CMS Price Transparency Data

Breast lump removal

Facility: Bayhealth Hospital, Sussex Campus

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$4,715
about 1.2× the $4,000 Medicare rate · typically $1,390–$5,794
modeled estimate · not a bill or quote
What this hospital charges insurers
$5,331
About the fair price
about $616 over the fair price · 1.3× Medicare
Medicare pays $4,000 Fair price $4,715 This hospital $5,331 Cash price $6,876 Hospital's list price $8,186

How we calculate the fair BaseRate →

How this hospital compares to other DE hospitals

On the higher side — 4 of 5 other DE hospitals charge less.

Cheapest $502 Priciest $5,502

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

A fair price for a Breast lump removal is about $4,715 (about 1.2× the $4,000 Medicare rate). Bayhealth Hospital, Sussex Campus charges insurers about $5,331, or about $6,876 in cash — about the fair price. 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.

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 $17,619 - $19,791 440%
Aetnamajor $4,231 106%
Ambetter (Centene) $6,347 159%
AmeriHealth $694 - $4,316 17%

Self-Pay How to get the cash price

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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