Delaware procedure costs
13 hospitals · 820 Medicare providers · 2,493 procedure codes with Delaware locality adjustments.
The short answer
Delaware has 13 hospitals and 820 Medicare-billing providers across 2,493 procedure codes. The average Medicare payment per procedure is $208.28; the average submitted (billed) charge is $1,072.22.
- Procedure codes
- 2,493
- Providers per hospital
- 63.1
- Billed-to-Medicare ratio
- 5.1x
- Markup rank
- #40 of 56
Source: CMS Medicare Physician & Other Practitioners, 2023.
About this dataset, nationwide
According to the Centers for Medicare & Medicaid Services (CMS), the 2023 Medicare Physician & Other Practitioners dataset records payments for 9,297 procedure codes billed across 5,426 hospitals in 56 states and territories; see our methodology for how each figure is sourced and computed.
Delaware against every US state
Where the state's average Medicare payment per procedure falls, all 56 tracked jurisdictions
$208 higher than 34% of 56 states
Each bar is a $25-wide band; taller bars hold more states. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Medicare Physician & Other Practitioners, 2023
The priciest procedures in Delaware
Highest average Medicare payment per procedure billed in Delaware. Hover any bar for the exact figure; even these top procedures are billed well above what Medicare reimburses.
Top procedures by Medicare payment - Delaware
The cost spread in Delaware
The highest- and lowest-paying procedures Medicare reimbursed in Delaware, side by side.
Most expensive
Least expensive
Top Procedures by Volume
Delaware Healthcare Cost Landscape
CMS lists 13 hospitals in Delaware across 8 cities. WILMINGTON holds 3 (23%). The three densest cities together hold 54% of the state roster. Statewide that is 820 Medicare-billing providers, 63.1 per listed hospital.
7 hospitals carry a CMS overall star rating (1 five-star, 2 four-star, 3 three-star, 1 two-star, 0 one-star) ; five-star share among rated facilities is 14%. 6 hospitals in this extract have no published overall rating.
Facility-type mix: Acute Care Hospitals 6 (46%); Psychiatric 5 (38%); Acute Care - Veterans Administration 1 (8%); Childrens 1 (8%).
Among the 30 highest-volume procedure codes billed in Delaware, Drugs (Administered) leads with 3.8M services (49% of this top-volume slice) across 17 codes. Next is Medicine at 17%.
Submitted charges average $1,072.22 against $208.28 Medicare payment (5.1x billed-to-Medicare). That ratio ranks #40 of 56 jurisdictions with both figures in this extract. Average Medicare payment itself is #37 of 56.
Volume leaders are not the high-payment codes. Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Administered Under The Direct Supervision Of A Physician, Not For Use When Drug Is Self Administered) is in the top volume slice but not the highest Medicare payments; Removal Of Plaque And Insertion Of Stents In Arteries Of Leg is in the high-payment set without matching volume rank.
These are CMS roster and claims aggregates for Delaware, not a quote for any patient, plan, or visit. See the methodology and CMS Medicare Provider Charge Data.
Where Delaware hospitals sit
City of the CMS hospital roster, not a travel or care recommendation. 8 distinct cities appear on 13 listed facilities.
| City | Hospitals | Share of state roster |
|---|---|---|
| WILMINGTON | 3 | 23% |
| DOVER | 2 | 15% |
| NEW CASTLE | 2 | 15% |
| NEWARK | 2 | 15% |
| GEORGETOWN | 1 | 8% |
| LEWES | 1 | 8% |
| MILFORD | 1 | 8% |
| SEAFORD | 1 | 8% |
Nationwide states with similar hospital scale or Medicare payment
Two CMS-extract-derived peer sets for Delaware: nearest hospital inventory and nearest statewide average Medicare payment. Not clinical substitutes: registry-scale and payment neighborhoods only.
Similar CMS hospital count
Nearest states with ≥5 hospitals (13 here).
Similar average Medicare payment
Nearest states with published averages ($208.28 here).
Hospitals in Delaware
How Delaware Compares Nationally
Delaware's average Medicare payment is #37 of 56 in this extract. Submitted-over-Medicare markup ranks #40 of 56 (5.1x). Hospital-count peers (nearest CMS roster size to 13): Rhode Island 13, District of Columbia 10, Vermont 17, Hawaii 24. Payment peers (nearest average Medicare payment to $208.28): Alabama $211.12, Kentucky $211.69, Oklahoma $212.27, Wisconsin $201.63.
Those peer sets are registry neighborhoods, not clinical substitutes. Markup rank and payment rank can diverge: a jurisdiction can sit high on billed-to-Medicare while sitting mid-pack on payment, or the reverse. Figures remain CMS averages for Delaware, not an out-of-pocket quote.
Related registry pages
Delaware averages sit on two maps: Medicare payment and submitted-over-Medicare markup.
- Procedure codes billed in this extract, in national volume order. Browse procedures
- State payment rank versus markup rank on the rankings hub. Rankings
- How these figures are sourced. Methodology
Figures here are Delaware CMS averages, not a quote for any patient, plan, or visit.
Read our methodology - how this data is sourced, computed, and verified.
Every figure on PlainProcedure is rendered directly from CMS Medicare Physician & Other Practitioners data, no number is typed in by an editor. This page draws directly on CMS Medicare Physician & Other Practitioners data, no figure is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, the data changelog, or report a data error.