CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Tidalhealth Nanticoke, Inc.

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$108
about 1.1× the $95 Medicare rate · typically $82–$168
modeled estimate · not a bill or quote
What this hospital charges insurers
$108
About the fair price
1.1× Medicare
Medicare pays $95 Fair price $108 This hospital $108 Cash price $320 Hospital's list price $320

How we calculate the fair BaseRate →

How this hospital compares to other DE hospitals

A typical price — 1 charge more and 4 charge less, among the 8 DE hospitals compared.

Cheapest $63 Priciest $144

Black dot = this hospital, among the 8 DE hospitals with a price for this procedure. Full list below.

A fair price for a Office visit, established patient (20-29 min) is about $108 (about 1.1× the $95 Medicare rate). Tidalhealth Nanticoke, Inc. charges insurers about $108, or about $320 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.

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

✓ UnitedHealthcare✓ Aetna✓ Cigna Blue Cross Blue ShieldHumanaKaiser 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 $249 - $257 262%
Aetnamajor $293 - $302 308%
Cignamajor $224 - $231 235%
AmeriHealth $166 - $173 174%
+ 2 smaller / regional plans $108 - $240

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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