Bayhealth Medical Center, Kent Campus
Bayhealth Medical Center, Kent Campus in Dover, Delaware charges 4.6x the Medicare reimbursement rate across 87 analyzed procedures at this nonprofit hospital.
Dover, DE 19901 · Acute Care Hospitals · CMS Rating: 2/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Pricing grade
C
Average
Avg markup vs Medicare
4.63x
Charge / Medicare rate
Max markup
7.4x
Worst procedure
Procedures analyzed
87
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 |
|---|---|---|---|---|---|
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $57,444 | $28,722 | — | 7.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $30,087 | $15,044 | — | 6.8x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $32,193 | $16,097 | — | 6.7x |
| NERVOUS SYSTEM NEOPLASMS WITH MCC | 054 | $67,093 | $33,547 | — | 6.3x |
| DIABETES WITH CC | 638 | $31,378 | $15,689 | — | 6.2x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $69,432 | $34,716 | — | 6.2x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $72,424 | $36,212 | — | 6.1x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | 244 | $76,387 | $38,193 | — | 6.1x |
| TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | 605 | $37,589 | $18,795 | — | 6.1x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $33,107 | $16,554 | — | 5.8x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $38,435 | $19,217 | — | 5.8x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $102,049 | $51,025 | — | 5.7x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $27,821 | $13,910 | — | 5.7x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $19,936 | $9,968 | — | 5.7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $29,183 | $14,592 | — | 5.6x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | 056 | $71,731 | $35,865 | — | 5.6x |
| SYNCOPE AND COLLAPSE | 312 | $33,570 | $16,785 | — | 5.5x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $29,195 | $14,597 | — | 5.5x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | 070 | $62,067 | $31,033 | — | 5.5x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $30,579 | $15,290 | — | 5.4x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $47,831 | $23,916 | — | 5.4x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $41,463 | $20,732 | — | 5.4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $73,901 | $36,951 | — | 5.4x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $32,723 | $16,361 | — | 5.3x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $25,977 | $12,988 | — | 5.3x |
| HYPERTENSION WITHOUT MCC | 305 | $25,854 | $12,927 | — | 5.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $35,170 | $17,585 | — | 5.2x |
| RENAL FAILURE WITH MCC | 682 | $62,716 | $31,358 | — | 5.1x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $29,076 | $14,538 | — | 5.1x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $73,974 | $36,987 | — | 5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $61,816 | $30,908 | — | 5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $16,422 | $8,211 | — | 4.9x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $82,944 | $41,472 | — | 4.8x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $88,427 | $44,213 | — | 4.8x |
| SEIZURES WITH MCC | 100 | $79,549 | $39,774 | — | 4.8x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $23,836 | $11,918 | — | 4.7x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $57,909 | $28,954 | — | 4.7x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $32,402 | $16,201 | — | 4.6x |
| CELLULITIS WITHOUT MCC | 603 | $25,615 | $12,808 | — | 4.6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $53,299 | $26,649 | — | 4.6x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $73,619 | $36,809 | — | 4.6x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $34,586 | $17,293 | — | 4.6x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 981 | $199,158 | $99,579 | — | 4.5x |
| GASTROINTESTINAL OBSTRUCTION WITH MCC | 388 | $70,794 | $35,397 | — | 4.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $23,136 | $11,568 | — | 4.5x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | 086 | $38,542 | $19,271 | — | 4.5x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $30,308 | $15,154 | — | 4.4x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | 242 | $110,633 | $55,316 | — | 4.3x |
| RENAL FAILURE WITH CC | 683 | $26,239 | $13,120 | — | 4.2x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $38,993 | $19,496 | — | 4.2x |
Showing 50 of 87 procedures
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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