Emergency Department Visit With Straightforward Medical Decision Making in Delaware
Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.
Delaware Pricing in Context
In Delaware, CPT code 99282 (Emergency Department Visit With Straightforward Medical Decision Making) carries an average Medicare payment of $30.69 — 4% above the national benchmark of $29.37. 161 providers across the state submitted claims for this procedure in 2023, performing 444 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 $219.48, 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 Emergency procedures, the estimated commercial insurance price in Delaware lands near $90.32, with self-pay cash prices typically around $90.46. 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 Emergency Department Visit With Straightforward Medical Decision Making cost in Delaware?
The average Medicare payment for Emergency Department Visit With Straightforward Medical Decision Making in Delaware is $30.69, which is 4% above the national average of $29.37. Providers in DE typically bill $219.48 for this procedure.
What does Emergency Department Visit With Straightforward Medical Decision Making cost with insurance in Delaware?
With commercial insurance in Delaware, Emergency Department Visit With Straightforward Medical Decision Making costs an estimated $90.32. Without insurance, the estimated cash price is $90.46. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.
How many providers perform Emergency Department Visit With Straightforward Medical Decision Making in Delaware?
161 providers in Delaware billed Medicare for Emergency Department Visit With Straightforward Medical Decision Making in 2023, performing 444 total services. Medicare payments ranged from N/A to N/A depending on the provider.
Is Emergency Department Visit With Straightforward Medical Decision Making cheaper in Delaware than the national average?
No — Emergency Department Visit With Straightforward Medical Decision Making costs 4% above the national average in Delaware. The state average Medicare payment is $30.69 compared to $29.37 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.
Related Guides
Related Data Sources
Data from CMS Medicare Physician & Other Practitioners (2023).
Read our methodology — how this data is sourced, computed, and verified.