CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Bayhealth Hospital, Sussex Campus

Billing Code: 97140 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$55
about 2.0× the $28 Medicare rate · typically $37–$92
modeled estimate · not a bill or quote
What this hospital charges insurers
$44
Below the fair price — a good deal
about $11 under the fair price · 1.6× Medicare
Medicare pays $28 Fair price $55 This hospital $44 Cash price $166 Hospital's list price $198

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 $26 Priciest $60

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Physical therapy (manual therapy) is about $55 (about 2.0× the $28 Medicare rate). Bayhealth Hospital, Sussex Campus charges insurers about $44, or about $166 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 $115 - $129 415%
Aetnamajor $28 101%
Ambetter (Centene) $41 148%
AmeriHealth $28 - $46 101%

Self-Pay How to get the cash price

Insurance Before you use insurance

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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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