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Emergency Room Visit Cost in Delaware (2026): Average Prices & What You'll Pay

What does a emergency room visit cost in Delaware?

Expect roughly $449 to $706 for an emergency room visit in Delaware if you're commercially insured - that range already folds in both the facility charge and the physician fee. The median reported facility price across 5 hospitals is $390. It's built from CMS fee schedules and federally mandated hospital price transparency data.

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. Emergency room costs are driven by two separate charges: the facility fee (which varies by ER level, E1–E5) and the physician fee (billed by an independent emergency medicine group). Most patients are unaware that ER physicians are frequently out-of-network even when the hospital itself is in-network - the No Surprises Act limits your liability in this case, but billing disputes still occur. Using an urgent care center for non-emergency conditions typically costs 80–90% less than an ER visit for equivalent care.

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Emergency Room Visit facility ladder for Delaware Ranked list of reporting facility prices for Emergency Room Visit in Delaware, cheapest to most expensive. FACILITY LADDER Emergency Room Visit in Delaware - ranked low to high 8 of 5 reporting facilities shown, cheapest first PAM Rehabilitation Hospital of Georgeto… $167 PAM Squared at Dover LLC $167 PAM Rehabilitation Hospital of Georgeto… $340 Beebe Medical Center Inc. - Lewes, DE $390 Beebe Medical Center Inc. - Lewes, DE $390 Bayhealth Medical Center, Kent Campus $435 Bayhealth Hospital, Sussex Campus - Mil… $435 PAM Squared at Dover LLC $806

Example: two commercially insured patients in Dover could pay ~$345 and ~$430 for the identical procedure - a $85 difference driven entirely by facility choice.

Where emergency room visit costs vary in Delaware

Pins show hospitals with price-transparency data (colored by vs. state average) and nearby ambulatory surgery centers, imaging centers, and other facilities (colored by type). Click any pin for facility name and estimated cost range.

Hospital (below avg) Hospital (above avg) Click a pin for details.

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Cheapest Emergency Room Visit Providers in Delaware

Based on declared cash/self-pay prices from CMS hospital price transparency files.

# Facility City Price vs Median
1 PAM Rehabilitation Hospital of Georgetown LLC DE $167 -$223
2 PAM Squared at Dover LLC Dover, DE $167 -$223
3 Beebe Medical Center Inc. Lewes, DE $390 +$0
4 Bayhealth Medical Center, Kent Campus Dover, DE $435 +$45
5 Bayhealth Hospital, Sussex Campus Milford, DE $435 +$45

Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.

Quick take

  • PAM Rehabilitation Hospital of Georgetown LLC is the lowest-cost option at $167 - $223 below the state median, just by choosing where you go.
  • Ask for the cash price if your deductible isn't met - the median cash price here is $390, and it's often lower than what insurance pays before your deductible is satisfied.
  • This dataset covers hospitals only - freestanding ASCs, which routinely run 30-60% cheaper for the same procedure, aren't included, so it's worth asking your doctor whether one is an option.

How where you go changes what you pay for emergency room visit

The same emergency room visit 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.

Hospital Outpatient
$184–$1,267
  • Facility fee $167–$435
  • Professional fee $17–$832

Estimated from CMS fee schedules + commercial rate multipliers

Hospital Inpatient
$357–$1,638
  • Facility fee $340–$806
  • Professional fee $17–$832

Estimated from CMS fee schedules + commercial rate multipliers

Delaware Emergency Room Visit prices by facility

All prices below come from hospital chargemasters - the official price lists each hospital must publish under federal law. Gross charge is the undiscounted list price; cash price is the self-pay rate; negotiated range covers the spread across insurance contracts.

How we calculate "Your Price"

We prioritize cash price (the self-pay rate) over the negotiated rate, and only fall back to the gross charge, the inflated list price few people actually pay, when nothing else is reported.

# Facility City Your Price vs Median Gross Charge
#1 PAM Rehabilitation Hospital of Georgetown LLC DE $167 -$223 $67–$262
#2 PAM Squared at Dover LLC Dover, DE $167 -$223 $67–$262
#3 Beebe Medical Center Inc. Lewes, DE $390 +$0 $95–$4,047
#4 Bayhealth Medical Center, Kent Campus Dover, DE $435 +$45 $518–$2,524
#5 Bayhealth Hospital, Sussex Campus Milford, DE $435 +$45 $518–$2,524

Source: CMS hospital price transparency machine-readable files. vs Median = savings or premium relative to the state median price. Gross Charge = undiscounted list price for reference.

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Why prices vary - and what it means for your coverage

A small number of hospitals (1) report prices above $642, including Bayhealth Medical Center, Kent Campus at $435, which drives most of the overall spread - excluding them, most facilities cluster in a much tighter band. Setting matters too: the median outpatient price is $390 versus $435 inpatient, so where a procedure happens often matters more than which hospital you pick. Facility fees for emergency care scale with the severity level the hospital assigns your visit, which is why two visits that look similar from the exam table can bill very differently.

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 ~$562
Deductible met - 20% coinsurance ~$112
Out-of-network provider $1,236+

Frequently asked questions: emergency room visit costs in Delaware

How much does an emergency room visit cost in Delaware?

Across 5 Delaware hospitals that publish prices, an emergency room visit ranges from $67 to $4,466, with a median of $390. Most facilities fall between $297 and $430. What you pay depends on the facility, your insurance, and whether you have met your deductible.

Where is the cheapest place to get an emergency room visit in Delaware?

Based on declared prices, the lowest-cost facility in our Delaware data is PAM Rehabilitation Hospital of Georgetown LLC at about $167. By metro, Lewes has the lowest median ($390). Freestanding ambulatory surgery and imaging centers are often cheaper still and may not appear in hospital price data - ask your doctor whether one is an option.

Why is an emergency room visit so much cheaper at some Delaware hospitals?

Prices vary up to 66.7× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Delaware, the median cash (self-pay) price is $390 versus a median negotiated rate of $152 - about 2.6× higher. Asking for the cash price or 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 emergency room visit 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

Other procedures in Delaware

Emergency Room Visit, elsewhere

Other Delaware Hospitals for Emergency Room Visit

These hospitals are registered in the CMS National Provider Identifier (NPI) registry as active hospitals in Delaware. Cost estimates use the bundled service model for each place of service. Contact them directly for a formal quote.

Provider City Type Est. Cost
AMERICAN MOBILE HEALTHCARE
3026453235
LEWES, DE General Acute Care Hospital $184–$1,267 bundled est.
BAYHEALTH
3027447135
DOVER, DE General Acute Care Hospital $184–$1,267 bundled est.
BAYHEALTH MEDICAL CENTER, INC.
3026744700
DOVER, DE General Acute Care Hospital $184–$1,267 bundled est.
BEEBE HEALTHCARE
3026453728
LEWES, DE Women's Hospital $184–$1,267 bundled est.
BEEBE HEALTHCARE
3026453728
LEWES, DE Women's Hospital $184–$1,267 bundled est.
BEEBE HEALTHCARE
3022491448
GEORGETOWN, DE General Acute Care Hospital $184–$1,267 bundled est.
BEEBE HEALTHCARE
3026453300
LEWES, DE Critical Access Hospital $184–$1,267 bundled est.
BEEBE HEALTHCARE
3026453300
LEWES, DE General Acute Care Hospital $184–$1,267 bundled est.
BEEBE HEALTHCARE
3026453300
LEWES, DE General Acute Care Hospital $184–$1,267 bundled est.
BEEBE MEDICAL CENTER
3029472500
LEWES, DE General Acute Care Hospital $184–$1,267 bundled est.
BEEBE MEDICAL CENTER, INC.
3026453300
LEWES, DE General Acute Care Hospital $184–$1,267 bundled est.
CHARLENE JENKINS
3026453300
LEWES, DE General Acute Care Hospital $184–$1,267 bundled est.
▼ Show 33 more Delaware hospitals
CHRISTIANA CARE
3029819931
CLAYTON, DE General Acute Care Hospital $184–$1,267 bundled est.
CHRISTIANA CARE
3027331000
NEWARK, DE General Acute Care Hospital $184–$1,267 bundled est.
CHRISTIANA CARE
9179214618
NEW CASTLE, DE General Acute Care Hospital $184–$1,267 bundled est.
CHRISTIANA CARE
3023222401
NEWARK, DE Long Term Care Hospital $184–$1,267 bundled est.
CHRISTIANA CARE HEALTH SERVICES
3027336339
NEW CASTLE, DE General Acute Care Hospital $184–$1,267 bundled est.
CHRISTIANA CARE HEALTH SERVICES
3027332410
NEWARK, DE General Acute Care Hospital $184–$1,267 bundled est.
CHRISTIANA CARE HEALTH SERVICES
3027332666
NEWARK, DE General Acute Care Hospital $184–$1,267 bundled est.
CHRISTIANA CARE HEALTH SERVICES
3027335582
NEWARK, DE General Acute Care Hospital $184–$1,267 bundled est.
CHRISTIANA CARE HEALTH SERVICES
3027334387
NEWARK, DE General Acute Care Hospital $184–$1,267 bundled est.
CHRISTIANA CARE HEALTH SERVICES
3027331000
NEWARK, DE Critical Access Hospital $184–$1,267 bundled est.
CHRISTIANA CARE HEALTH SERVICES, INC.
3027331000
WILMINGTON, DE General Acute Care Hospital $184–$1,267 bundled est.
CHRISTIANA CARE HEALTH SYSTEM
3027331042
NEWARK, DE Critical Access Hospital $184–$1,267 bundled est.
CHRISTIANA CARE HEALTH SYSTEM
3026232593
NEWARK, DE General Acute Care Hospital $184–$1,267 bundled est.
CHRISTIANA CARE HEALTH SYSTEM
3027331000
NEWARK, DE General Acute Care Hospital $184–$1,267 bundled est.
CHRISTIANA CARE HEALTH SYSTEM
2158887564
NEWARK, DE General Acute Care Hospital $184–$1,267 bundled est.
CHRISTIANA CARE HEALTH SYSTEM
3027334176
NEWARK, DE Critical Access Hospital $184–$1,267 bundled est.
CHRISTIANA CARE HOSPITAL
6104057662
NEWARK, DE Critical Access Hospital $184–$1,267 bundled est.
CHRISTIANA HOSPITAL
2036452903
NEW CASTLE, DE Critical Access Hospital $184–$1,267 bundled est.
CHRISTIANACAREHEALTHSERVICES
3027317449
NEWARK, DE General Acute Care Hospital $184–$1,267 bundled est.
COMMUNITY BIRTH GROUP
8003418598
WILMINGTON, DE General Acute Care Hospital $184–$1,267 bundled est.
DAI OK MOON MD PA
3027310600
WIMINGTON, DE General Acute Care Hospital $184–$1,267 bundled est.
DELMARVA INTEGRATED NETWORK
3026453300
LEWES, DE General Acute Care Hospital $184–$1,267 bundled est.
JENIFER RUSSELL
3026453100
LEWES, DE General Acute Care Hospital $184–$1,267 bundled est.
PENINSULA REGIONAL MEDICAL CENTER
4105437437
MILLSBORO, DE General Acute Care Hospital $184–$1,267 bundled est.
SELECT SPECIALTY HOSPITAL - WILMINGTON INC
3024214591
WILMINGTON, DE General Acute Care Hospital $184–$1,267 bundled est.
ST FRANCIS HEALTHCARE, INC.
3024214100
WILMINGTON, DE General Acute Care Hospital $184–$1,267 bundled est.
ST. FRANCIS HOSPITAL
3025758041
WILMINGTON, DE General Acute Care Hospital $184–$1,267 bundled est.
ST. FRANCIS HOSPITAL
3025758041
WILMINGTON, DE General Acute Care Hospital $184–$1,267 bundled est.
ST. FRANCIS HOSPITAL
3024214368
WILMINGTON, DE General Acute Care Hospital $184–$1,267 bundled est.
ST. FRANCIS HOSPITAL INC.
3024214100
WILMINGTON, DE General Acute Care Hospital $184–$1,267 bundled est.
ST.FRANCIS HOSPITAL
3025758041
WILMINGTON, DE General Acute Care Hospital $184–$1,267 bundled est.
UNION HOSPITAL OF CECIL COUNTY
4103984000
MIDDLETOWN, DE General Acute Care Hospital $184–$1,267 bundled est.
WILMINGTON VAMC
7172776568
WILMINGTON, DE General Acute Care Hospital $184–$1,267 bundled est.

Est. cost = bundled estimate (facility fee + professional fee + anesthesia where applicable) based on CMS fee schedules and commercial rate multipliers. Contact each provider for an actual quote.

Source: CMS NPPES NPI Registry. NPI numbers can be verified at npiregistry.cms.hhs.gov.

What matters before you schedule

What's on your bill

A emergency room visit involves multiple providers who bill separately - typically ED Facility Fee, Emergency Physician Professional Fee, Labs. Check each line item against your Explanation of Benefits to catch billing errors.

Cost by type

Which type your doctor orders for this emergency room visit changes the billing code, and what you pay. For example: A recognized variation that can change the billing code and what you owe.

Separate bills

A emergency room visit involves the facility, the operating physician, and often ancillary providers - each bills independently, and any one of them may be out-of-network even if the facility isn't. The No Surprises Act limits your exposure in many scenarios, but ask the facility to confirm every participating provider is in-network before your visit.

What to ask before you book

Get the CPT code from your doctor, confirm every provider involved (not just the facility) is in-network, ask for the cash-pay rate if you're uninsured or haven't met your deductible, and request a written estimate for emergency room visit before you schedule.


CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).

One ER visit typically generates 3–5 separate bills. Most patients learn this weeks later.

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Other Procedure Costs in Delaware

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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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Published July 17, 2026

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