CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Tidalhealth Nanticoke, Inc.

Billing Code: 73721 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$575
about 2.4× the $244 Medicare rate · typically $315–$739
modeled estimate · not a bill or quote
What this hospital charges insurers
$648
About the fair price
about $73 over the fair price · 2.7× Medicare
Medicare pays $244 Fair price $575 This hospital $648 Cash price $2,145 Hospital's list price $2,145

How we calculate the fair BaseRate →

How this hospital compares to other DE hospitals

On the higher side — 6 of 8 other DE hospitals charge less.

Cheapest $200 Priciest $928

Black dot = this hospital, among the 9 DE hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a MRI, knee or other leg joint is about $575 (about 2.4× the $244 Medicare rate). Tidalhealth Nanticoke, Inc. charges insurers about $648, or about $2,145 in cash — about the fair price. Located in Seaford, DE.

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 $1,695 695%
Blue Cross Blue Shieldmajor $648 266%
Aetnamajor $229 94%
Cignamajor $631 259%
AmeriHealth $140 57%
+ 2 smaller / regional plans $1,373

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.

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Facility Profile & Credentials

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