Pneumonia, with complications in Delaware
MS-DRG 194: Simple pneumonia and pleurisy with cc
$28,248typical hospital bill
$7,464typical amount paid
$6,820–$8,379range paid across 5 hospitals
Delaware hospitals billed Medicare a typical $28,248 for this stay in 2024, about 3.8 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.
Billed (list price)Actually paid (Medicare + patient)
| Hospital | City | Medicare stays | Billed | Paid | |
|---|---|---|---|---|---|
| Beebe Medical Center | Lewes | 74 | $29,054 | $6,820 | |
| Bayhealth Medical Center, Kent Campus | Dover | 59 | $28,197 | $7,209 | |
| Bayhealth Hospital, Sussex Campus | Milford | 38 | $28,248 | $7,464 | |
| Tidalhealth Nanticoke, Inc. | Seaford | 14 | $15,608 | $8,251 | |
| Christiana Hospital | Newark | 173 | $28,387 | $8,379 |
Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.