CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Bayhealth Hospital, Sussex Campus

Billing Code: 94640 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$178
about 0.8× the $224 Medicare rate · typically $39–$303
modeled estimate · not a bill or quote
What this hospital charges insurers
$298
Above the fair price
about $120 over the fair price · 1.3× Medicare
Medicare pays $224 Fair price $178 This hospital $298 Cash price $286 Hospital's list price $340

How we calculate the fair BaseRate →

How this hospital compares to other DE hospitals

On the higher side — 2 of 3 other DE hospitals charge less.

Cheapest $57 Priciest $308

Black dot = this hospital, among the 4 DE hospitals with a price for this procedure. Full list below.

A fair price for a Breathing treatment (nebulizer) is about $178 (about 0.8× the $224 Medicare rate). Bayhealth Hospital, Sussex Campus charges insurers about $298, or about $286 in cash — 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 $178. 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 $985 - $1,107 440%
Aetnamajor $237 106%
Ambetter (Centene) $355 159%
AmeriHealth $13 - $241 6%

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