CMS Price Transparency Data

Physical therapy (gait training)

Facility: Tidalhealth Nanticoke, Inc.

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$58
about 2.0× the $29 Medicare rate · typically $37–$92
modeled estimate · not a bill or quote
What this hospital charges insurers
$60
About the fair price
about $2 over the fair price · 2.1× Medicare
Medicare pays $29 Fair price $58 This hospital $60 Cash price $72 Hospital's list price $72

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 $28 Priciest $60

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

A fair price for a Physical therapy (gait training) is about $58 (about 2.0× the $29 Medicare rate). Tidalhealth Nanticoke, Inc. charges insurers about $60, or about $72 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 $57 196%
Blue Cross Blue Shieldmajor $77 265%
Aetnamajor $54 186%
Cignamajor $42 145%
AmeriHealth $72 248%
+ 2 smaller / regional plans $60

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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