CMS Price Transparency Data

Neurobehavioral status check

Facility: Bayhealth Hospital, Sussex Campus

Billing Code: 96116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$350
about 1.6× the $221 Medicare rate · typically $131–$454
modeled estimate · not a bill or quote
What this hospital charges insurers
$350
About the fair price
1.6× Medicare
Medicare pays $221 Fair price $350 This hospital $350 Cash price $328 Hospital's list price $391

How we calculate the fair BaseRate →

How this hospital compares to other DE hospitals

A typical price — 1 charge more and 1 charge less, among the 3 DE hospitals compared.

Cheapest $254 Priciest $361

Black dot = this hospital, among the 3 DE hospitals with a price for this procedure. Full list below.

A fair price for a Neurobehavioral status check is about $350 (about 1.6× the $221 Medicare rate). Bayhealth Hospital, Sussex Campus charges insurers about $350, or about $328 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 $972 - $1,091 441%
Aetnamajor $233 106%
Ambetter (Centene) $350 159%
AmeriHealth $238 108%

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