CMS Price Transparency Data

Psychological testing by technician

Facility: Bayhealth Hospital, Sussex Campus

Billing Code: 96138 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$273
about 0.6× the $456 Medicare rate · typically $67–$710
modeled estimate · not a bill or quote
What this hospital charges insurers
$724
Well above the fair price
about $451 over the fair price · 1.6× Medicare
Medicare pays $456 Fair price $273 This hospital $724

How we calculate the fair BaseRate →

How this hospital compares to other DE hospitals

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

Cheapest $526 Priciest $747

Black dot = this hospital, among the 3 DE hospitals with a price for this procedure. Full list below.

A fair price for a Psychological testing by technician is about $273 (about 0.6× the $456 Medicare rate). Bayhealth Hospital, Sussex Campus charges insurers about $724 — well above the fair price. Located in Milford, DE.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $273. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $2,010 - $2,258 440%
Aetnamajor $483 106%
Ambetter (Centene) $724 159%
AmeriHealth $492 108%

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 100 Wellness Way, Milford, DE 19963
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals