CMS Price Transparency Data

Inguinal hernia repair

Facility: Bayhealth Hospital, Sussex Campus

Billing Code: 49505 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$4,902
about 1.3× the $3,658 Medicare rate · typically $1,577–$6,429
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,875
About the fair price
about $27 under the fair price · 1.3× Medicare
Medicare pays $3,658 Fair price $4,902 This hospital $4,875

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 $505 Priciest $5,031

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

A fair price for a Inguinal hernia repair is about $4,902 (about 1.3× the $3,658 Medicare rate). Bayhealth Hospital, Sussex Campus charges insurers about $4,875 — 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 $16,111 - $18,098 440%
Aetnamajor $3,869 106%
Ambetter (Centene) $5,804 159%
AmeriHealth $867 - $3,946 24%

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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