Tidalhealth Nanticoke, Inc.: charges and Medicare payments

Tidalhealth Nanticoke, Inc. reported 1,032 Medicare inpatient stays across 33 DRGs in 2024. Across them it charged 1.53 times what it was paid — among the lower ratios in Delaware, number 6 of 6 hospitals with at least 100 stays (state median 3.5×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 280 stays at an average charge of $27,456, 70% below the national average. It also billed 1,713 outpatient services, charging 3.28 times what Medicare paid.

1Medicare inpatient stays 1,032
2Charge ÷ paid, inpatient 1.53×
3Rank in DE (highest ratio = 1) 6 of 6
4CMS price-transparency actions 0

Average charge per stay at Tidalhealth Nanticoke, Inc., its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 33 DRGs that can be compared with the national average, Tidalhealth Nanticoke, Inc. charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRG	Stays	Avg charge	vs US	Avg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC	280	$27,456	-70%	$19,415
291 Heart Failure and Shock with MCC	114	$20,203	-64%	$13,026
193 Simple Pneumonia and Pleurisy with MCC	58	$19,001	-68%	$13,022
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	47	$16,738	-66%	$10,349
189 Pulmonary Edema and Respiratory Failure	40	$20,792	-64%	$12,307
378 Gastrointestinal Hemorrhage with CC	40	$19,728	-59%	$9,789
177 Respiratory Infections and Inflammations with MCC	32	$21,053	-70%	$16,532
853 Infectious and Parasitic Diseases with O.R. Procedures with...	28	$62,735	-73%	$49,811
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	24	$15,351	-72%	$10,090
280 Acute Myocardial Infarction, Discharged Alive with MCC	24	$23,591	-69%	$16,897
683 Renal Failure with CC	21	$13,288	-67%	$8,873
377 Gastrointestinal Hemorrhage with MCC	20	$22,627	-74%	$17,609
682 Renal Failure with MCC	20	$23,017	-65%	$14,749
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	19	$14,348	-64%	$8,411
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	19	$35,421	-65%	$20,643
164 Major Chest Procedures with CC	16	$29,959	-76%	$23,637
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	16	$25,998	-60%	$14,682
281 Acute Myocardial Infarction, Discharged Alive with CC	16	$21,551	-57%	$10,065
312 Syncope and Collapse	16	$16,492	-64%	$8,686
389 Gastrointestinal Obstruction with CC	16	$12,014	-69%	$7,967
190 Chronic Obstructive Pulmonary Disease with MCC	14	$16,034	-68%	$11,050
194 Simple Pneumonia and Pleurisy with CC	14	$15,608	-59%	$8,251
603 Cellulitis without MCC	14	$13,183	-65%	$8,834
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	14	$18,241	-51%	$7,746
698 Other Kidney and Urinary Tract Diagnoses with MCC	14	$31,160	-58%	$18,085
322 Percutaneous Cardiovascular Procedures with Intraluminal...	13	$54,727	-52%	$18,130
481 Hip and Femur Procedures except Major Joint with CC	13	$34,907	-65%	$20,276
165 Major Chest Procedures without CC/MCC	12	$29,103	-72%	$18,464
308 Cardiac Arrhythmia and Conduction Disorders with MCC	12	$15,203	-73%	$11,976
309 Cardiac Arrhythmia and Conduction Disorders with CC	12	$13,392	-63%	$7,472
468 Revision of Hip or Knee Replacement without CC/MCC	12	$56,013	-55%	$27,038
069 Transient Ischemia without Thrombolytic	11	$19,100	-62%	$7,997
286 Circulatory Disorders except AMI, with Cardiac...	11	$33,988	-70%	$21,541

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 5 Musculoskeletal Procedures	373	$31,160	$13,184
Comprehensive Observation Services	201	$9,759	$2,697
Level 1 Intraocular Procedures	197	$5,456	$2,329
Level 2 Excision/ Biopsy/ Incision and Drainage	101	$5,882	$1,614
Level 4 Musculoskeletal Procedures	67	$21,764	$7,178
Level 1 Endovascular Procedures	67	$11,259	$3,275
Level 3 Musculoskeletal Procedures	66	$9,213	$3,248
Level 2 Upper GI Procedures	59	$5,541	$1,883
Level 3 Vascular Procedures	52	$10,305	$3,198
Level 2 Pacemaker and Similar Procedures	50	$28,461	$8,384
Level 3 Excision/ Biopsy/ Incision and Drainage	47	$9,961	$2,851
Level 3 Intraocular Procedures	45	$12,172	$5,244
Level 1 Laparoscopy and Related Services	34	$20,393	$5,789
Level 2 Musculoskeletal Procedures	32	$5,314	$1,613
Level 3 Urology and Related Services	32	$7,800	$2,044
Level 2 Vascular Procedures	30	$3,080	$1,565
Level 3 Electrophysiologic Procedures	29	$88,418	$23,002
Level 3 Pacemaker and Similar Procedures	28	$31,742	$10,703
Level 5 Airway Endoscopy	27	$15,614	$6,867
Level 5 Urology and Related Services	21	$14,769	$5,191
Level 6 Musculoskeletal Procedures	20	$38,946	$18,654
Level 3 Lower GI Procedures	19	$12,275	$2,816
Level 1 Nerve Procedures	18	$6,174	$1,937
Level 4 Urology and Related Services	16	$9,189	$3,498
Level 3 Endovascular Procedures	15	$42,392	$11,025

Against the Delaware average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Tidalhealth Nanticoke, Inc. charged $27,456 on average, 53% less than the Delaware average of $58,234, and was paid $19,415 against a state average of $17,988. For Heart Failure and Shock with MCC (DRG 291), Tidalhealth Nanticoke, Inc. charged $20,203 on average, 46% less than the Delaware average of $37,607, and was paid $13,026 against a state average of $11,734. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Tidalhealth Nanticoke, Inc. charged $19,001 on average, 51% less than the Delaware average of $38,798, and was paid $13,022 against a state average of $12,102. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Tidalhealth Nanticoke, Inc. charged $16,738 on average, 51% less than the Delaware average of $34,093, and was paid $10,349 against a state average of $9,700. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $31,160 was 26% below the state average of $42,292. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $9,759 was 39% below the state average of $16,076. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $5,456 was 33% below the state average of $8,097. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $5,882 was 26% below the state average of $7,975.

Price-transparency record

No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.

Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.

Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.