Bayhealth Hospital, Sussex Campus
Bayhealth Hospital, Sussex Campus in Milford, DE charges 4.4x the Medicare reimbursement rate across 45 analyzed procedures, reflecting typical pricing patterns for nonprofit-private hospitals in Delaware.
Milford, DE 19963 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.
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Pricing grade
C
Average
Avg markup vs Medicare
4.41x
Charge / Medicare rate
Max markup
6.65x
Worst procedure
Procedures analyzed
45
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $30,520 | $15,260 | — | 6.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $52,019 | $26,009 | — | 6.1x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $30,555 | $15,278 | — | 5.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $39,772 | $19,886 | — | 5.8x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $36,949 | $18,475 | — | 5.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $37,668 | $18,834 | — | 5.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $29,442 | $14,721 | — | 5.5x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $37,926 | $18,963 | — | 5.2x |
| CELLULITIS WITHOUT MCC | 603 | $27,785 | $13,893 | — | 5.2x |
| RENAL FAILURE WITH CC | 683 | $31,917 | $15,958 | — | 5.2x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $31,438 | $15,719 | — | 5.1x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $24,141 | $12,070 | — | 5.1x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $27,453 | $13,727 | — | 5.1x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $17,909 | $8,954 | — | 5x |
| SEIZURES WITH MCC | 100 | $85,510 | $42,755 | — | 4.9x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $36,544 | $18,272 | — | 4.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $27,907 | $13,953 | — | 4.6x |
| COAGULATION DISORDERS | 813 | $54,381 | $27,190 | — | 4.5x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $39,835 | $19,917 | — | 4.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $21,642 | $10,821 | — | 4.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $22,853 | $11,426 | — | 4.5x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $27,620 | $13,810 | — | 4.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $40,567 | $20,283 | — | 4.4x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $63,992 | $31,996 | — | 4.3x |
| SYNCOPE AND COLLAPSE | 312 | $24,403 | $12,202 | — | 4.3x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $38,034 | $19,017 | — | 4.2x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $37,272 | $18,636 | — | 4.2x |
| RENAL FAILURE WITH MCC | 682 | $43,177 | $21,589 | — | 4.2x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $64,328 | $32,164 | — | 4.1x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $36,023 | $18,011 | — | 3.9x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $25,141 | $12,571 | — | 3.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $54,491 | $27,246 | — | 3.9x |
| GASTROINTESTINAL OBSTRUCTION WITH MCC | 388 | $38,945 | $19,472 | — | 3.8x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $20,499 | $10,249 | — | 3.8x |
| DIABETES WITH CC | 638 | $23,277 | $11,638 | — | 3.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $47,896 | $23,948 | — | 3.6x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $45,188 | $22,594 | — | 3.5x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $163,192 | $81,596 | — | 3.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $37,954 | $18,977 | — | 3.4x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $46,888 | $23,444 | — | 3.4x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $48,131 | $24,066 | — | 3.4x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $25,337 | $12,669 | — | 3.2x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $37,797 | $18,898 | — | 3.2x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $55,739 | $27,869 | — | 2.8x |
| DIABETES WITH MCC | 637 | $27,027 | $13,513 | — | 2.6x |
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use