CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Tidalhealth Nanticoke, Inc.

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$22,151

about 1.6× the $14,117 Medicare rate · typically $15,164–$34,306

modeled estimate · not a bill or quote

Medicare pays $14,117 Fair price $22,151 Cash price $21,722 Hospital's list price $21,722

How we calculate the fair BaseRate →

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	$17,160	122%
Blue Cross Blue Shieldmajor	$24,395	173%
Aetnamajor	$20,201	143%
Cignamajor	$15,444	109%
AmeriHealth	$3,507	25%
+ 2 smaller / regional plans	$35,511

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 21,722), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 871.

Insurance Before you use insurance

Call your insurance company to confirm Tidalhealth Nanticoke, Inc. is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 871.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Tidalhealth Nanticoke, Inc.

Compare: Sepsis treatment (inpatient stay) at other DE hospitals

Bayhealth Hospital, Sussex Campus · Milford $17,179
Christiana Hospital · Newark $18,249
Bayhealth Medical Center, Kent Campus · Dover $18,658
St Francis Hospital · Wilmington $28,932
Beebe Medical Center · Lewes $40,786

Insurance negotiated median for the same procedure, sorted lowest first.