CMS Price Transparency Data

Group therapy session

Facility: Bayhealth Hospital, Sussex Campus

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$122
about 1.2× the $104 Medicare rate · typically $53–$155
modeled estimate · not a bill or quote
What this hospital charges insurers
$138
About the fair price
about $16 over the fair price · 1.3× Medicare
Medicare pays $104 Fair price $122 This hospital $138

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 $27 Priciest $143

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

A fair price for a Group therapy session is about $122 (about 1.2× the $104 Medicare rate). Bayhealth Hospital, Sussex Campus charges insurers about $138 — 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 $457 - $514 440%
Aetnamajor $110 106%
Ambetter (Centene) $165 159%
AmeriHealth $41 - $112 40%

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