CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Bayhealth Hospital, Sussex Campus

Billing Code: 97110 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$54
about 1.9× the $29 Medicare rate · typically $38–$93
modeled estimate · not a bill or quote
What this hospital charges insurers
$46
Below the fair price — a good deal
about $8 under the fair price · 1.6× Medicare
Medicare pays $29 Fair price $54 This hospital $46 Cash price $104 Hospital's list price $124

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 $28 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 Physical therapy (therapeutic exercise) is about $54 (about 1.9× the $29 Medicare rate). Bayhealth Hospital, Sussex Campus charges insurers about $46, or about $104 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 $121 - $135 416%
Aetnamajor $29 100%
Ambetter (Centene) $43 148%
AmeriHealth $30 - $49 103%

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