Delaware · 64718

Release And/or Relocation Of Elbow Nerve in Delaware

Delaware Medicare Avg
$434.50
2% above national avg
National Medicare Avg
$426.77
All states combined
Billed Charge (DE)
$3,201.18
What providers submit
Est. Commercial (DE)
$1,235.61
National avg: $1,209.13
Est. Cash / Self-Pay (DE)
$1,292.20
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

305
Services in DE
27
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in Delaware

Provider Medicare Services
Orthopaedic Specialists... $387.40 75
First State Surgery Center, Llc $422.78 38
Sowa, David MD $457.78 21

Delaware Pricing in Context

In Delaware, CPT code 64718 (Release And/or Relocation Of Elbow Nerve) carries an average Medicare payment of $434.50 — 2% above the national benchmark of $426.77. 27 providers across the state submitted claims for this procedure in 2023, performing 305 total services. Individual payments in DE ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.

The average billed charge in Delaware is $3,201.18, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Delaware sits above the national Medicare average, commercial rates in the state may also run higher than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Nervous System Surgery procedures, the estimated commercial insurance price in Delaware lands near $1,235.61, with self-pay cash prices typically around $1,292.20. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does Release And/or Relocation Of Elbow Nerve cost in Delaware?

The average Medicare payment for Release And/or Relocation Of Elbow Nerve in Delaware is $434.50, which is 2% above the national average of $426.77. Providers in DE typically bill $3,201.18 for this procedure.

What does Release And/or Relocation Of Elbow Nerve cost with insurance in Delaware?

With commercial insurance in Delaware, Release And/or Relocation Of Elbow Nerve costs an estimated $1,235.61. Without insurance, the estimated cash price is $1,292.20. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Release And/or Relocation Of Elbow Nerve in Delaware?

27 providers in Delaware billed Medicare for Release And/or Relocation Of Elbow Nerve in 2023, performing 305 total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Release And/or Relocation Of Elbow Nerve cheaper in Delaware than the national average?

No — Release And/or Relocation Of Elbow Nerve costs 2% above the national average in Delaware. The state average Medicare payment is $434.50 compared to $426.77 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Related

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure Editorial