How many shoppable procedure prices are published for Beebe Medical Center?

Beebe Medical Center in Lewes, DE currently has 109 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Beebe Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Beebe Medical Center's median negotiated commercial rate is 1.7× the regionally adjusted fair BaseRate benchmark.

What is Beebe Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Beebe Medical Center an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 201 Beds · urban Updated: 3/5/2026

Beebe Medical Center

424 Savannah Rd, Lewes, DE 19958 · 109 Priced Procedures · 60% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

High Markup · Shop Alternatives

1.70×vs. Fair Market Price

Typical commercial prices here are +70% above the fair benchmark (1.70×) even after accounting for local nurse/doctor wages and patient complexity.

71/100 · Corroborated

71/100Self-Pay Cash Beats Insurance 0% of the Time

File Completeness100

Price Logic60

Peer Alignment61

Clean Billing46

Real Cash Discount85

High-Markup · Check Safety

3-Star CMS clinical quality rating paired with 1.70× fair market pricing.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Beebe Medical Center prices routine shoppable procedures near 1.8× Medicare (p50 1.69×) while skewing captive emergency, lab, and upper-quartile codes to 2.5× Medicare (p75 2.20×, +30% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#9 of 9 in DE · 88th State Percentile#2,877 of 3,385 in U.S. · 84th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.86× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 0% of shoppable procedures (85/100 Cash Honesty)
CMS clinical safety score (62/100 safety score) with 60% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (32.2% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 2.2× markup over Medicare rates
Captive ER (2.6×) & laboratory (0.8×) services average 1.39× higher multiples than routine shoppable care (1.8×)
Upper-quartile procedures (Q75 2.20×) jump +30% above the median procedure ratio (Q50 1.69×)
Consolidated metro market (HHI 3,013) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.8× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.39× Divergence

2.5× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+30% Upper Tail

Q25 0.86× · Q50 1.69× · Q75 2.20×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.8× MedicareGood

Outpatient Surgery & ORBack-Door Captive

2.2× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.5× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

2.6× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

0.8× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

2.1× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

0% Cash Edge · 85/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 62/100Elevated

Procedure Prices at Beebe Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 109 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$53,086	$17,936	unverified
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$40,786	$19,087	unverified
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$34,972	$19,432	1.8×
Inguinal hernia repair CPT Code: `49505`	$20,255	$20,255	$3,629	5.6×
Total knee replacement CPT Code: `27447`	$15,521	$15,521	$13,523	1.1×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$15,046	$8,223	1.8×
Total hip replacement CPT Code: `27130`	$13,175	$13,175	$13,413	1.0×
Bunion correction surgery CPT Code: `28296`	$8,894	$8,894	$3,446	2.6×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$7,976	$7,976	$6,109	1.3×
Breast lump removal CPT Code: `19120`	$6,370	$6,370	$3,875	1.6×
Rabies immune globulin HCPCS Code: `90375`	$4,915	$4,915	$322	15.3×
Colonoscopy with biopsy CPT Code: `45380`	$3,951	$3,951	$1,256	3.1×
Cataract surgery with lens implant CPT Code: `66984`	$3,936	$3,936	$2,540	1.5×
Trauma team activation HCPCS Code: `G0390`	$3,526	$3,526	$1,453	2.4×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$3,501	$3,501	$3,372	1.0×
Colonoscopy (diagnostic) CPT Code: `45378`	$3,273	$3,273	$981	3.3×
Hepatitis B immune globulin HCPCS Code: `90371`	$3,163	$3,163	$151	20.9×
Upper endoscopy with biopsy CPT Code: `43239`	$2,326	$2,326	$987	2.4×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,804	$1,804	$583	3.1×
Hospital observation (per hour) HCPCS Code: `G0378`	$1,681	$1,681	$86	19.5×
MRI, brain (with and without contrast) CPT Code: `70553`	$4,712	$1,675	$511	unverified
Injection procedure for pain management HCPCS Code: `G0260`	$1,553	$1,553	$855	1.8×
MRI, lower back (no contrast) CPT Code: `72148`	$2,829	$837	$338	unverified
MRI, brain (no contrast) CPT Code: `70551`	$3,179	$754	$343	2.2×
MRI, knee or other leg joint CPT Code: `73721`	$2,712	$743	$369	2.0×
Blood transfusion CPT Code: `36430`	$768	$768	$498	1.5×
CT scan, head (with and without contrast) CPT Code: `70470`	$3,119	$476	$258	1.8×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$4,853	$448	$448	1.0×
CT scan, neck (cervical spine) CPT Code: `72125`	$2,917	$398	$169	2.4×
CT scan, head (with contrast) CPT Code: `70460`	$2,372	$381	$242	1.6×
CT scan, chest (no contrast) CPT Code: `71250`	$2,538	$398	$167	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,449	$398	$168	unverified
CT scan, pelvis CPT Code: `72192`	$1,719	$398	$163	unverified
Diagnostic mammogram (both breasts) CPT Code: `77066`	$645	$325	$148	2.2×
CT scan, sinuses CPT Code: `70486`	$2,768	$333	$166	2.0×
CT scan, head (no contrast) CPT Code: `70450`	$1,903	$318	$160	2.0×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,214	$284	$303	0.9×
Screening mammogram (both breasts) CPT Code: `77067`	$568	$257	$123	2.1×
Psychiatric evaluation (first visit) CPT Code: `90791`	$253	$253	$185	1.4×
Speech therapy (language evaluation) CPT Code: `92507`	$221	$221	$86	2.6×
Breathing treatment (nebulizer) CPT Code: `94640`	$233	$233	$201	1.2×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$168	$168	$38	4.4×
New patient office visit (30-44 min) CPT Code: `99203`	$343	$185	$110	1.7×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$152	$152	$35	4.3×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,153	$177	$134	1.3×
Office visit, established patient (30-39 min) CPT Code: `99214`	$402	$159	$123	1.3×
Physical therapy (manual therapy) CPT Code: `97140`	$122	$122	$34	3.6×
Physical therapy (functional capacity test) CPT Code: `97750`	$119	$119	$38	3.1×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$119	$119	$40	3.0×
Ultrasound, pelvis CPT Code: `76856`	$819	$142	$130	1.1×
Ultrasound, abdomen (limited) CPT Code: `76705`	$842	$129	$126	1.0×
Ultrasound, thyroid and neck CPT Code: `76536`	$682	$128	$132	1.0×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$126	$126	$272	0.5×
Electrical stimulation therapy HCPCS Code: `G0283`	$91	$91	$14	6.5×
Physical therapy (gait training) CPT Code: `97116`	$88	$88	$33	2.7×
Occupational therapy (self-care training) CPT Code: `97535`	$97	$97	$38	2.6×
Prosthetic fitting and training CPT Code: `97761`	$111	$111	$45	2.5×
Orthotic fitting and training CPT Code: `97760`	$110	$110	$51	2.2×
Office visit, established patient (20-29 min) CPT Code: `99213`	$286	$102	$87	1.2×
Typhoid vaccine HCPCS Code: `90675`	$824	$824	$347	2.4×
Blood test, liver function panel CPT Code: `80076`	$309	$309	$9	34.3×
Blood test, vitamin D CPT Code: `82306`	$309	$309	$31	10.0×
Culture, bacterial CPT Code: `87070`	$211	$211	$9	23.4×
Blood test, vitamin B12 CPT Code: `82607`	$207	$207	$16	12.9×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$199	$199	$10	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	$172	$172	$11	15.6×
Culture, blood CPT Code: `87040`	$166	$166	$11	15.1×
Blood test, ferritin (iron stores) CPT Code: `82728`	$166	$166	$14	11.9×
Blood test, amylase CPT Code: `82150`	$187	$187	$7	unverified
Colorectal cancer screening HCPCS Code: `G0010`	$161	$161	$49	3.3×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$150	$150	$56	2.7×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$161	$161	$14	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	$154	$154	$8	unverified
Blood test, lipase CPT Code: `83690`	$121	$121	$7	17.3×
Drug screening test HCPCS Code: `G0480`	$214	$136	$116	1.2×
Pneumococcal vaccine HCPCS Code: `90732`	$121	$121	$140	0.9×
Blood test, magnesium CPT Code: `83735`	$134	$134	$7	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	$135	$135	$19	unverified
Hepatitis C antibody test CPT Code: `86803`	$145	$145	$15	unverified
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$139	$139	$20	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$97	$97	$5	19.4×
Blood test, creatinine (kidney) CPT Code: `82565`	$72	$72	$5	14.4×
Flu vaccine (high dose) HCPCS Code: `90656`	$94	$94	$25	3.8×
Blood test, potassium CPT Code: `84132`	$55	$55	$5	11.0×
Extended office visit (prolonged) HCPCS Code: `G2212`	$61	$61	$33	1.8×
Flu vaccine injection HCPCS Code: `G0008`	$65	$65	$48	1.4×
X-ray, hip CPT Code: `73502`	$288	$69	$93	0.7×
X-ray, lower back CPT Code: `72110`	$453	$70	$112	0.6×
Blood test, basic metabolic panel CPT Code: `80048`	$162	$26	$9	2.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$124	$39	$18	2.2×
Diagnostic procedure preparation HCPCS Code: `G0279`	$68	$59	$35	1.7×
Pneumonia vaccine injection HCPCS Code: `G0009`	$58	$58	$49	1.2×
Blood antibody screen CPT Code: `86850`	$114	$40	$46	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$374	$49	$93	0.5×
X-ray, hand CPT Code: `73130`	$405	$46	$93	0.5×
X-ray, ankle CPT Code: `73610`	$369	$46	$93	0.5×
X-ray, foot CPT Code: `73630`	$431	$45	$92	0.5×
X-ray, chest (two views) CPT Code: `71046`	$243	$45	$93	0.5×
X-ray, shoulder CPT Code: `73030`	$450	$44	$92	0.5×
X-ray, pelvis CPT Code: `72170`	$302	$40	$110	0.4×
Blood test, calcium CPT Code: `82310`	$55	$55	$5	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$39	$39	$4	unverified
Blood test, sodium CPT Code: `84295`	$55	$55	$5	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$53	$53	$4	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$84	$18	$6	3.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$47	$7	$3	2.3×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$335	$25	$64	0.4×
X-ray, chest (single view) CPT Code: `71045`	$178	$25	$92	0.3×
Blood test, hemoglobin CPT Code: `85018`	$42	$42	$3	unverified

Showing top 25 high-impact procedures of 109 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 32.2%

Audit a Bill or Quote at Beebe Medical Center (Zero PHI Required)

CMS CCN: 080007

CPT 322

Select Procedure to Audit:

Fair BaseRate™ $17,936

Medicare Rate $12,807

Self-Pay Cash Request Quote

Insurer Median $53,086

1. Amount on Your Bill or Quote ($) Pre-filled with Beebe Medical Center’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $41,012 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $41,012

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (32.2% of gross = $41,012).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Beebe Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$109,470 Above Fair BaseRate

Negotiate Toward $17,936 Fair BaseRate ($12,807 Medicare)

Your bill ($127,406) is $109,470 above the denoised Fair BaseRate ($17,936) and 9.9× the $12,807 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 510067938

Filing Period: 193808

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (32.2% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite62/100

Would Recommend60%

Rated 9 or 10 (HCAHPS)61%

Median ER Wait174 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate4.4%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (1,050 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Beebe Medical Center.

Price Index: 0.62× regional baseline

Quality: 57/100 CMS composite

Median Household Income$78,162U.S. Census ACS

Local Uninsured Share6.9%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 71/100 · Corroborated CMS CCN 080007 EIN 510067938

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 080007) ↗ Verify IRS Form 990 (EIN 510067938) ↗ CMS HCRIS Cost Reports ↗

Published MRF Filemrf

Publication / Vintage3/5/2026 · 76.19 MB

Validated Rate Rows144 (CMS v3.0.0)

File Integrity Digest57f3551792574bfce163…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

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