Simple pneumonia and pleurisy with major complications in Delaware
What 6 hospitals in Delaware charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with major complications (DRG 193), from 2024 Medicare claims.
Average charge
$38,798
Hospital list price billed
Average payment
$12,102
Medicare + patient + other payers
Medicare paid
$9,830
Average per stay
State rank
#37 of 50
1 = lowest average payment
Hospitals in Delaware billed an average of $38,798 for simple pneumonia and pleurisy with major complications, about 3.2 times the average total payment of $12,102. That payment is about the same as the U.S. average of $12,020.
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 $12,102Billed $38,798
About 31¢ 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: simple pneumonia and pleurisy 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 | 437 | $38,520 | $12,627 | $10,089 |
| Bayhealth - Kent General HospitalDover | 153 | $42,334 | $11,640 | $9,598 |
| Beebe Medical CenterLewes | 148 | $44,920 | $11,278 | $8,721 |
| Bayhealth Hospital, Sussex CampusMilford | 77 | $38,061 | $10,974 | $9,399 |
| Nanticoke Memorial HospitalSeaford | 58 | $19,001 | $13,022 | $11,842 |
| St Francis HospitalWilmington | 15 | $30,738 | $11,872 | $10,030 |
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 | $10,974 |
|---|---|
| Beebe Medical CenterLewes, DE | $11,278 |
| Bayhealth - Kent General HospitalDover, DE | $11,640 |
| St Francis HospitalWilmington, DE | $11,872 |
| Christiana Care Health Services, INC.Newark, DE | $12,627 |
Highest
| Nanticoke Memorial HospitalSeaford, DE | $13,022 |
|---|---|
| Christiana Care Health Services, INC.Newark, DE | $12,627 |
| St Francis HospitalWilmington, DE | $11,872 |
| Bayhealth - Kent General HospitalDover, DE | $11,640 |
| Beebe Medical CenterLewes, DE | $11,278 |
Simple pneumonia and pleurisy with major complications in other states
Questions
How much does simple pneumonia and pleurisy with major complications cost in Delaware?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with major complications (DRG 193) at 6 hospitals in Delaware was billed at $38,798 on average, while the average total payment was $12,102, of which Medicare paid $9,830. 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 3.2 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.