CMS Price Transparency Data

Total hip replacement

Facility: Bayhealth Medical Center, Kent Campus

Billing Code: 27130 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$14,964
about 1.1× the $13,117 Medicare rate · typically $12,340–$19,385
modeled estimate · not a bill or quote
What this hospital charges insurers
$18,040
Above the fair price
about $3,076 over the fair price · 1.4× Medicare
Medicare pays $13,117 Fair price $14,964 This hospital $18,040

How we calculate the fair BaseRate →

How this hospital compares to other DE hospitals

Highest price of the 3 DE hospitals we have prices for — worth calling around.

Cheapest $15,123 Priciest $18,040

Black dot = this hospital, among the 3 DE hospitals with a price for this procedure. Full list below.

A fair price for a Total hip replacement is about $14,964 (about 1.1× the $13,117 Medicare rate). Bayhealth Medical Center, Kent Campus charges insurers about $18,040 — above the fair price. Located in Dover, DE.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $14,964. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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 $59,620 - $66,971 455%
Aetnamajor $14,318 109%
Ambetter (Centene) $21,477 164%
AmeriHealth $2,120 - $14,604 16%

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

Enter your details and press estimate to compare.

Facility Profile & Credentials

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