CMS Price Transparency Data

Blood test, sodium

Facility: Bayhealth Hospital, Sussex Campus

Billing Code: 84295 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$13
about 2.6× the $5 Medicare rate · typically $7–$14
modeled estimate · not a bill or quote
What this hospital charges insurers
$7
Below the fair price — a good deal
about $6 under the fair price · 1.4× Medicare
Medicare pays $5 Fair price $13 This hospital $7 Cash price $60 Hospital's list price $72

How we calculate the fair BaseRate →

How this hospital compares to other DE hospitals

Highest price of the 6 DE hospitals we have prices for — worth calling around.

Cheapest $5 Priciest $7

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 Blood test, sodium is about $13 (about 2.6× the $5 Medicare rate). Bayhealth Hospital, Sussex Campus charges insurers about $7, or about $60 in cash — below the fair price — a good deal. Located in Milford, 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 $20 - $22 416%
Ambetter (Centene) $7 146%
AmeriHealth $5 104%

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

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