CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Bayhealth Hospital, Sussex Campus

Billing Code: 97750 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$60
about 1.8× the $34 Medicare rate · typically $41–$97
modeled estimate · not a bill or quote
What this hospital charges insurers
$53
Below the fair price — a good deal
about $7 under the fair price · 1.6× Medicare
Medicare pays $34 Fair price $60 This hospital $53 Cash price $115 Hospital's list price $137

How we calculate the fair BaseRate →

How this hospital compares to other DE hospitals

A typical price — 1 charge more and 3 charge less, among the 6 DE hospitals compared.

Cheapest $33 Priciest $57

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

A fair price for a Physical therapy (functional capacity test) is about $60 (about 1.8× the $34 Medicare rate). Bayhealth Hospital, Sussex Campus charges insurers about $53, or about $115 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 $140 - $157 415%
Aetnamajor $34 101%
Ambetter (Centene) $50 148%
AmeriHealth $34 - $56 101%

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