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The Price of Medicare Procedures in Delaware



This table shows the 100 most frequently charged procedures/diagnosis in Delaware to the Inpatient Prospective Payment System (IPPS). This table will give a basic idea of the cost of medicare for hospital procedures. Hospitals determine what they bill according to a "chargemaster". The charge master serves as a price point for the beginning of negotiations between you and the health care provider.



ProcedureProvider StateTotal DischargesHospital Charge(s)Medicare Payment(s)Your Cost
Acute Myocardial Infarction Discharged Alive No Complications
 Delaware 81 $19746 $5656 $14090
Acute Myocardial Infarction Discharged Alive With Complications
 Delaware 118 $21436 $8331 $13105
Acute Myocardial Infarction Discharged Alive With Major Complications
 Delaware 228 $31282 $12697 $18585
Alcohol Drug Abuse No Rehabilitation Therapy No Major Complications
 Delaware 73 $14210 $4804 $9406
Atherosclerosis No Major Complications
 Delaware 60 $11675 $4841 $6834
Back And Neck Proc Exc Spinal Fusion No Complications
 Delaware 91 $16459 $7667 $8792
Bronchitis And Asthma No Complications
 Delaware 100 $10094 $4865 $5229
Bronchitis And Asthma With Complications
 Delaware 172 $14782 $6232 $8550
Cardiac Arrhythmia And Conduction Disorders No Complications
 Delaware 414 $11054 $4224 $6830
Cardiac Arrhythmia And Conduction Disorders With Complications
 Delaware 342 $15925 $6255 $9670
Cardiac Arrhythmia And Conduction Disorders With Major Complications
 Delaware 216 $23108 $9119 $13989
Cellulitis No Major Complications
 Delaware 548 $13676 $6180 $7496
Cellulitis With Major Complications
 Delaware 65 $26029 $10214 $15815
Cervical Spinal Fusion No Complications
 Delaware 107 $32995 $14943 $18052
Chest Pain
 Delaware 274 $12721 $4137 $8584
Chronic Obstructive Pulmonary Disease No Complications
 Delaware 364 $11912 $5387 $6525
Chronic Obstructive Pulmonary Disease With Complications
 Delaware 539 $15991 $7231 $8760
Chronic Obstructive Pulmonary Disease With Major Complications
 Delaware 744 $19562 $8525 $11037
Circulatory Disorders Except Ami With Card Cath No Major Complications
 Delaware 411 $27452 $8514 $18938
Circulatory Disorders Except Ami With Card Cath With Major Complications
 Delaware 110 $45173 $16026 $29147
Cranial And Peripheral Nerve Disorders No Major Complications
 Delaware 89 $17241 $6924 $10317
Degenerative Nervous System Disorders No Major Complications
 Delaware 114 $18125 $7337 $10788
Diabetes With Complications
 Delaware 202 $15334 $6131 $9203
Disorders Of Pancreas Except Malignancy With Complications
 Delaware 70 $15993 $7324 $8669
Dysequilibrium
 Delaware 110 $12695 $4821 $7874
Esophagitis Gastroent And Misc Digest Disorders No Major Complications
 Delaware 752 $14003 $5271 $8732
Esophagitis Gastroent And Misc Digest Disorders With Major Complications
 Delaware 129 $24522 $10983 $13539
Extracranial Procedures No Complications
 Delaware 144 $21781 $7342 $14439
Fractures Of Hip And Pelvis No Major Complications
 Delaware 110 $10454 $5147 $5307
Fx Sprn Strn And Disl Except Femur Hip Pelvis Thigh No Major Complications
 Delaware 107 $11763 $5355 $6408
Gi Hemorrhage No Complications
 Delaware 187 $12808 $5168 $7640
Gi Hemorrhage With Complications
 Delaware 479 $19403 $7521 $11882
Gi Hemorrhage With Major Complications
 Delaware 183 $31386 $13612 $17774
Gi Obstruction No Complications
 Delaware 173 $12248 $4897 $7351
Gi Obstruction With Complications
 Delaware 177 $15800 $6556 $9244
Heart Failure And Shock No Complications
 Delaware 289 $11828 $5045 $6783
Heart Failure And Shock With Complications
 Delaware 821 $17017 $7401 $9616
Heart Failure And Shock With Major Complications
 Delaware 800 $25045 $10498 $14547
Hip And Femur Procedures Except Major Joint No Complications
 Delaware 103 $27279 $11313 $15966
Hip And Femur Procedures Except Major Joint With Complications
 Delaware 248 $32597 $13199 $19398
Hip And Femur Procedures Except Major Joint With Major Complications
 Delaware 46 $59548 $24721 $34827
Hypertension No Major Complications
 Delaware 79 $11338 $4667 $6671
Infectious And Parasitic Diseases Or Procedure With Major Complications
 Delaware 151 $104691 $46857 $57834
Intracranial Hemorrhage Or Cerebral Infarction No Complications
 Delaware 296 $15938 $5999 $9939
Intracranial Hemorrhage Or Cerebral Infarction With Complications
 Delaware 456 $21224 $8304 $12920
Intracranial Hemorrhage Or Cerebral Infarction With Major Complications
 Delaware 289 $32748 $14355 $18393
Kidney And Urinary Tract Infections No Major Complications
 Delaware 752 $13531 $5972 $7559
Kidney And Urinary Tract Infections With Major Complications
 Delaware 317 $20080 $8720 $11360
Laparoscopic Cholecystectomy No Cde No Complications
 Delaware 91 $20280 $8382 $11898
Laparoscopic Cholecystectomy No Cde With Complications
 Delaware 64 $28644 $12799 $15845
Major Cardiovasc Procedures No Major Complications
 Delaware 166 $67221 $24282 $42939
Major Gastrointestinal Disorders And Peritoneal Infections With Complications
 Delaware 143 $22335 $9260 $13075
Major Joint Replacement Of Lower Extremity No Major Complications
 Delaware 1817 $32629 $14766 $17863
Major Joint Replacement Of Lower Extremity With Major Complications
 Delaware 82 $51500 $23426 $28074
Major Small And Large Bowel Procedures With Complications
 Delaware 251 $41575 $18771 $22804
Major Small And Large Bowel Procedures With Major Complications
 Delaware 144 $90078 $40346 $49732
Medical Back Problems No Major Complications
 Delaware 272 $13423 $6276 $7147
Misc Disorders Of Metabolism Fluids Electrolytes No Major Complications
 Delaware 412 $13496 $5043 $8453
Misc Disorders Of Metabolism Fluids Electrolytes With Major Complications
 Delaware 199 $18743 $8642 $10101
Other Circulatory System Diagnoses With Complications
 Delaware 101 $20187 $7325 $12862
Other Circulatory System Diagnoses With Major Complications
 Delaware 178 $32477 $14175 $18302
Other Digestive System Diagnoses With Complications
 Delaware 178 $17719 $7532 $10187
Other Kidney And Urinary Tract Diagnoses With Complications
 Delaware 88 $15381 $7500 $7881
Other Kidney And Urinary Tract Diagnoses With Major Complications
 Delaware 61 $35298 $14458 $20840
Other Vascular Procedures No Complications
 Delaware 137 $34615 $12354 $22261
Other Vascular Procedures With Complications
 Delaware 141 $46338 $19935 $26403
Other Vascular Procedures With Major Complications
 Delaware 92 $54730 $23527 $31203
Perc Cardiovasc Proc No Coronary Artery Stent No Major Complications
 Delaware 64 $44443 $13960 $30483
Perc Cardiovasc Proc With Drug Eluting Stent No Major Complications
 Delaware 451 $51193 $15445 $35748
Perc Cardiovasc Proc With Drug Eluting Stent With Major Complications
 Delaware 146 $68105 $25547 $42558
Perc Cardiovasc Proc With Nondrug Eluting Stent No Major Complications
 Delaware 133 $48348 $13610 $34738
Peripheral Vascular Disorders No Complications
 Delaware 106 $12314 $4710 $7604
Peripheral Vascular Disorders With Complications
 Delaware 165 $17952 $7441 $10511
Permanent Cardiac Pacemaker Implant No Complications
 Delaware 109 $40348 $14192 $26156
Permanent Cardiac Pacemaker Implant With Complications
 Delaware 102 $53102 $18994 $34108
Poisoning And Toxic Effects Of Drugs No Major Complications
 Delaware 108 $11204 $4689 $6515
Poisoning And Toxic Effects Of Drugs With Major Complications
 Delaware 112 $23917 $11359 $12558
Psychoses
 Delaware 32 $15190 $7009 $8181
Pulmonary Edema And Respiratory Failure
 Delaware 470 $23660 $9510 $14150
Pulmonary Embolism No Major Complications
 Delaware 136 $20112 $7749 $12363
Red Blood Cell Disorders No Major Complications
 Delaware 311 $15814 $5907 $9907
Red Blood Cell Disorders With Major Complications
 Delaware 115 $21242 $9680 $11562
Renal Failure No Complications
 Delaware 92 $13050 $4645 $8405
Renal Failure With Complications
 Delaware 640 $17539 $7335 $10204
Renal Failure With Major Complications
 Delaware 373 $30259 $12102 $18157
Respiratory Infections And Inflammations With Complications
 Delaware 161 $23996 $11000 $12996
Respiratory Infections And Inflammations With Major Complications
 Delaware 291 $34014 $14418 $19596
Respiratory System Diagnosis With Ventilator Support 96 Plus Hrs
 Delaware 114 $90975 $39271 $51704
Respiratory System Diagnosis With Ventilator Support Less 96 Hrs
 Delaware 320 $46688 $17780 $28908
Seizures No Major Complications
 Delaware 150 $14050 $5620 $8430
Septicemia Or Severe Sepsis No Mv 96 Plus Hrs No Major Complications
 Delaware 409 $19641 $8183 $11458
Septicemia Or Severe Sepsis No Mv 96 Plus Hrs With Major Complications
 Delaware 1127 $34076 $14025 $20051
Septicemia Or Severe Sepsis With Mv 96 Plus Hrs
 Delaware 80 $102026 $48588 $53438
Signs And Symptoms No Major Complications
 Delaware 147 $13784 $5296 $8488
Simple Pneumonia And Pleurisy No Complications
 Delaware 274 $12046 $5166 $6880
Simple Pneumonia And Pleurisy With Complications
 Delaware 714 $16742 $7474 $9268
Simple Pneumonia And Pleurisy With Major Complications
 Delaware 678 $25038 $10380 $14658
Spinal Fusion Except Cervical No Major Complications
 Delaware 362 $50047 $26726 $23321
Syncope And Collapse
 Delaware 569 $14004 $5339 $8665
Transient Ischemia
 Delaware 345 $14292 $5360 $8932


Source: CMS

As part of the Obama administration’s goal to make our healthcare more accountable, transparent and affordable the CMS.gov has released data from more then 3000 hospitals that receive payments for the 100 highest frequently billed charges under Medicare. For more information visit CMS.gov.

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