Tidalhealth Nanticoke, Inc.
TidalHealth Nanticoke, Inc. in Seaford, Delaware charges 1.8x the Medicare reimbursement rate across 33 analyzed procedures, positioning this nonprofit hospital below the national average for pricing.
Seaford, DE 19973 · Acute Care Hospitals · CMS Rating: 5/5
About the analyst
Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.
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Pricing grade
A
Excellent
Avg markup vs Medicare
1.76x
Charge / Medicare rate
Max markup
2.5x
Worst procedure
Procedures analyzed
33
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| SYNCOPE AND COLLAPSE | 312 | $16,974 | $8,487 | — | 2.5x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $15,591 | $7,796 | — | 2.4x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $33,474 | $16,737 | — | 2.3x |
| RENAL FAILURE WITH CC | 683 | $14,887 | $7,444 | — | 2.3x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $12,473 | $6,237 | — | 2.2x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $14,442 | $7,221 | — | 2.1x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $71,690 | $35,845 | — | 2.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $17,547 | $8,774 | — | 2.1x |
| MAJOR CHEST PROCEDURES WITHOUT CC/MCC | 165 | $31,138 | $15,569 | — | 2x |
| CELLULITIS WITHOUT MCC | 603 | $14,679 | $7,340 | — | 2x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $21,735 | $10,868 | — | 2x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $36,257 | $18,129 | — | 1.9x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $12,996 | $6,498 | — | 1.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $15,868 | $7,934 | — | 1.9x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $15,117 | $7,559 | — | 1.9x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $21,063 | $10,531 | — | 1.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $10,121 | $5,060 | — | 1.7x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $18,812 | $9,406 | — | 1.7x |
| RENAL FAILURE WITH MCC | 682 | $19,517 | $9,759 | — | 1.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $27,653 | $13,827 | — | 1.6x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $14,077 | $7,039 | — | 1.5x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $29,434 | $14,717 | — | 1.5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $16,523 | $8,261 | — | 1.5x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $23,376 | $11,688 | — | 1.4x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $26,552 | $13,276 | — | 1.4x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $19,910 | $9,955 | — | 1.4x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $21,929 | $10,965 | — | 1.4x |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $29,531 | $14,766 | — | 1.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $15,077 | $7,538 | — | 1.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $14,045 | $7,022 | — | 1.4x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $19,677 | $9,839 | — | 1.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $22,412 | $11,206 | — | 1.3x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $49,400 | $24,700 | — | 1.2x |
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use