CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Tidalhealth Nanticoke, Inc.

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$63
about 1.8× the $35 Medicare rate · typically $45–$97
modeled estimate · not a bill or quote
What this hospital charges insurers
$70
About the fair price
about $7 over the fair price · 2.0× Medicare
Medicare pays $35 Fair price $63 This hospital $70 Cash price $90 Hospital's list price $90

How we calculate the fair BaseRate →

How this hospital compares to other DE hospitals

Highest price of the 7 DE hospitals we have prices for — worth calling around.

Cheapest $35 Priciest $70

Black dot = this hospital, among the 7 DE hospitals with a price for this procedure. Full list below.

A fair price for a Occupational therapy (therapeutic activities) is about $63 (about 1.8× the $35 Medicare rate). Tidalhealth Nanticoke, Inc. charges insurers about $70, or about $90 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 $71 202%
Blue Cross Blue Shieldmajor $93 265%
Aetnamajor $67 191%
Cignamajor $52 - $64 148%
AmeriHealth $90 257%
+ 2 smaller / regional plans $70

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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