010 |
| Beebe Medical CenterLewes, DE | $10,054 |
Pulmonary edema and respiratory failure in other states
Questions
How much does pulmonary edema and respiratory failure cost in Delaware?
In 2024 Medicare data, a hospital stay for pulmonary edema and respiratory failure (DRG 189) at 6 hospitals in Delaware was billed at $41,708 on average, while the average total payment was $12,021, of which Medicare paid $9,518. 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 3.5 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.