CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Tidalhealth Nanticoke, Inc.

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$22,780
about 1.6× the $14,044 Medicare rate · typically $15,125–$31,661
modeled estimate · not a bill or quote
What this hospital charges insurers
$26,778
Above the fair price
about $3,998 over the fair price · 1.9× Medicare
Medicare pays $14,044 Fair price $22,780 This hospital $26,778 Cash price $50,613 Hospital's list price $50,613

How we calculate the fair BaseRate →

How this hospital compares to other DE hospitals

A typical price — 2 charge more and 3 charge less, among the 6 DE hospitals compared.

Cheapest $17,064 Priciest $34,972

Black dot = this hospital, among the 6 DE hospitals with a price for this procedure. Full list below.

A fair price for a Hip or knee replacement (inpatient stay) is about $22,780 (about 1.6× the $14,044 Medicare rate). Tidalhealth Nanticoke, Inc. charges insurers about $26,778, or about $50,613 in cash — above the fair price. Located in Seaford, DE.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $22,780. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $39,985 285%
Blue Cross Blue Shieldmajor $34,500 246%
Aetnamajor $47,070 335%
Cignamajor $35,986 256%
AmeriHealth $3,507 25%
+ 2 smaller / regional plans $26,778

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 801 Middleford Rd, Seaford, DE 19973
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals