CMS Price Transparency Data

Prosthetic fitting and training

Facility: Bayhealth Hospital, Sussex Campus

Billing Code: 97761 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$66
about 1.6× the $40 Medicare rate · typically $51–$86
modeled estimate · not a bill or quote
What this hospital charges insurers
$64
About the fair price
about $2 under the fair price · 1.6× Medicare
Medicare pays $40 Fair price $66 This hospital $64 Cash price $134 Hospital's list price $160

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 $40 Priciest $89

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

A fair price for a Prosthetic fitting and training is about $66 (about 1.6× the $40 Medicare rate). Bayhealth Hospital, Sussex Campus charges insurers about $64, or about $134 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 $167 - $188 413%
Aetnamajor $40 99%
Ambetter (Centene) $60 148%
AmeriHealth $41 - $68 101%

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