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.

Procedure

Provider State

Total Discharges

Hospital Charge(s)

Medicare Payment(s)

Your Cost

Acute Myocardial Infarction Discharged Alive No Complications

Delaware

$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

$14210

$4804

$9406

Atherosclerosis No Major Complications

Delaware

$11675

$4841

$6834

Back And Neck Proc Exc Spinal Fusion No Complications

Delaware

$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

$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

$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

$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

$59548

$24721

$34827

Hypertension No Major Complications

Delaware

$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

$20280

$8382

$11898

Laparoscopic Cholecystectomy No Cde With Complications

Delaware

$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

$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

$15381

$7500

$7881

Other Kidney And Urinary Tract Diagnoses With Major Complications

Delaware

$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

$54730

$23527

$31203

Perc Cardiovasc Proc No Coronary Artery Stent No Major Complications

Delaware

$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

$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

$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

$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.