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Delaware

Cost of a ER Visit (Moderate) Visit
in Delaware

Reviewed by Momentary Medical Group West PC

Delaware's healthcare market operates at rates approximately 11% above the national average, reflecting the state's concentrated urban centers and limited rural provider networks. For an ER Visit (Moderate), patients typically pay between $80 and $157, with a median cost of $122 based on negotiated insurance rates across 245 active providers statewide. Delaware maintains a robust network of emergency medicine specialists serving both the Wilmington metropolitan area and southern rural communities, allowing patients to browse all available providers when seeking moderate-severity emergency care.

Average

$120

Median

$122

Lowest

$80

Highest

$157

Providers

245

National avg: $142Delaware: $120

16% below national average

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Just $19.99/mo

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
ER Visit (Low Severity)

Emergency department visit, low severity

99283$60$72$90236
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 99284 — Emergency department visit, 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 99284 covers

Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 99284 (Emergency department visit, moderate severity), as mandated by the CMS Price Transparency Rule.

What CPT 99284 covers: the provider's professional fee for er visit (moderate 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 (Moderate) Visit Costs Vary Across Delaware

Delaware's healthcare costs run approximately 11% above national averages, reflecting the state's position in the Northeast corridor with higher operational expenses and physician salaries. The state's small geographic footprint concentrates most emergency services in New Castle County, creating pricing efficiencies but also market concentration among major health systems.

Urban vs. Rural Provider Availability

Wilmington and Newark benefit from multiple competing emergency facilities including ChristianaCare's network and specialized centers, creating modest price competition for moderate-severity visits. Rural Kent and Sussex counties have fewer emergency options, with some residents traveling 30+ minutes to reach comprehensive emergency care. This geographic disparity can affect both access and pricing, with rural facilities sometimes charging higher rates due to lower patient volumes.

Facility Type and Overhead Costs

Hospital-based emergency departments dominate Delaware's emergency care landscape, with facilities like ChristianaCare and Beebe Healthcare operating multiple locations with varying overhead structures. Freestanding emergency centers are less common in Delaware compared to larger states, limiting competitive pricing pressure on traditional hospital emergency departments. Academic medical centers like those affiliated with Jefferson Health typically charge premium rates due to teaching hospital overhead and specialized capabilities.

Insurance Market Competition in Delaware

The presence of major insurers including Highmark, Aetna, and UHC creates moderate negotiating power with Delaware emergency providers, though the state's small market limits aggressive price competition. Delaware's concentrated hospital market means insurers have fewer alternatives when negotiating emergency care rates. The state's proximity to major metropolitan markets in Philadelphia and Baltimore influences physician compensation expectations and facility operating costs.

Physician Supply and Demand in Delaware

With 245 active emergency medicine providers serving Delaware's population of under one million residents, the state maintains adequate emergency physician coverage concentrated primarily in New Castle County. This provider-to-population ratio is favorable compared to many rural states, though geographic distribution creates access challenges in southern Delaware. Moderate emergency visit pricing reflects this supply dynamic, with less competition-driven price pressure than in larger metropolitan markets.

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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 (Moderate) Costs in Delaware

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

Uninsured patients in Delaware typically pay $80 to $157 for a moderate emergency visit, with a median cost of $122 based on negotiated insurance rates across 245 providers statewide. Many Delaware hospitals offer self-pay discounts of 20-40% for cash payments, potentially reducing these costs significantly. The final amount depends on the specific facility, required tests, and whether additional specialists are consulted during your visit.

Does Delaware Medicaid cover ER Visit (Moderate) visits?

Yes, Delaware's expanded Medicaid program covers emergency department visits for moderate-severity conditions with minimal copays for qualifying residents. Coverage includes physician fees, facility charges, and necessary diagnostic tests performed during the emergency visit. Medicaid members should present their current card at registration, and most Delaware emergency departments accept Medicaid without requiring prior authorization for genuine emergency conditions.

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

Compare costs between different Delaware emergency facilities, as hospital-based departments often charge facility fees while some freestanding emergency centers offer more transparent pricing. Ask about self-pay discounts if you're uninsured, and consider community health centers for urgent but non-emergent conditions. ChristianaCare, Beebe Healthcare, and other major systems often have financial assistance programs for Delaware residents meeting income requirements.

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

Emergency department visits are typically billed as single encounters rather than initial versus follow-up appointments, with moderate emergency visits (CPT 99284) averaging $122 in Delaware. However, if your condition requires return visits to the emergency department, each visit is billed separately at the full emergency rate. For ongoing care after emergency stabilization, follow-up with outpatient specialists is usually more cost-effective than repeated emergency visits.

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

Yes, emergency department visits qualify as eligible medical expenses for both HSA and FSA accounts, allowing you to use pre-tax dollars for copays, deductibles, and coinsurance. Keep receipts for all emergency care expenses including physician fees, facility charges, and any diagnostic tests performed during your visit. Delaware residents can also use these accounts for follow-up care prescribed by the emergency physician.

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

While telemedicine can't replace in-person emergency evaluation for moderate-severity conditions requiring immediate assessment and diagnostic testing, virtual urgent care consultations cost significantly less than emergency visits. Delaware patients might use telemedicine for initial symptom evaluation to determine if emergency care is necessary, potentially avoiding unnecessary emergency visits. However, conditions requiring the moderate emergency level of care typically need hands-on evaluation and testing that telemedicine cannot provide.

Click a state to compare costs

Average Visit Cost

$82
$311

Office visit (CPT 99284)

Compare With Other States

RankStateAverage↓
1Wisconsin
Range: $73 – $647
$311
2Illinois
Range: $80 – $431
$223
3Iowa
Range: $80 – $371
$205
4New Hampshire
Range: $102 – $307
$202
5Pennsylvania
Range: $55 – $431
$191
6New York
Range: $67 – $374
$183
7Rhode Island
Range: $62 – $374
$177
8Maine
Range: $116 – $233
$172
9Massachusetts
Range: $62 – $368
$170
10Nebraska
Range: $83 – $291
$165
11Washington
Range: $80 – $259
$161
12Michigan
Range: $80 – $291
$158
13New Mexico
Range: $85 – $266
$158
14Wyoming
Range: $85 – $262
$157
15Colorado
Range: $80 – $267
$157
16Vermont
Range: $80 – $257
$156
17Georgia
Range: $84 – $246
$151
18California
Range: $80 – $258
$142
19Indiana
Range: $80 – $258
$142
20Kentucky
Range: $70 – $246
$140
21North Carolina
Range: $80 – $231
$139
22District of Columbia
Range: $80 – $217
$138
23West Virginia
Range: $62 – $174
$137
24Utah
Range: $80 – $228
$135
25Maryland
Range: $80 – $206
$132
26New Jersey
Range: $60 – $237
$131
27Hawaii
Range: $80 – $217
$130
28Arkansas
Range: $80 – $194
$130
29Virginia
Range: $81 – $202
$129
30Tennessee
Range: $85 – $187
$128
31South Carolina
Range: $80 – $206
$128
32Ohio
Range: $75 – $197
$127
33Missouri
Range: $85 – $167
$124
34Alabama
Range: $80 – $195
$124
35Oklahoma
Range: $85 – $169
$123
36Kansas
Range: $86 – $167
$123
37Texas
Range: $80 – $196
$122
38Arizona
Range: $80 – $187
$122
39Mississippi
Range: $86 – $165
$121
40Idaho
Range: $80 – $194
$121
41Delaware
Range: $80 – $157
$120
42Minnesota
Range: $62 – $233
$119
43Nevada
Range: $84 – $184
$119
44Connecticut
Range: $55 – $211
$118
45Alaska
Range: $80 – $194
$118
46Louisiana
Range: $62 – $150
$104
47Oregon
Range: $62 – $183
$102
48Montana
Range: $62 – $145
$96
49Florida
Range: $35 – $190
$95
50North Dakota
Range: $62 – $121
$82
51South Dakota
Range: $62 – $121
$82
ER Visit (Moderate Severity) in Other States
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming