CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Bayhealth Hospital, Sussex Campus

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$21,728
about 1.5× the $14,044 Medicare rate · typically $15,034–$29,638
modeled estimate · not a bill or quote
What this hospital charges insurers
$17,064
Below the fair price — a good deal
about $4,664 under the fair price · 1.2× Medicare
Medicare pays $14,044 Fair price $21,728 This hospital $17,064

How we calculate the fair BaseRate →

How this hospital compares to other DE hospitals

Lowest price of the 6 DE hospitals we have prices for — a strong deal.

Cheapest $17,064 Priciest $34,972

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

A fair price for a Hip or knee replacement (inpatient stay) is about $21,728 (about 1.5× the $14,044 Medicare rate). Bayhealth Hospital, Sussex Campus charges insurers about $17,064 — 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.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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
UnitedHealthcaremajor $17,406 124%
Blue Cross Blue Shieldmajor $17,064 - $39,705 122%
Aetnamajor $17,064 122%
AmeriHealth $17,406 124%
WellCare $17,064 122%
+ 2 smaller / regional plans $17,064

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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