CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Bayhealth Hospital, Sussex Campus

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$57
about 1.8× the $32 Medicare rate · typically $40–$83
modeled estimate · not a bill or quote
What this hospital charges insurers
$51
Below the fair price — a good deal
about $6 under the fair price · 1.6× Medicare
Medicare pays $32 Fair price $57 This hospital $51 Cash price $80 Hospital's list price $95

How we calculate the fair BaseRate →

How this hospital compares to other DE hospitals

A typical price — 2 charge more and 3 charge less, among the 7 DE hospitals compared.

Cheapest $31 Priciest $65

Black dot = this hospital, among the 7 DE hospitals with a price for this procedure. Full list below.

A fair price for a Occupational therapy (self-care training) is about $57 (about 1.8× the $32 Medicare rate). Bayhealth Hospital, Sussex Campus charges insurers about $51, or about $80 in cash — 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.

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 $134 - $151 414%
Aetnamajor $32 99%
Ambetter (Centene) $48 148%
AmeriHealth $33 - $54 102%

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