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Bayhealth Hospital, Sussex Campus: what a joint replacement costs

Milford, DE 19963 · CMS Certification Number 080009. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.

Surgery center nearby
$8,695
Lewes Surgery Center, 18.1 mi
Outpatient here
$13,184
121 Medicare cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Bayhealth Hospital, Sussex Campus

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement———$13,184
Shoulder replacement———$18,654
Hip replacement after a fracture (DRG 522)$16,679$70,2994.2×—

Quality

Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 168 beds

Delaware requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Bayhealth Hospital, Sussex Campus for a knee or hip replacement?

Medicare allowed an average of $13,184 per outpatient hip or knee replacement case (APC 5115, 121 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Bayhealth Hospital, Sussex Campus?

Yes for Medicare facility payments. Lewes Surgery Center, an orthopedic surgery center 18.1 mi away, is paid about $8,695 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.