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County Price & Affordability Audit 3 of 4 Hospitals Priced Pop. 247,799 $78,162 Median Income

Sussex County, DE Hospital Rates

Compare hospital price transparency compliance, fair price benchmarks, and local household charity-care eligibility across all 4 mapped hospitals in Sussex County.

Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.High Markup · Shop Alternatives
1.56×vs. Fair Market Price
Position vs. 1.00× Fair Price+56% Above Fair Price 1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.

Typical commercial prices here are +56% above the fair benchmark (1.56×) even after accounting for local nurse/doctor wages and patient complexity.

Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).86/100 · Verified
86/100Hover Any Check Below to See How Prices Were Audited
File Completeness90Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic88Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment86Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing83Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount84Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Sussex County Affordability & CoverageSummarizes local hospital price disclosure compliance in Sussex County, U.S. Census median household income, local uninsured rate, and federal 200%–400% FPL charity-care income thresholds.3 of 4 Hospitals Priced
Hospitals Priced3 of 4Number of CMS-certified hospitals located inside Sussex County that have published machine-readable price files out of all 4 local facilities.
Median Income$78.2k / yrU.S. Census ACS median annual household income in Sussex County ($78,162/yr), used to measure medical bill burden and charity-care eligibility.
Uninsured Rate6.9%Percentage of Sussex County residents without health insurance who rely on self-pay cash discounts and 501(r) nonprofit hospital financial assistance.

Local charity-care income cutoffs (200%–400% FPL): up to $31,920 (single) and $128,600 (family of 4) qualify for free or discounted hospital care.

County Hospital Pricing & Affordability Audit3 of 4 Local Hospitals Priced

Sussex County, DE Hospital Price & Affordability Summary

Sussex County, Delaware (pop. 247,799) has 4 CMS-certified hospitals (3 publishing verified machine-readable price files) with a local price index of 1.56× the U.S. fair price benchmark and a $78,162 median household income.

County Price Index: 1.56× Fair MarketMedian Income: $78,162/yr
Advantage

Best Value & Patient Protections in Sussex County

  • 3 of 4 hospitals in Sussex County publish verified 45 CFR § 180 price files (Beebe Medical Center, Tidalhealth Nanticoke, Inc., Bayhealth Hospital, Sussex Campus).
  • Local Sussex County households earning up to $31,920 (single) or $64,300 (family of 4) qualify for 200% FPL free charity care at nonprofit hospitals.
  • Under federal 26 U.S.C. § 501(r), nonprofit hospitals must provide discounted Financial Assistance Policy (FAP) rates for Sussex County families earning up to $128,600/yr (400% FPL).
Watchout

Where Sussex County Patients Get Burned (Billing Watchouts)

  • 1 facility in Sussex County (Sun Behavioral Delaware LLC) lacks an indexed MRF price schedule — always demand a written Good Faith Estimate before scheduling.
  • With a 6.9% local uninsured rate and $78,162 median household income, an unnegotiated $5,000 hospital bill equals 3.3 weeks of typical Sussex County family take-home pay.
  • Emergency department and inpatient ancillary charges vary significantly across Delaware counties — inspect each hospital's profile below before paying a full chargemaster bill.
County MRF Price Coverage75% Published
3 of 4 Hospitals

Includes Beebe Medical Center & Tidalhealth Nanticoke, Inc..

Free Care Income Cutoff (200% FPL)Nonprofit 501(r) Rule
$31,920 – $64,300

Single ($31,920) to Family of 4 ($64,300) threshold for 100% free charity care.

Discounted Care Cutoff (400% FPL)AGB Billing Cap
Up to $128,600/yr

4-person household income cap qualifying for statutory AGB billing limits in Sussex County.

Delaware County Price & Affordability Heatmap 3 of 3 Counties with MRF Hospital Data

Delaware County-Level Hospital Price & Affordability Heatmap

Hospital price index, Medicare markup, and household affordability burden across 3 counties in Delaware

<0.94× Affordable 0.94–1.06× Near Avg 1.06–1.20× Elevated >1.20× High-Markup

All Hospitals in Sussex County (4)

Select any published hospital below to inspect its procedure price list, insurer discounts, and official MRF verification links.

MRF Compliance: 3 of 4 Published

Compare Procedure Prices Across All Delaware Hospitals

View statewide surgical, imaging, colonoscopy, and ER price rankings across all Delaware facilities.

Browse All Delaware Hospitals & Procedures →