CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Bayhealth Hospital, Sussex Campus

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$59
about 1.7× the $35 Medicare rate · typically $46–$93
modeled estimate · not a bill or quote
What this hospital charges insurers
$55
About the fair price
about $4 under the fair price · 1.6× Medicare
Medicare pays $35 Fair price $59 This hospital $55 Cash price $112 Hospital's list price $133

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 $35 Priciest $70

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 (therapeutic activities) is about $59 (about 1.7× the $35 Medicare rate). Bayhealth Hospital, Sussex Campus charges insurers about $55, or about $112 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 $145 - $163 413%
Aetnamajor $35 100%
Ambetter (Centene) $52 148%
AmeriHealth $36 - $58 103%

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