How many shoppable procedure prices are published for Tidalhealth Nanticoke, Inc.?

Tidalhealth Nanticoke, Inc. in Seaford, DE currently has 104 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Tidalhealth Nanticoke, Inc.'s commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Tidalhealth Nanticoke, Inc.'s median negotiated commercial rate is 1.7× the regionally adjusted fair BaseRate benchmark.

What is Tidalhealth Nanticoke, Inc.'s CMS Care Compare overall star rating?

CMS Care Compare assigns Tidalhealth Nanticoke, Inc. an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 92 Beds · urban Updated: 3/27/2026

Tidalhealth Nanticoke, Inc.

801 Middleford Rd, Seaford, DE 19973 · 104 Priced Procedures · 65% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

High Markup · Shop Alternatives

1.66×vs. Fair Market Price

Typical commercial prices here are +66% above the fair benchmark (1.66×) even after accounting for local nurse/doctor wages and patient complexity.

53/100 · Caution

53/100Self-Pay Cash Beats Insurance 8% of the Time

File Completeness51

Price Logic59

Peer Alignment78

Clean Billing67

Real Cash Discount6

High-Markup · Check Safety

3-Star CMS clinical quality rating paired with 1.66× fair market pricing.

Behavioral Pricing FingerprintHigh-HHI Market Leverage

Consolidated System Premium Pricer

Operating in a concentrated regional market (CBSA HHI 3,013), Tidalhealth Nanticoke, Inc. commands a 1.66× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.

#8 of 9 in DE · 77th State Percentile#2,834 of 3,385 in U.S. · 83rd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.00× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 8% of shoppable procedures (25/100 Cash Honesty)
CMS clinical safety score (64/100 safety score) with 65% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (68.1% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.66× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Captive ER (1.0×) & laboratory (4.3×) services average 1.10× higher multiples than routine shoppable care (2.0×)
Upper-quartile procedures (Q75 1.97×) jump +15% above the median procedure ratio (Q50 1.72×)
Consolidated metro market (HHI 3,013) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

2.0× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.10× Divergence

2.2× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+15% Upper Tail

Q25 1.00× · Q50 1.72× · Q75 1.97×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

2.0× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.1× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.0× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

4.3× MedicareElevated

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.9× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

8% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 64/100Elevated

Procedure Prices at Tidalhealth Nanticoke, Inc.

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 104 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$50,613	$26,778	$19,432	1.4×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$48,963	$25,693	$17,936	1.4×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$21,722	$21,722	$19,087	1.1×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$13,034	$10,041	$8,223	1.2×
Trauma team activation HCPCS Code: `G0390`	$3,261	$3,261	$1,453	2.2×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,490	$2,480	$1,021	2.4×
Cataract surgery with lens implant CPT Code: `66984`	$2,000	$2,000	$2,540	0.8×
Breast lump removal CPT Code: `19120`	$2,000	$2,000	$3,875	unverified
Bunion correction surgery CPT Code: `28296`	$2,000	$2,000	$3,446	unverified
Knee arthroscopy with meniscus repair CPT Code: `29881`	$2,000	$2,000	$3,372	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	$2,000	$2,000	$6,109	unverified
Hepatitis B immune globulin HCPCS Code: `90371`	$1,443	$1,443	$151	unverified
Upper endoscopy with biopsy CPT Code: `43239`	$1,200	$1,200	$987	1.2×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,200	$1,200	$981	unverified
Colonoscopy with biopsy CPT Code: `45380`	$1,200	$1,200	$1,256	unverified
Blood transfusion CPT Code: `36430`	$1,034	$1,034	$498	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,048	$948	$448	2.1×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,314	$814	$583	1.4×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$767	$731	$272	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$2,145	$648	$338	1.9×
MRI, brain (no contrast) CPT Code: `70551`	$2,145	$648	$343	1.9×
MRI, knee or other leg joint CPT Code: `73721`	$2,145	$648	$369	1.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,962	$648	$303	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$1,755	$477	$258	1.8×
CT scan, head (with contrast) CPT Code: `70460`	$1,246	$477	$242	unverified
Psychotherapy session (45 minutes) CPT Code: `90834`	$380	$380	$166	unverified
Psychotherapy session (60 minutes) CPT Code: `90837`	$380	$380	$181	unverified
Family therapy session CPT Code: `90847`	$380	$380	$173	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$792	$284	$134	2.1×
CT scan, head (no contrast) CPT Code: `70450`	$1,024	$284	$160	1.8×
CT scan, pelvis CPT Code: `72192`	$1,268	$284	$163	1.7×
CT scan, sinuses CPT Code: `70486`	$1,218	$284	$166	1.7×
CT scan, chest (no contrast) CPT Code: `71250`	$1,584	$284	$167	1.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,670	$284	$168	1.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,218	$284	$169	1.7×
Ultrasound, pelvis CPT Code: `76856`	$488	$256	$130	unverified
Ultrasound, thyroid and neck CPT Code: `76536`	$658	$227	$132	1.7×
X-ray, chest (single view) CPT Code: `71045`	$216	$217	$92	unverified
X-ray, chest (two views) CPT Code: `71046`	$216	$217	$93	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$463	$230	$126	unverified
Screening mammogram (both breasts) CPT Code: `77067`	$175	$175	$123	1.4×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$188	$188	$148	1.3×
Group therapy session CPT Code: `90853`	$212	$212	$100	unverified
Diagnostic procedure preparation HCPCS Code: `G0279`	$145	$107	$35	3.1×
Prosthetic fitting and training CPT Code: `97761`	$102	$89	$45	2.0×
Orthotic fitting and training CPT Code: `97760`	$116	$89	$51	1.7×
Speech therapy (language evaluation) CPT Code: `92507`	$188	$114	$86	1.3×
X-ray, lower back CPT Code: `72110`	$366	$139	$112	1.2×
Office visit, established patient (20-29 min) CPT Code: `99213`	$320	$108	$87	1.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$216	$94	$93	1.0×
X-ray, hip CPT Code: `73502`	$231	$93	$93	1.0×
New patient office visit (30-44 min) CPT Code: `99203`	$315	$108	$110	1.0×
X-ray, shoulder CPT Code: `73030`	$231	$86	$92	0.9×
Office visit, established patient (30-39 min) CPT Code: `99214`	$341	$108	$123	0.9×
Breathing treatment (nebulizer) CPT Code: `94640`	$508	$108	$201	0.5×
Physical therapy (functional capacity test) CPT Code: `97750`	$84	$84	$38	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$576	$576	$203	2.8×
Blood test, vitamin D CPT Code: `82306`	$353	$353	$31	11.4×
Drug screening test HCPCS Code: `G0480`	$286	$286	$116	2.5×
Typhoid vaccine HCPCS Code: `90675`	$1,304	$294	$347	0.8×
Hepatitis C antibody test CPT Code: `86803`	$183	$183	$15	12.2×
Blood test, vitamin B12 CPT Code: `82607`	$195	$195	$16	12.2×
Blood test, thyroid (TSH) CPT Code: `84443`	$208	$208	$18	11.6×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$170	$170	$14	12.1×
Blood test, ferritin (iron stores) CPT Code: `82728`	$170	$170	$14	12.1×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$188	$188	$111	1.7×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$135	$135	$11	12.3×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$122	$122	$10	12.2×
Culture, blood CPT Code: `87040`	$122	$122	$11	11.1×
Blood test, amylase CPT Code: `82150`	$86	$86	$7	12.3×
Blood test, lipase CPT Code: `83690`	$86	$86	$7	12.3×
Blood test, magnesium CPT Code: `83735`	$86	$86	$7	12.3×
Blood test, liver function panel CPT Code: `80076`	$110	$110	$9	12.2×
Blood test, complete blood count (CBC) CPT Code: `85025`	$97	$97	$8	12.1×
Blood test, calcium CPT Code: `82310`	$61	$61	$5	12.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$61	$61	$5	12.2×
Blood test, potassium CPT Code: `84132`	$61	$61	$5	12.2×
Blood test, sodium CPT Code: `84295`	$61	$61	$5	12.2×
Blood test, PSA (prostate screen) CPT Code: `84153`	$78	$78	$19	4.1×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$61	$61	$20	3.0×
Flu vaccine (high dose) HCPCS Code: `90656`	$62	$62	$25	2.5×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$72	$65	$35	1.9×
Physical therapy (gait training) CPT Code: `97116`	$72	$60	$33	1.8×
Physical therapy (manual therapy) CPT Code: `97140`	$66	$60	$34	1.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$90	$70	$40	1.8×
Occupational therapy (self-care training) CPT Code: `97535`	$93	$65	$38	1.7×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$86	$62	$38	1.6×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$219	$55	$64	0.9×
X-ray, foot CPT Code: `73630`	$219	$79	$92	0.9×
X-ray, hand CPT Code: `73130`	$219	$79	$93	0.8×
X-ray, ankle CPT Code: `73610`	$219	$79	$93	0.8×
X-ray, pelvis CPT Code: `72170`	$262	$78	$110	0.7×
Blood test, glucose (blood sugar) CPT Code: `82947`	$23	$23	$4	5.8×
Hepatitis B vaccine HCPCS Code: `90744`	$85	$30	$37	0.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$135	$37	$56	0.7×
Hospital observation (per hour) HCPCS Code: `G0378`	$49	$36	$86	0.4×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$48	$48	$5	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$48	$11	$4	2.8×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$37	$8	$3	2.7×
Blood test, clotting time (PTT) CPT Code: `85730`	$73	$16	$6	2.7×
Blood test, basic metabolic panel CPT Code: `80048`	$110	$23	$9	2.6×
Culture, bacterial CPT Code: `87070`	$97	$23	$9	2.6×
Blood antibody screen CPT Code: `86850`	$129	$32	$46	0.7×
Blood test, hemoglobin CPT Code: `85018`	$25	$6	$3	2.0×

Showing top 25 high-impact procedures of 104 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 68.1%

Audit a Bill or Quote at Tidalhealth Nanticoke, Inc. (Zero PHI Required)

CMS CCN: 080006

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash $50,613

Insurer Median $26,778

1. Amount on Your Bill or Quote ($) Pre-filled with Tidalhealth Nanticoke, Inc.’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $34,467 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $34,467

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (68.1% of gross = $34,467).

Step 2 · Cash vs. Insurance Arbitrage Published Cash: $50,613

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Tidalhealth Nanticoke, Inc.'s published 45 CFR § 180 self-pay cash rate is $50,613 (vs. $26,778 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$31,181 Above Fair BaseRate

Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)

Your bill ($50,613) is $31,181 above the denoised Fair BaseRate ($19,432) and 3.6× the $14,044 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 510069243

Filing Period: 195411

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (68.1% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite64/100

Would Recommend65%

Rated 9 or 10 (HCAHPS)69%

Median ER Wait167 min

Left ER Before Seen4%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Tidalhealth Nanticoke, Inc.. Prior administrative notices do not necessarily reflect current compliance status.

2026-05-08·administrative_or_closure
Closure Notice
Recorded
2026-04-17·cap_corrective_action
CAP Request
Recorded
2026-01-14·warning_notice
Warning Notice
Recorded
2023-10-13·administrative_or_closure
Closure Notice
Recorded
2023-06-27·cap_corrective_action
CAP Request
Recorded
2023-03-16·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (438 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Tidalhealth Nanticoke, Inc..

Price Index: 1.00× regional baseline

Quality: 53/100 CMS composite

Median Household Income$78,162U.S. Census ACS

Local Uninsured Share6.9%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 53/100 · Caution CMS CCN 080006 EIN 510069243

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 080006) ↗ Verify IRS Form 990 (EIN 510069243) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage3/27/2026

Validated Rate Rows462 (CMS v3.0.0)

File Integrity DigestVerified · CCN 080006

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy