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Delaware

Cost of a ER Visit (Low) Visit
in Delaware

Reviewed by Momentary Medical Group West PC

Delaware's emergency departments serve one of the most densely populated states in the nation, with concentrated healthcare infrastructure primarily along the I-95 corridor. For an ER Visit (Low) in Delaware, patients typically pay between $59.78 and $90.12, with a median out-of-pocket cost of $72.26 based on negotiated insurance rates. The state maintains 236 active providers handling low-severity emergency visits across its three counties, and patients can browse all available providers in Delaware through cost comparison platforms.

Average

$74

Median

$72

Lowest

$60

Highest

$90

Providers

236

National avg: $94Delaware: $74

21% below national average

HSA/FSA eligible

Always available primary care

Just $19.99/mo

Compare Similar Procedures

How does er visit (low severity) compare to related procedures in Delaware?

ProcedureCPTLowMedianHighProviders
ER Visit (Moderate Severity)

Emergency department visit, moderate severity

99284$80$122$157245
ER Visit (High Severity)

Emergency department visit, high severity

99285$85$177$203237

Important: These are cost estimates only — not a quote and not medical advice.

The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 99283 — Emergency department visit, low to moderate severity). They represent what a patient might pay without insurance.

Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.

This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.

Where this data comes from & what CPT 99283 covers

Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 99283 (Emergency department visit, low to moderate severity), as mandated by the CMS Price Transparency Rule.

What CPT 99283 covers: the provider's professional fee for er visit (low severity). It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.

How to read this data

Negotiated Rate

The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.

P5, Median, P95

P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.

What this does not tell you

These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.

Why ER Visit (Low) Visit Costs Vary Across Delaware

Emergency care costs in Delaware run approximately 11% above national averages, reflecting the state's position in the high-cost Northeast corridor and its proximity to major metropolitan markets in Philadelphia and Baltimore. The state's small geographic footprint concentrates most healthcare infrastructure in New Castle County, creating pricing pressures that affect the entire market.

Urban vs. Rural Provider Availability

Delaware's population concentration along the I-95 corridor from Wilmington to Newark creates a stark divide between urban emergency care access and rural options in Sussex County. While northern Delaware benefits from multiple emergency departments within a short drive, southern Delaware residents may face longer travel times to reach facilities, though costs tend to be more moderate in rural areas.

Facility Type and Overhead Costs

ChristianaaCare dominates Delaware's hospital market with multiple emergency departments, while Bayhealth serves central and southern Delaware, creating a duopoly that influences regional pricing. Independent urgent care centers and freestanding emergency departments provide alternatives to traditional hospital-based emergency care, often at lower facility fees for appropriate low-severity conditions.

Insurance Market Competition in Delaware

The Delaware insurance market features moderate competition among Highmark, Aetna, and UnitedHealthcare, with state employees covered through a separate state plan that negotiates rates independently. This competitive landscape provides some downward pressure on negotiated rates, though the state's small market size limits insurers' leverage compared to larger states.

Physician Supply and Demand in Delaware

With 236 active providers handling low-severity emergency visits, Delaware maintains adequate emergency medicine capacity relative to its population of under one million residents. The state's proximity to major medical training centers in Philadelphia helps maintain physician supply, though emergency department crowding remains an issue during peak times, particularly in northern Delaware's urban areas.

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Jayant Panwar

CEO, Momentary Labs · San Francisco, CA

Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.

The cost figures on this page reflect his ongoing work to make this data accessible to patients.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — ER Visit (Low) Costs in Delaware

What is the average cost of a ER Visit (Low) visit in Delaware without insurance?

Without insurance, a low-severity emergency room visit in Delaware typically costs between $59.78 and $90.12, with a median cost of $72.26 based on negotiated rates from insurance transparency data. Many Delaware hospitals offer self-pay discounts that can reduce these costs by 20-30% for uninsured patients who qualify. Payment plans and financial assistance programs are widely available through the state's major health systems like ChristianaaCare and Bayhealth.

Does Delaware Medicaid cover ER Visit (Low) visits?

Yes, Delaware Medicaid covers emergency department visits as the state expanded Medicaid under the Affordable Care Act, providing comprehensive emergency care coverage for eligible adults. Medicaid recipients typically pay minimal copayments for emergency visits, usually around $3-8 depending on their specific coverage level. Coverage includes both the facility fee and physician services, making emergency care highly affordable for qualifying Delaware residents.

How do I find an affordable ER Visit (Low) near me in Delaware?

Compare costs between Delaware's major emergency departments, as prices can vary by $30 or more between facilities like ChristianaaCare in Wilmington versus smaller community hospitals in Sussex County. Many urgent care centers can handle low-severity conditions at significantly lower costs than traditional emergency departments. Ask about self-pay discounts upfront, as most Delaware hospitals offer substantial reductions for cash payments, and consider community health centers like Westside Family Healthcare for non-urgent needs.

What is the difference in cost between an initial consultation and a follow-up visit?

Emergency departments typically use the same billing structure regardless of whether it's your first visit or a return visit for the same condition, with costs based on the complexity and resources used during that specific visit. The median cost of $72.26 applies to the emergency visit itself, though follow-up care is usually better handled through primary care or specialist offices at lower costs. Delaware patients should avoid using emergency departments for routine follow-up unless specifically advised by their treating physician.

Can I use an HSA or FSA to pay for a ER Visit (Low) visit in Delaware?

Yes, emergency department visits qualify as eligible medical expenses under both Health Savings Account (HSA) and Flexible Spending Account (FSA) rules, allowing you to pay with pre-tax dollars. This includes facility fees, physician charges, and any diagnostic tests or procedures performed during your emergency visit. Keep all receipts and documentation from your Delaware emergency department visit for HSA/FSA reimbursement or tax purposes.

How does telemedicine affect the cost of seeing a ER Visit (Low) in Delaware?

Telemedicine cannot replace in-person emergency care for conditions requiring physical examination, procedures, or immediate interventions, but virtual urgent care visits cost significantly less at $50-150 compared to emergency department visits. Delaware expanded telehealth coverage during the pandemic, and many conditions that drive low-severity emergency visits can be effectively managed through virtual consultations first. Consider telehealth triage through your primary care provider or urgent care platforms before heading to the emergency department for non-urgent concerns.

Click a state to compare costs

Average Visit Cost

$56
$271

Office visit (CPT 99283)

Compare With Other States

RankStateAverage↓
1Pennsylvania
Range: $47 – $693
$271
2Wisconsin
Range: $56 – $355
$180
3Illinois
Range: $57 – $252
$133
4Maine
Range: $86 – $184
$131
5New Hampshire
Range: $59 – $204
$130
6Michigan
Range: $54 – $252
$126
7Iowa
Range: $44 – $218
$119
8Rhode Island
Range: $40 – $204
$111
9California
Range: $80 – $153
$107
10Vermont
Range: $53 – $171
$107
11Indiana
Range: $57 – $171
$105
12New York
Range: $47 – $202
$105
13Washington
Range: $57 – $167
$101
14Colorado
Range: $54 – $159
$99
15Wyoming
Range: $54 – $155
$97
16Idaho
Range: $60 – $142
$96
17Nebraska
Range: $44 – $171
$95
18Massachusetts
Range: $40 – $206
$95
19Utah
Range: $53 – $139
$93
20District of Columbia
Range: $49 – $142
$92
21Maryland
Range: $43 – $162
$91
22Connecticut
Range: $53 – $153
$90
23Georgia
Range: $53 – $143
$90
24Alaska
Range: $69 – $118
$89
25New Mexico
Range: $54 – $139
$88
26Kentucky
Range: $40 – $139
$88
27Hawaii
Range: $54 – $139
$87
28Texas
Range: $54 – $118
$86
29North Carolina
Range: $51 – $136
$85
30New Jersey
Range: $44 – $142
$84
31South Carolina
Range: $51 – $128
$83
32Arkansas
Range: $51 – $115
$81
33Nevada
Range: $60 – $108
$81
34Alabama
Range: $49 – $131
$80
35Virginia
Range: $47 – $119
$79
36Arizona
Range: $53 – $107
$77
37Ohio
Range: $43 – $117
$77
38Minnesota
Range: $40 – $145
$75
39Tennessee
Range: $51 – $105
$75
40Oklahoma
Range: $51 – $104
$75
41Delaware
Range: $60 – $90
$74
42Missouri
Range: $52 – $99
$74
43Mississippi
Range: $51 – $104
$73
44Montana
Range: $40 – $91
$70
45Kansas
Range: $51 – $91
$70
46Florida
Range: $35 – $110
$67
47West Virginia
Range: $40 – $115
$65
48Louisiana
Range: $40 – $87
$63
49Oregon
Range: $40 – $108
$63
50North Dakota
Range: $40 – $91
$57
51South Dakota
Range: $40 – $88
$56
ER Visit (Low Severity) in Other States
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming