CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Tidalhealth Nanticoke, Inc.

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$165
about 1.2× the $136 Medicare rate · typically $106–$218
modeled estimate · not a bill or quote
What this hospital charges insurers
$108
Below the fair price — a good deal
about $57 under the fair price · 0.8× Medicare
Medicare pays $136 Fair price $165 This hospital $108 Cash price $341 Hospital's list price $341

How we calculate the fair BaseRate →

How this hospital compares to other DE hospitals

One of the lower prices — 6 of 7 other DE hospitals charge more for the same procedure.

Cheapest $92 Priciest $159

Black dot = this hospital, among the 8 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 Office visit, established patient (30-39 min) is about $165 (about 1.2× the $136 Medicare rate). Tidalhealth Nanticoke, Inc. charges insurers about $108, or about $341 in cash — below the fair price — a good deal. 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 - $290 184%
Aetnamajor $293 - $341 216%
Cignamajor $224 - $261 165%
AmeriHealth $173 - $187 128%
+ 2 smaller / regional plans $108 - $272

Self-Pay How to get the cash price

Insurance Before you use insurance

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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