CMS Price Transparency Data

Blood antibody screen

Facility: Bayhealth Hospital, Sussex Campus

Billing Code: 86850 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$42
about 0.8× the $53 Medicare rate · typically $13–$82
modeled estimate · not a bill or quote
What this hospital charges insurers
$84
Well above the fair price
about $42 over the fair price · 1.6× Medicare
Medicare pays $53 Fair price $42 This hospital $84 Cash price $105 Hospital's list price $125

How we calculate the fair BaseRate →

How this hospital compares to other DE hospitals

On the higher side — 7 of 8 other DE hospitals charge less.

Cheapest $10 Priciest $87

Black dot = this hospital, among the 9 DE hospitals with a price for this procedure. Full list below.

A fair price for a Blood antibody screen is about $42 (about 0.8× the $53 Medicare rate). Bayhealth Hospital, Sussex Campus charges insurers about $84, or about $105 in cash — well above the fair price. Located in Milford, 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 $42. 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 $234 - $263 440%
Aetnamajor $56 105%
Ambetter (Centene) $84 158%
AmeriHealth $57 107%

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: 100 Wellness Way, Milford, DE 19963
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals