Emergency Department Visit with Moderate 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 99284. 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 | Medicaid | Kaiser |
|---|---|---|---|---|---|---|---|---|---|
| ST. FRANCIS HOSPITAL WILMINGTON |
$40.48 | — | — | — | — | — | — | — | — |
| TIDALHEALTH NANTICOKE MIDDLEFORD RD. SEAFORD |
$1,055 | — | — | — | — | — | — | — | — |
| BEEBE MEDICAL CENTER LEWES |
$1,278 | $60.00 | $88.60 | $95.00 | — | — | $95.00 | $29.29 | $90.00 |
| BAYHEALTH HOSPITAL KENT CAMPUS DOVER |
$1,431 | $465 | — | — | $1,938 | $698 | — | — | — |
| BAYHEALTH MEDICAL CENTER SUSSEX CAMPUS MILFORD |
$1,431 | $451 | — | — | $1,878 | $676 | — | — | — |
| PAM HEALTH REHABILITATION HOSPITAL OF GEORGETOWN DUPONT BOULEVARD GEORGETOWN |
$1,709 | $95.00 | $837 | $1,367 | — | — | — | — | — |
| PAM HEALTH REHABILITATION HOSPITAL OF DOVER DOVER |
$2,251 | $95.00 | $1,103 | $1,801 | — | — | — | — | — |
| NEMOURS CHILDREN'S HOSPITAL, DELAWARE WILMINGTON |
$2,504 | — | — | — | — | — | — | — | — |
That is the median of what the 8 Delaware hospitals above publish for Emergency department visit with moderate level of medical decision making — their own figures, filed under federal law. A bill well above them is evidence you can put in writing.
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Medicare reimbursement benchmark
For CPT 99284 in Delaware, Medicare reimburses about $117 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Delaware range from $40.48 to $2,504 — that means hospital cash prices are typically 12.2x 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 moderate level of medical decision making cost in Delaware?
- Cash prices for emergency department visit with moderate level of medical decision making (CPT 99284) in Delaware range from $40.48 to $2,504, with a median of $1,431. Prices vary widely by hospital.
- Where can I find the cheapest emergency department visit with moderate level of medical decision making in Delaware?
- The cheapest Delaware hospital published cash price for this procedure is $40.48. 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.