Pulmonary embolism with major complications or acute cor pulmonale in Delaware
What 5 hospitals in Delaware charged and were paid for a Medicare hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175), from 2024 Medicare claims.
Average charge
$53,737
Hospital list price billed
Average payment
$14,380
Medicare + patient + other payers
Medicare paid
$11,778
Average per stay
State rank
#42 of 48
1 = lowest average payment
Hospitals in Delaware billed an average of $53,737 for pulmonary embolism with major complications or acute cor pulmonale, about 3.7 times the average total payment of $14,380. That payment is 7% above the U.S. average of $13,466.
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 $14,380Billed $53,737
About 27¢ was paid for every $1 hospitals in Delaware billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Delaware:
Delaware hospitals: pulmonary embolism with major complications or acute cor pulmonale
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 | 92 | $57,026 | $14,342 | $12,021 |
| Bayhealth - Kent General HospitalDover | 31 | $67,204 | $18,585 | $14,033 |
| Beebe Medical CenterLewes | 23 | $45,435 | $10,757 | $9,315 |
| Nanticoke Memorial HospitalSeaford | 16 | $25,998 | $14,682 | $11,036 |
| Bayhealth Hospital, Sussex CampusMilford | 16 | $48,405 | $11,359 | $10,288 |
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
| Beebe Medical CenterLewes, DE | $10,757 |
|---|---|
| Bayhealth Hospital, Sussex CampusMilford, DE | $11,359 |
| Christiana Care Health Services, INC.Newark, DE | $14,342 |
| Nanticoke Memorial HospitalSeaford, DE | $14,682 |
| Bayhealth - Kent General HospitalDover, DE | $18,585 |
Highest
| Bayhealth - Kent General HospitalDover, DE | $18,585 |
|---|---|
| Nanticoke Memorial HospitalSeaford, DE | $14,682 |
| Christiana Care Health Services, INC.Newark, DE | $14,342 |
| Bayhealth Hospital, Sussex CampusMilford, DE | $11,359 |
| Beebe Medical CenterLewes, DE | $10,757 |
Pulmonary embolism with major complications or acute cor pulmonale in other states
Questions
How much does pulmonary embolism with major complications or acute cor pulmonale cost in Delaware?
In 2024 Medicare data, a hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175) at 5 hospitals in Delaware was billed at $53,737 on average, while the average total payment was $14,380, of which Medicare paid $11,778. 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 3.7 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.