CMS Price Transparency Data

Culture, blood

Facility: Bayhealth Medical Center, Kent Campus

Billing Code: 87040 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$16
about 1.6× the $10 Medicare rate · typically $15–$17
modeled estimate · not a bill or quote
What this hospital charges insurers
$15
About the fair price
about $1 under the fair price · 1.5× Medicare
Medicare pays $10 Fair price $16 This hospital $15 Cash price $188 Hospital's list price $224

How we calculate the fair BaseRate →

How this hospital compares to other DE hospitals

A typical price — 0 charge more and 3 charge less, among the 6 DE hospitals compared.

Cheapest $10 Priciest $15

Black dot = this hospital, among the 6 DE hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Culture, blood is about $16 (about 1.6× the $10 Medicare rate). Bayhealth Medical Center, Kent Campus charges insurers about $15, or about $188 in cash — about the fair price. Located in Dover, DE.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

1 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
Blue Cross Blue Shieldmajor $43 - $48 417%
Ambetter (Centene) $15 145%
AmeriHealth $10 - $11 97%

Self-Pay How to get the cash price

Insurance Before you use insurance

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 640 S State Street, Dover, DE 19901
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals