61/100
#907 nationally
Bayhealth Hospital, Sussex Campus
100 Wellness Way, Milford, DE 19963 · (302) 422-3311
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Bayhealth Hospital, Sussex Campus billed $3.93 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 3.9x
- volume-weighted across all its priced work
- Procedures priced
- 82
- inpatient and outpatient combined
- Rank in DE
- #4
- lower markup ranks higher
- CMS quality stars
- 3/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 60% of U.S. hospitals.
Better than 61% of U.S. hospitals.
Better than 60% of U.S. hospitals.
Better than 66% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
457 | $19,249 | $2,722 | about average |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
275 | $55,323 | $16,239 | -15% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
197 | $38,077 | $10,999 | -12% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
127 | $11,395 | $1,770 | -12% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
121 | $52,394 | $13,184 | -16% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
94 | $11,775 | $1,613 | +17% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
84 | $18,842 | $3,498 | -9% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
77 | $38,061 | $10,974 | -18% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
67 | $56,728 | $13,092 | +3% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
65 | $35,913 | $11,589 | -14% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$35,831 | $3,471 | +54% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
$23,263 | $2,817 | +40% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$24,665 | $2,851 | +39% |
|
Red Blood Cell Disorders with Major Complications
MS-DRG 811 · Inpatient stay |
$68,882 | $16,788 | +22% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$11,775 | $1,613 | +17% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$9,933 | $1,557 | +16% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
$68,805 | $10,318 | +15% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$40,175 | $5,789 | +14% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$5,471 | $1,613 | -51% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$5,713 | $1,937 | -50% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
$34,605 | $12,060 | -44% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$101,132 | $38,736 | -43% |
|
Other Respiratory System Diagnoses with Major Complications
MS-DRG 205 · Inpatient stay |
$43,624 | $13,952 | -43% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
$41,297 | $13,831 | -42% |
|
Gastrointestinal Obstruction with Major Complications
MS-DRG 388 · Inpatient stay |
$33,984 | $11,540 | -41% |
|
Level 4 Neurostimulator and Related Procedures
APC 5464 · Hospital outpatient visit |
$48,907 | $21,891 | -39% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.