Pneumonia, with major complications in Delaware
MS-DRG 193: Simple pneumonia and pleurisy with mcc
$38,291typical hospital bill
$11,756typical amount paid
$10,974–$13,022range paid across 6 hospitals
Delaware hospitals billed Medicare a typical $38,291 for this stay in 2024, about 3.3 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 | |
|---|---|---|---|---|---|
| Bayhealth Hospital, Sussex Campus | Milford | 77 | $38,061 | $10,974 | |
| Beebe Medical Center | Lewes | 148 | $44,920 | $11,278 | |
| Bayhealth Medical Center, Kent Campus | Dover | 153 | $42,334 | $11,640 | |
| St Francis Hospital | Wilmington | 15 | $30,738 | $11,872 | |
| Christiana Hospital | Newark | 437 | $38,520 | $12,627 | |
| Tidalhealth Nanticoke, Inc. | Seaford | 58 | $19,001 | $13,022 |
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.