Milford, DE
142
Beds
6,741
Inpatient discharges a year
$455M
Net patient revenue a year
29
In-network payers
BAYHEALTH HOSPITAL is a 142-bed hospital in Milford, DE. Below you'll find publicly disclosed negotiated rates and facility details, including 29 in-network payers and 232 disclosed rate categories.
The 24 services BAYHEALTH HOSPITAL most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.
Gynecology
CPT 58571
$19,390 - $65,362
from 4 insurers · median $45,681
48 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 74177
$864 - $5,802
from 4 insurers · median $3,231
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$6,680 - $16,221
from 4 insurers · median $10,973
12 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Medicine & Surgery
CPT 47562
$17,457 - $37,391
from 4 insurers · median $28,979
45 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
CPT 55866
$45,280 - $65,362
from 3 insurers · median $53,614
48 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 49650
$18,326 - $37,391
from 4 insurers · median $29,505
45 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45385
$515 - $5,208
from 4 insurers · median $4,943
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$431 - $6,445
from 4 insurers · median $4,335
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$494 - $5,208
from 4 insurers · median $5,042
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 55700
$8,229 - $22,773
from 4 insurers · median $13,227
127 Medicare claims in Level 3 Urology and Related Services (CMS 2024)
Cardiology and vascular testing
CPT 93306
$578 - $3,041
from 4 insurers · median $2,768
Common here, based on CMS Medicare volume
Urology
CPT 50590
$14,323 - $20,859
from 3 insurers · median $17,994
84 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Medicine & Surgery
CPT 49505
$17,944 - $31,721
from 3 insurers · median $23,868
14 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
MRI imaging
CPT 70553
$388 - $5,802
from 4 insurers · median $3,295
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$366 - $719
from 4 insurers · median $593
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$93 - $505
from 4 insurers · median $363
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$7,730 - $37,391
from 4 insurers · median $26,231
Typical for a hospital with this service line
Gynecology
CPT 57288
$8,313 - $19,542
from 4 insurers · median $16,451
18 Medicare claims in Level 5 Gynecologic Procedures (CMS 2024)
Mammography
CPT 77067
$110 - $556
from 3 insurers · median $411
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$359 - $1,658
from 4 insurers · median $1,065
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$825 - $1,829
from 2 insurers · median $1,327
Common here, based on CMS Medicare volume
Ultrasound
CPT 76856
$282 - $719
from 4 insurers · median $566
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 29888
$22,329 - $35,632
from 3 insurers · median $28,254
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$11,665
negotiated rate
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 21 | 602% | 2 | 0 |
| Insurer B* | 22 | 488% | 5 | 0 |
| Insurer C* | 24 | 458% | 17 | 4 |
| Insurer D* | 19 | 155% | 6 | 11 |
How we chose these services: 9 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 3 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for BAYHEALTH HOSPITAL, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
No Medicare readmissions penalty
See quality ratingsDoctors and services
Accredited by The Joint Commission
Finances
$455M net patient revenue
Ownership and leadership
Owned by Bayhealth, Inc.
The employer identification numbers (EINs) health plans and networks list for BAYHEALTH HOSPITAL in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 51-0064318(multi-state) Bayhealth Medical Center INC | 53Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 48 more | 1467546135 Bayhealth Medical Center Inc.1023006434 Bayhealth Medical Center Inc.1265422828 Bayhealth Medical Center Inc.and 56 more |
Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.
100 WELLNESS WAY, Milford, DE 199634364
3024305738
How Medicare adjusts BAYHEALTH HOSPITAL's inpatient payments for its readmissions, quality and cost results.
No penalty
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
-0.33% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
The Joint Commission (since 2022)
Accreditation
Limited
Medical school affiliation
Private (not for profit)
Ownership type
168
Medicare-certified beds
679
Registered nurses (full-time equivalent)
2011
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What BAYHEALTH HOSPITAL reported to Medicare in its latest cost report, covering Jul 1, 2024 to Jun 30, 2025.
6,741
Inpatient discharges
Medicare 40%, Medicaid 1%
34,669
Inpatient days
74% of available bed days used
910
Employees (full-time equivalent)
13
Interns and residents (full-time equivalent)
Source: CMS cost report (HCRIS) (report 844279). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges BAYHEALTH HOSPITAL reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 11,867 | 2,775 | 20,027 | 34,669 |
| Discharges | 2,703 | 95 | 3,943 | 6,741 |
| Average length of stay | 4.4 days | 29.2 days | 5.1 days | 5.1 days |
| Average daily census | 32.5 | 7.6 | 54.9 | 95.0 |
9,499
Medicare Advantage days
1,575 discharges
4,957
Medicaid managed care days
4,369
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 118 | 30,370 | 11,200 | 71% |
| Intensive care unit | 10 | 2,866 | 667 | 79% |
| Nursery | 1,433 | |||
| Subprovider - irf | 14 | 2,954 | 2,150 | 58% |
Source: CMS cost report (HCRIS, Form 2552-10), report 844279, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What BAYHEALTH HOSPITAL treats Medicare patients for most often, in 2024. 1,877 Medicare discharges in 59 published DRGs; 6% surgical; 75% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 275 | $55,323 | $14,424 | $18,201 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 197 | $38,077 | $9,566 | $12,527 | 1.28 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 77 | $38,061 | $9,399 | $12,522 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 67 | $56,728 | $11,813 | $18,663 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 65 | $35,913 | $7,425 | $11,815 | 1.10 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 55 | $25,464 | $5,169 | $8,378 | 0.79 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 55 | $39,376 | $7,461 | $12,955 | 1.03 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 50 | $24,462 | $5,583 | $8,048 | 0.81 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 43 | $32,174 | $9,565 | $10,585 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 42 | $27,203 | $5,269 | $8,950 | 0.78 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 41 | $31,666 | $8,485 | $10,418 | 1.17 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 38 | $28,248 | $5,578 | $9,293 | 0.82 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 36 | $25,429 | $5,159 | $8,366 | 0.74 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 35 | $39,196 | $6,662 | $12,896 | 1.02 |
| Cellulitis without MCCMS-DRG 603, medical | 35 | $28,116 | $5,749 | $9,250 | 0.88 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 35 | $101,132 | $35,831 | $33,272 | 5.00 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 32 | $27,431 | $5,566 | $9,025 | 0.80 |
| Renal failure with MCCMS-DRG 682, medical | 32 | $50,754 | $13,123 | $16,698 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 32 | $30,708 | $6,633 | $10,103 | 0.90 |
| Syncope and collapseMS-DRG 312, medical | 26 | $33,847 | $6,175 | $11,136 | 0.86 |
See all 59 Medicare inpatient DRGs at BAYHEALTH HOSPITAL
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
The comprehensive outpatient service groups (APCs) BAYHEALTH HOSPITAL billed Medicare for most in 2024: 1,439 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 457 | 431 | $19,249 | $2,163 | $2,090 |
| Level 3 Urology and Related ServicesAPC 5373 | 127 | 83 | $11,395 | $1,408 | $1,516 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 121 | 119 | $52,394 | $11,552 | $10,772 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 94 | 92 | $11,775 | $1,278 | $1,220 |
| Level 4 Urology and Related ServicesAPC 5374 | 84 | 77 | $18,842 | $2,786 | $2,629 |
| Level 1 Nerve ProceduresAPC 5431 | 60 | 54 | $5,713 | $1,543 | $1,407 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 56 | 53 | $5,471 | $1,280 | $1,196 |
| Level 5 Urology and Related ServicesAPC 5375 | 54 | 53 | $27,453 | $4,136 | $3,918 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 48 | 48 | $68,805 | $8,686 | $8,164 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 45 | 44 | $40,175 | $4,612 | $4,358 |
See all 23 Medicare outpatient services at BAYHEALTH HOSPITAL
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.
ZIP codes with the most Medicare inpatient stays at BAYHEALTH HOSPITAL in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 2,982 in 2020 to 4,238 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 19963 | 1,075 | 25% | 5,520 | $55.7M | 67% | 70% |
| 19952 | 446 | 11% | 2,170 | $22.6M | 58% | 59% |
| 19968 | 302 | 7% | 1,448 | $13.9M | 28% | 23% |
| 19960 | 284 | 7% | 1,555 | $15M | 65% | 73% |
| 19966 | 263 | 6% | 1,082 | $11.3M | 8% | 8% |
| 19943 | 230 | 5% | 1,164 | $11.9M | 25% | 19% |
| 19947 | 225 | 5% | 995 | $10.5M | 22% | 19% |
| 19958 | 221 | 5% | 1,211 | $11.3M | 8% | 7% |
| 19950 | 174 | 4% | 755 | $8.3M | 41% | 41% |
| 19946 | 159 | 4% | 908 | $8.1M | 46% | 38% |
| 19904 | 125 | 3% | 774 | $7.6M | 5% | 4% |
| 19941 | 109 | 3% | 597 | $5.7M | 62% | 55% |
| 19901 | 95 | 2% | 510 | $4.7M | 4% | 4% |
| 19962 | 73 | 2% | 426 | $4.4M | 11% | 14% |
| 19933 | 71 | 2% | 336 | $3.3M | 12% | 12% |
| 19954 | 68 | 2% | 315 | $3.2M | 79% | 75% |
| 19971 | 65 | 2% | 250 | $2.7M | 5% | 8% |
| 19934 | 63 | 1% | 321 | $3.6M | 8% | 5% |
| 19977 | 45 | 1% | 201 | $2.2M | 3% | 3% |
| 19973 | 36 | 1% | 218 | $2.3M | 3% | 3% |
| 19939 | 18 | 0% | 147 | $1.3M | 3% | 4% |
| 19951 | 18 | 0% | 84 | $921,106 | 12% | 14% |
| 19956 | 18 | 0% | 93 | $1.1M | 2% | 2% |
| 19938 | 15 | 0% | 64 | $825,112 | 3% | |
| 19945 | 14 | 0% | 79 | $1.1M | 2% | 4% |
Source: CMS Hospital Service Area file. Shares are of the 4,238 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff by profession and the rooms and units BAYHEALTH HOSPITAL reported at its latest Medicare certification survey (2016). Counts are people, not full-time equivalents.
5
Operating rooms
1
Endoscopy rooms
40
Rehabilitation unit beds
27
Off-site locations
679
Registered nurses
32
Licensed practical nurses
64
Physicians
14
Nurse practitioners
13
Physician assistants
21
Nurse anesthetists (CRNAs)
37
Pharmacists
34
Respiratory therapists
21
Physical therapists
10
Occupational therapists
6
Speech pathologists and audiologists
87
Radiology technicians
7
Nuclear medicine technicians
20
Laboratory technicians
33
Medical technologists
22
Dietitians
12
Social workers
346
Other personnel
Source: CMS Provider of Services file.
966 clinicians who bill Medicare list BAYHEALTH HOSPITAL as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Maged Hosny, MD
Rheumatology Physician
NPI 1326003351
See commercial rates for Maged Hosny, MDJose Pando, MD
Rheumatology Physician
NPI 1306839048
See commercial rates for Jose Pando, MDJinsong Zhang, M.D.
Rheumatology Physician
NPI 1215196027
See commercial rates for Jinsong Zhang, M.D.Lourdes Aponte, MD
Rheumatology Physician
NPI 1144299959
See commercial rates for Lourdes Aponte, MDJamal Misleh, MD
Hematology & Oncology Physician
NPI 1174665822
See commercial rates for Jamal Misleh, MDSurjeet Dheer, DO
Rheumatology Physician
NPI 1689024143
See commercial rates for Surjeet Dheer, DOYvan Maque Acosta, M.D.
Rheumatology Physician
NPI 1306252648
See commercial rates for Yvan Maque Acosta, M.D.Irene Viola, M.D.
Internal Medicine Physician
NPI 1386699122
See commercial rates for Irene Viola, M.D.Robert Moyer, M.D.
Rheumatology Physician
NPI 1861477077
See commercial rates for Robert Moyer, M.D.Sujung Park, M.D.
Hematology & Oncology Physician
NPI 1811218621
See commercial rates for Sujung Park, M.D.John Butler, M.D.
Ophthalmology Physician
NPI 1174521264
See commercial rates for John Butler, M.D.Heather Graham, DNP, APRN, AANP
Family Nurse Practitioner
NPI 1326714189
See commercial rates for Heather Graham, DNP, APRN, AANPTaras Yurchenko, PA-C
Medical Physician Assistant
NPI 1912559782
See commercial rates for Taras Yurchenko, PA-CBrendan Skonieczki, MD
Diagnostic Radiology Physician
NPI 1447478524
See commercial rates for Brendan Skonieczki, MDPeter Coveleski, DO
Physical Medicine & Rehabilitation Physician
NPI 1770580144
See commercial rates for Peter Coveleski, DOPatrick Kane, MD
Orthopaedic Surgery Physician
NPI 1790075984
See commercial rates for Patrick Kane, MDJay Dave, D.O.
Neurology Physician
NPI 1215159488
See commercial rates for Jay Dave, D.O.Hugo Isuani, MD
Diagnostic Radiology Physician
NPI 1740256635
See commercial rates for Hugo Isuani, MDCameron Yau, MD
Orthopaedic Surgery Physician
NPI 1427438753
See commercial rates for Cameron Yau, MDAnusha Vuppala, MD
Rheumatology Physician
NPI 1659724367
See commercial rates for Anusha Vuppala, MDVikas Batra, M.D.
Pulmonary Disease Physician
NPI 1508804907
See commercial rates for Vikas Batra, M.D.Rajesh Kurpad, MD
Urology Physician
NPI 1457670432
See commercial rates for Rajesh Kurpad, MDMichael Zaragoza, MD
Urology Physician
NPI 1205821881
See commercial rates for Michael Zaragoza, MDChristopher Vallorosi, MD
Urology Physician
NPI 1245226828
See commercial rates for Christopher Vallorosi, MDSource: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income BAYHEALTH HOSPITAL reported to Medicare for Jul 1, 2024 to Jun 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $1.1B | 251.8% |
| Inpatient | $382.9M | 84.2% |
| Outpatient | $762.6M | 167.6% |
| Contractual allowances and discounts | -$690.5M | -151.8% |
| Net patient revenue | $455M | 100.0% |
| Operating expenses | -$385.2M | -84.7% |
| Operating income from patient care | $69.8M | 15.3% |
| Net income | $69.8M | 15.3% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $243.2M | 24.8% |
| Medicaid (including managed care) | $22.1M | 2.3% |
| Other payers and self-pay | $714.3M | 72.9% |
| Total charges | $979.6M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 844279, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from BAYHEALTH HOSPITAL's latest cost report.
15.3%
Operating margin
Operating income from patient care / net patient revenue
15.3%
Total margin
Net income / net patient revenue plus other income
20.1%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
37% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$46.24
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
3.6%
Return on assets
Net income for a year / total assets
4.8%
Return on equity
Net income for a year / fund balance
0.18
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
1.60
Current ratio
Current assets / current liabilities
1.29
Quick ratio
Cash, temporary investments and net receivables / current liabilities
81 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
110 days
Days in patient receivables
Net patient receivables / daily net patient revenue
169 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.23
Asset turnover
Total revenue for a year / total assets
24.9 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 844279, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What BAYHEALTH HOSPITAL owned and owed at the end of its reporting period (Jun 2025), across all fund types: $1.9B in total assets and a $1.5B fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $80.4M | 4.1% |
| Patient receivables, net | $136.9M | 7.0% |
| Inventory | $18.5M | 1.0% |
| Total current assets | $268.9M | 13.8% |
| Property and equipment, net of depreciation | $576.4M | 29.7% |
| Investments and other assets | $1.1B | 56.5% |
| Total assets | $1.9B | 100.0% |
| Current liabilities | $168M | 8.6% |
| Long-term debt | $268M | 13.8% |
| Total liabilities | $480.7M | 24.7% |
| Fund balance (net assets) | $1.5B | 75.3% |
Source: CMS cost report (HCRIS, Form 2552-10), report 844279, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care BAYHEALTH HOSPITAL provided without full payment, as reported on Worksheet S-10 of its cost report.
$6.9M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$14.2M
Bad debt
Patient bills written off as uncollectible, at charges
$1.3M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$12M
Total unreimbursed and uncompensated care
3.1% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 844279, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
BAYHEALTH HOSPITAL's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Jun 2020 | Jun 2021 | Jun 2022 | Jun 2023 | Jun 2024 | Jun 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $199.1M | $230.3M | $272.1M | $298.6M | $389.3M | $455M |
| Operating expenses | $214.1M | $231.7M | $272.6M | $302.9M | $350.6M | $385.2M |
| Operating margin | -7.5% | -0.6% | -0.2% | -1.4% | 9.9% | 15.3% |
| Net income | $430,207 | $57M | $4M | -$4.2M | $38.7M | $69.8M |
| Total assets | $1.4B | $1.6B | $1.6B | $1.6B | $1.8B | $1.9B |
| Discharges | 4,854 | 4,572 | 6,686 | 4,994 | 5,923 | 6,741 |
| Inpatient days | 21,526 | 25,016 | 31,574 | 29,163 | 28,541 | 34,669 |
| Medicare Advantage days | 2,182 | 2,929 | 5,824 | 6,450 | 7,766 | 9,499 |
| Beds | 128 | 128 | 147 | 157 | 157 | 142 |
| Employees (FTE) | 894 | 930 | 930 | 740 | 861 | 910 |
Source: CMS cost report (HCRIS, Form 2552-10), report 844279, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center BAYHEALTH HOSPITAL reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Drugs charged to patients | $39.9M | $104.1M | 0.38 | ||
| Emergency | $7.7M | $26M | $131.8M | 0.20 | 25,274 |
| Radiology-diagnostic | $7.3M | $20.6M | $87.3M | 0.24 | 35,072 |
| Operating room | $5M | $16.9M | $88M | 0.19 | 21,321 |
| Laboratory | $3.3M | $12.3M | $115.9M | 0.11 | 5,389 |
| Medical supplies charged to patient | $11M | $11.8M | 0.93 | ||
| Recovery room | $4.3M | $9.1M | $11.9M | 0.76 | 11,143 |
| Cardiology practice | $4.9M | $8.6M | $22.4M | 0.39 | 1,974 |
| Impl. dev. charged to patients | $7.2M | $20.6M | 0.35 | ||
| Observation beds (non-distinct part | $6.7M | $17.6M | 0.38 | ||
| Radiology-chemotherapy | $2.7M | $5.1M | $12.5M | 0.41 | 7,402 |
| Physical therapy | $1.7M | $4.5M | $6.2M | 0.73 | 7,140 |
| Maternal fetal medicine | $1.6M | $3.8M | $5.1M | 0.73 | 2,574 |
| Respiratory therapy | $1.7M | $3.6M | $21.2M | 0.17 | 634 |
| Ct scan | $1.3M | $3.3M | $97.4M | 0.03 | 1,253 |
| Mri | $992,378 | $2.4M | $32.6M | 0.07 | 2,311 |
| Radiology-therapeutic | $1.3M | $2.3M | $22.9M | 0.10 | 3,797 |
| Anesthesiology | $1.2M | $1.7M | $14M | 0.12 | 257 |
| Intravenous therapy | $748,053 | $1.6M | $5M | 0.32 | 2,722 |
| Radioisotope | $377,264 | $1.6M | $9.9M | 0.16 | 867 |
| Occupational therapy | $837,531 | $1.5M | $4.7M | 0.32 | 982 |
| Cardiac catheterization | $165,342 | $1.1M | $8.5M | 0.13 | 1,336 |
| Delivery room & labor room | $1M | $3.9M | 0.27 | ||
| Electrocardiology | $275,697 | $977,979 | $17.8M | 0.05 | |
| Whole blood & packed red blood cell | $765,972 | $4.9M | 0.16 | 174 | |
| Speech pathology | $376,968 | $729,527 | $1.1M | 0.68 | 232 |
| Pharmacy clinics | $216,698 | $551,984 | $670,351 | 0.82 | 78 |
| Cardiac rehab | $114,892 | $400,566 | $590,030 | 0.68 | 1,659 |
| Electroencephalography | $90,811 | $369,640 | $838,360 | 0.44 | |
| Wound care | $68,909 | $355,215 | $840,579 | 0.42 | 1,597 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $20M | $53.2M | $75.6M | 0.70 | 89,454 |
| Intensive care unit | $2.7M | $13M | $11.7M | 1.11 | 8,019 |
| Subprovider - irf | $1.1M | $3.8M | $8.8M | 0.44 | 11 |
| Nursery | $390,527 | $1.4M | 0.27 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Employee benefits department | $37.9M | 60,841 | $38.95 | 3,265 | |
| Administrative & general | $26.1M | $36.8M | 23,130 | $21.65 | 52,578 |
| Cap rel costs-bldg & fixt | $15.4M | 623,392 | |||
| Operation of plant | $2.1M | $11.1M | 56,591 | $36.44 | 273,645 |
| Cap rel costs-mvble equip | $6.5M | ||||
| Central services & supply | $747,115 | $3.1M | 23,702 | $31.52 | 4,334 |
| Housekeeping | $2.1M | $2.9M | 103,297 | $20.17 | 3,735 |
| Nursing administration | $2.8M | 1,880 | |||
| Cafeteria | $2.5M | 45,834 | $19.04 | ||
| Dietary | $1.6M | $908,887 | 30,348 | $23.67 | 12,864 |
| Laundry & linen service | $862,797 | 1,410 | |||
| I&r services-other prgm costs apprv | $1.3M | $857,027 | 6,642 | ||
| I&r services-salary & fringes apprv | $781,905 | ||||
| Medical records & library | $730,422 | ||||
| Paramed ed prgm-(specify) | $645,040 | 3,450 | |||
| Pharmacy | $4.9M | -$505,843 | 88,774 | $55.18 | 5,411 |
Source: CMS cost report (HCRIS, Form 2552-10), report 844279, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays BAYHEALTH HOSPITAL for an inpatient stay.
1.54
Case mix index
Higher than 32% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
Teaching hospital
Teaching status
0.10 residents per bed
Medicare-funded interns and residents per bed (FY 2027).
25.9%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
2,748
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Rural
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.39 | 1.39 | 1.63 | 1.63 | 1.53 | 1.52 | 1.54 |
| Wage index | 0.962 | 1.071 | 1.089 | 1.117 | 1.091 | 1.096 | 1.041 |
| Readmissions adjustment | -0.45% | -0.14% | -0.90% | -0.08% | -0.03% | 0.00% | 0.00% |
| Value-based purchasing adjustment | +0.30% | -0.03% | -0.03% | +0.54% | -0.62% | -0.23% | -0.33% |
| Medicare inpatient stays | 2,215 | 2,215 | 1,960 | 1,883 | 1,820 | 2,473 | 2,748 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations BAYHEALTH HOSPITAL reports to Medicare as owners or with operational control.
Bayhealth Medical Center, Inc
Operational/managerial control, 100%, since 1997
Bayhealth, Inc.
5% or greater direct ownership interest, since 2006
Sources: CMS Hospital All Owners.
The officers and board members on BAYHEALTH HOSPITAL's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 7 of 13 are shown.
Bayhealth Medical Center Inc files the Form 990 for the tax ID insurers list for BAYHEALTH HOSPITAL, so these people may lead the wider organization rather than BAYHEALTH HOSPITAL alone.
| Name | Title |
|---|---|
| Terry M Murphy | Chair & CEO |
| Gary Siegelman MD | SVP & CMO |
| Michael J Tretina | Treasurer & CFO |
| Deborah Watson | Vice Chair COO 12/30/2022 |
| John Van Gorp | SVP, Planning & Business D |
| Jonathan Kaufmann DO | Cmio |
| Richard Mohnk | VP & CIO |
| Bradley Kirkes | VP Ancillary & Clinical 07/19/2022 |
| Shana Ross | VP Of Hr 07/05/2022 |
Board members: Melisa M Edler MD, Michael Ashton, Sharon Urban, Rosemary Wurster, Thomas P Barnett MD, Neal Brickhouse MD.
Source: IRS Form 990 Part VII filed by Bayhealth Medical Center Inc (EIN 51-0064318), via the IRS e-file data. A health system's return can cover several hospitals.
340B drug pricing program
Not participating
340B ID DSH080009, registered as a disproportionate share hospital. Authorizing official: Michael James Tretina, CFO.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Accountable care organization (Medicare Shared Savings Program)
Aledade 61 Luminis Bayhealth MSSP Enhanced
ACO A4777, current agreement since 2022. Public reporting page
Source: CMS Shared Savings Program participants, 2026, matched on BAYHEALTH HOSPITAL's legal name.
Bayhealth ip rehabilitation sussex
CCN 08T009, certified 1993, Medicare prospective payment
Source: Worksheet S-2 Part I of BAYHEALTH HOSPITAL's latest Medicare cost report (HCRIS).
About BAYHEALTH HOSPITAL's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at BAYHEALTH HOSPITAL range from $388 to $5,802 across 4 insurers. Cigna's rate is $4,758. The median at nearby comparable hospitals is $1,179. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at BAYHEALTH HOSPITAL range from $864 to $5,802 across 4 insurers. Aetna's rate is $864. The median at nearby comparable hospitals is $1,456. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at BAYHEALTH HOSPITAL range from $515 to $5,208 across 4 insurers. Cigna's rate is $5,127. The median at nearby comparable hospitals is $2,672. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at BAYHEALTH HOSPITAL range from $110 to $556 across 3 insurers. Aetna's rate is $110. The median at nearby comparable hospitals is $207. What a patient pays depends on their plan's deductible, coinsurance and network status.
Yes. CMS counts 0.10 Medicare-funded residents per bed at BAYHEALTH HOSPITAL for fiscal year 2027, so it is a teaching hospital.
No. BAYHEALTH HOSPITAL has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (275 discharges), heart failure and shock with mcc (197 discharges), simple pneumonia and pleurisy with mcc (77 discharges).
BAYHEALTH HOSPITAL's Medicare case mix index is 1.54 for fiscal year 2027, higher than 32% of hospitals paid under the inpatient prospective payment system.
BAYHEALTH HOSPITAL reported 6,741 inpatient discharges and 34,669 inpatient days from Jul 1, 2024 to Jun 30, 2025.
BAYHEALTH HOSPITAL reported 910 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.
BAYHEALTH HOSPITAL reported $455M in net patient revenue on $1.1B of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of 15.3%, and net income of $69.8M.
BAYHEALTH HOSPITAL reported $12M of unreimbursed and uncompensated care for Jul 1, 2024 to Jun 30, 2025, including $6.9M of charity care at cost.
Insurers' price transparency files list BAYHEALTH HOSPITAL under employer identification number 51-0064318 ((multi-state) Bayhealth Medical Center INC). 53 health plans and networks list 51-0064318 for it.
HRSA's 340B database lists BAYHEALTH HOSPITAL (340B ID DSH080009) as no longer participating since 2026.
966 clinicians who bill Medicare list BAYHEALTH HOSPITAL as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are internal medicine physician (118), family medicine physician (83), physician assistant (81).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for BAYHEALTH HOSPITAL, effective 2022.
In its Medicare enrollment, BAYHEALTH HOSPITAL reports Bayhealth, Inc. as 5% or greater direct ownership interest.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at BAYHEALTH HOSPITAL came from ZIP codes 19963 (1,075), 19952 (446), 19968 (302).
BAYHEALTH HOSPITAL has 142 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 168 are Medicare-certified beds in CMS's Provider of Services file. Facility type: HOSPITAL.
BAYHEALTH HOSPITAL is located at 100 WELLNESS WAY, Milford, DE 199634364. Its main phone number is 3024305738.
BAYHEALTH HOSPITAL's CMS Certification Number (CCN), also called its Medicare provider number, is 080009.
The National Provider Identifier (NPI) on file for BAYHEALTH HOSPITAL is 1023006434.
BAYHEALTH HOSPITAL lists 29 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
232 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers