Emergency Department Visit with High Level of Medical Decision Making Cost in Delaware
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 8 Delaware hospitals. CPT 99285. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
Hospital comparison — Delaware
Sorted by cash price (lowest first). Showing top 8 of 8 hospitals.
| Hospital | Cash | Aetna | UHC | MultiPlan | BCBS | Centene | Cigna | First Health | Medicaid |
|---|---|---|---|---|---|---|---|---|---|
| BEEBE MEDICAL CENTER LEWES |
$80.75 | $60.00 | $88.60 | $95.00 | — | — | $95.00 | $41.00 | $29.29 |
| ST. FRANCIS HOSPITAL WILMINGTON |
$367 | — | — | — | — | — | — | — | — |
| TIDALHEALTH NANTICOKE MIDDLEFORD RD. SEAFORD |
$1,530 | — | — | — | — | — | — | — | — |
| BAYHEALTH HOSPITAL KENT CAMPUS DOVER |
$2,120 | $664 | — | — | $2,766 | $996 | — | — | — |
| BAYHEALTH MEDICAL CENTER SUSSEX CAMPUS MILFORD |
$2,120 | $644 | — | — | $2,680 | $965 | — | — | — |
| PAM HEALTH REHABILITATION HOSPITAL OF DOVER DOVER |
$2,402 | $138 | $1,177 | $1,921 | — | — | — | — | — |
| PAM HEALTH REHABILITATION HOSPITAL OF GEORGETOWN DUPONT BOULEVARD GEORGETOWN |
$2,453 | $138 | $1,202 | $1,962 | — | — | — | — | — |
| NEMOURS CHILDREN'S HOSPITAL, DELAWARE WILMINGTON |
$4,165 | — | — | — | — | — | — | — | — |
That is the median of what the 8 Delaware hospitals above publish for Emergency department visit with high level of medical decision making — their own figures, filed under federal law. A bill well above them is evidence you can put in writing.
Build my dispute letter — freeNo account, no signup. Your bill never leaves your browser.
Medicare reimbursement benchmark
For CPT 99285 in Delaware, Medicare reimburses about $170 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Delaware range from $80.75 to $4,165 — that means hospital cash prices are typically 12.5x what Medicare pays. If a self-pay quote you receive is more than 2-3x the Medicare rate, ask the hospital for the cash-discount price in writing.
Frequently asked questions
- How much does emergency department visit with high level of medical decision making cost in Delaware?
- Cash prices for emergency department visit with high level of medical decision making (CPT 99285) in Delaware range from $80.75 to $4,165, with a median of $2,120. Prices vary widely by hospital.
- Where can I find the cheapest emergency department visit with high level of medical decision making in Delaware?
- The cheapest Delaware hospital published cash price for this procedure is $80.75. Use the table above sorted by cash price to find the lowest-priced facility near you.
- Are these the prices I'll pay?
- These are the rates hospitals publish. Final price depends on your insurance, deductible, and the specific services billed. Always confirm with the facility and your insurer before any procedure.
- Why do prices vary so much between hospitals?
- Hospitals set cash prices independently, and insurance contracts negotiate different rates per payer. Two facilities a few miles apart can charge 5-10x different prices for the same procedure.
- Where does this data come from?
- Federal law (45 CFR § 180) requires hospitals to publish their pricing in a machine-readable file. We aggregate these files and republish in a consumer-friendly format.