ACL Surgery Cost in Delaware (2026): Average Prices & What You'll Pay
What does a acl surgery cost in Delaware?
You could pay $2,970 or $8,480 for the same acl surgery in Delaware - depending entirely on which facility you choose. The median cash price across 6 reporting hospitals is $5,889. This data comes directly from hospital price transparency files published under federal law. The sections below break this down by coverage and by insurer.
Three low-priced facilities in Delaware, from hospital price files
- Bayhealth Medical Center, Kent Campus · Dover, DE $1,612
- Bayhealth Hospital, Sussex Campus · Milford, DE $1,612
- Beebe Medical Center Inc. · Lewes, DE $4,329
All 6 facilities are listed below, free.
Where acl surgery costs vary in Delaware
Pins show hospitals with price-transparency data (colored by vs. state average) and nearby ambulatory surgery centers and other facilities (colored by type). Click any pin for facility name and estimated cost range.
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What you pay for a acl surgery depends on where you go and what is billed separately. Most patients find out after.
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Cheapest ACL Surgery Providers in Delaware
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs median ($5,889) |
|---|---|---|---|---|
| 1 | Bayhealth Medical Center, Kent Campus | Dover, DE | $1,612 | $4,277 below |
| 2 | Bayhealth Hospital, Sussex Campus | Milford, DE | $1,612 | $4,277 below |
| 3 | Beebe Medical Center Inc. | Lewes, DE | $4,329 | $1,560 below |
| 4 | ChristianaCare | Newark, DE | $7,449 | $1,560 above |
| 5 | PAM Squared at Dover LLC | Dover, DE | $9,512 | $3,623 above |
| 6 | St. Francis Hospital Inc | Wilmington, DE | $55,482 | $49,593 above |
Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.
Before you book: three questions that change the price
- Is this the self-pay price, and does it include the doctor, anesthesia and any lab or pathology? Those are often billed separately.
- Can you give me the price in writing, with the billing codes it covers?
- What happens to the price if something extra is needed during the procedure?
Estimate your out-of-pocket cost → · When the bills arrive, we check them for errors →
Quick take
- Bayhealth Medical Center, Kent Campus is the lowest-cost option at $1,612 - $4,277 below the median posted price ($5,889), just by choosing where you go.
- Ask for the cash price if your deductible isn't met - the median cash price here is $5,889, and it's often lower than what insurance pays before your deductible is satisfied.
- Ask whether this procedure can be done at a freestanding ambulatory surgical center - they're typically 30-60% cheaper than a hospital for identical care, and most aren't in this hospital-only dataset.
| Coverage | Hospitals with a rate | Typical range | Median |
|---|---|---|---|
| Medicare (national rate) | — | $7,413 to $7,413 | $7,413 |
| With insurance (commercial, average) | 4 | $4,173 to $22,910 | $17,061 |
| Without insurance (cash price) | 6 | $1,612 to $32,497 | $5,889 |
| Highmark Blue Cross Blue Shield Delaware | 3 | $15,867 to $33,900 | $33,054 |
Rates are negotiated allowed amounts and cash prices from hospital price-transparency files (October 2026), shown at each hospital’s lowest-priced typical billing code for this procedure. Facility fees only. The typical range is the middle 80% of hospitals, not a quote for your visit.
How much does an ACL Surgery cost with Medicare in Delaware?
Medicare's national hospital outpatient payment for ACL Surgery is about $7,413 to $7,413 (typically near $7,413). After the $257 Part B deductible, you generally pay 20% of the Medicare-approved amount, about $1,483 on a $7,413 payment, with no out-of-pocket cap unless you have supplemental coverage or a Medicare Advantage plan.
Doctor, anesthesia and pathology fees are billed separately. Medicare rates are national CMS amounts, adjusted slightly by local wage levels.
How much does an ACL Surgery cost with insurance in Delaware?
Across 4 Delaware hospitals, the negotiated rates commercial insurers pay for ACL Surgery average $4,173 to $22,910 per hospital, with a median near $17,061. That is the amount your plan and you pay the hospital together; you owe your deductible, then coinsurance, up to your out-of-pocket maximum.
Each hospital’s figure is the average of the commercial insurers it lists. Medicare, Medicare Advantage and Medicaid rates are excluded.
How much does an ACL Surgery cost without insurance in Delaware?
Cash (self-pay) prices for ACL Surgery at 6 Delaware hospitals range from $1,612 to $32,497, with a median of $5,889. Ask for the cash or self-pay price and for any financial-assistance discount before you book; both can be lower than the posted price.
Cash prices are the hospital’s published discounted rate for patients paying without insurance.
How much does an ACL Surgery cost with Highmark Blue Cross Blue Shield Delaware?
Highmark Blue Cross Blue Shield Delaware negotiated rates for ACL Surgery at 3 Delaware hospitals range from $15,867 to $33,900, with a median near $33,054. Your own cost depends on your plan’s deductible and coinsurance, and on whether the hospital is in your network.
Includes Blue Cross and Blue Shield and Anthem plans listed by each hospital.
How where you go changes what you pay for acl surgery
The same acl surgery bundles different services depending on the setting - facility fee, surgeon fee, and anesthesia each arrive as separate bills. Estimated ranges below reflect the typical full bundled cost, including all expected charges.
- Facility fee $1,612–$55,482
- Professional fee $1,458–$3,888
Estimated from CMS fee schedules + commercial rate multipliers
ChristianaCare (formerly Christiana Care) is essentially a monopoly in northern Delaware and effectively the dominant system statewide. Low facility count means cash price variation is minimal, but commercial reimbursement rates are among the highest in the Mid-Atlantic region. Patients near the Pennsylvania or Maryland border often find meaningfully lower prices by crossing state lines.
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Why prices vary - and what it means for your coverage
A small number of hospitals (1) report prices above $19,054, including St. Francis Hospital Inc at $55,482, which drives most of the overall spread - excluding them, most facilities cluster in a much tighter band. Facility classification matters as much as the hospital itself - a hospital-owned outpatient center adds a facility fee that a freestanding clinic does not. Setting drives most of the spread here: an ambulatory surgical center (ASC) is usually meaningfully cheaper than a hospital operating room for the same procedure, when your case qualifies.
None of the prices above are what you'll necessarily owe: your deductible, out-of-pocket maximum, and each provider's network status all still apply.
| Your situation | Estimated out-of-pocket |
|---|---|
| Deductible not yet met | ~$5,889 |
| Deductible met - 20% coinsurance | ~$1,178 |
| Out-of-network provider | $12,956+ |
Frequently asked questions: ACL Surgery costs in Delaware
How much does an ACL Surgery cost in Delaware?
The typical insurer-negotiated rate is $1,612, with most facilities between $1,612 and $2,409 (based on 5 hospitals reporting negotiated rates). Posted cash prices at the middle 80% of Delaware hospitals run $1,612–$32,497; outlier facilities above and below that range are left out. What you pay depends on the facility, your insurance, and whether you have met your deductible.
Where is the cheapest place to get an ACL Surgery in Delaware?
Based on declared prices, the lowest posted price in our Delaware data is Bayhealth Medical Center, Kent Campus in Dover at about $1,612. By metro, Dover has the lowest median ($5,562). Freestanding ambulatory surgery centers are often cheaper still and may not appear in hospital price data - ask your doctor whether one is an option.
Why is an ACL Surgery so much cheaper at some Delaware hospitals?
Typical prices vary about 1.5× (25th to 70th percentile of negotiated rates) because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Delaware, the median cash (self-pay) price is $5,889 versus a median negotiated rate of $17,061 - cash is the lower number at many hospitals. Asking for the cash price as well as your insurer's negotiated rate is often the single biggest lever on what you pay.
How much will I actually pay out of pocket for an ACL Surgery in Delaware?
Your out-of-pocket cost depends on your deductible, coinsurance, out-of-pocket maximum, and whether the facility is in-network - not just the sticker price. If you have not met your deductible, you will typically pay the negotiated rate in full until you do. Use the CostKits cost forecaster to estimate your specific out-of-pocket amount before you go.
Before you book
- Allowed amount vs negotiated rate: what your EOB is really saying
- How to read your medical bill
- Deductible vs out-of-pocket max
- Already have a bill? Check it for errors
- How to read an EOB line by line
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CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).
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About the Author
John Caruso, FSA, MAAA
Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.
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