CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Bayhealth Hospital, Sussex Campus

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$107
about 1.1× the $95 Medicare rate · typically $80–$168
modeled estimate · not a bill or quote
What this hospital charges insurers
$108
About the fair price
about $1 over the fair price · 1.1× Medicare
Medicare pays $95 Fair price $107 This hospital $108 Cash price $232 Hospital's list price $276

How we calculate the fair BaseRate →

How this hospital compares to other DE hospitals

A typical price — 1 charge more and 4 charge less, among the 8 DE hospitals compared.

Cheapest $63 Priciest $144

Black dot = this hospital, among the 8 DE hospitals with a price for this procedure. Full list below.

A fair price for a Office visit, established patient (20-29 min) is about $107 (about 1.1× the $95 Medicare rate). Bayhealth Hospital, Sussex Campus charges insurers about $108, or about $232 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.

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

UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumanaKaiser 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
AmeriHealth $108 113%

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