Nanticoke Health Services · Seaford, DE
33
In-network payers
168
Disclosed rate categories
139
Beds
3
Care quality
Nanticoke Memorial Hospital is a 139-bed voluntary non-profit - private hospital in Seaford, DE, affiliated with Nanticoke Health Services. Below you'll find publicly disclosed negotiated rates and facility details, including 33 in-network payers and 168 disclosed rate categories.
CCN (Medicare provider number)
080006
NPI
1245214477
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
139
Care Quality
3
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Nanticoke Memorial Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Childbirth · Inpatient
MS-DRG 807
$7,509 - $10,283
from 4 insurers · median $8,298
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Childbirth · Inpatient
MS-DRG 788
$10,003 - $13,085
from 4 insurers · median $11,194
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Gynecology
CPT 58558
$1,580 - $7,677
from 3 insurers · median $6,119
12 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
CT imaging
CPT 74177
$342 - $1,618
from 4 insurers · median $1,220
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$99 - $1,200
from 4 insurers · median $522
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$209 - $1,550
from 4 insurers · median $1,023
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$1,580 - $14,602
from 3 insurers · median $8,230
34 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 49650
$1,580 - $16,527
from 3 insurers · median $11,171
34 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$7,509 - $10,283
from 4 insurers · median $8,298
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Digestive procedures
CPT 45385
$900 - $1,544
from 4 insurers · median $1,232
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$4,787 - $20,350
from 2 insurers · median $12,569
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$844 - $1,386
from 4 insurers · median $986
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$900 - $5,236
from 4 insurers · median $1,081
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$487 - $3,651
from 4 insurers · median $2,538
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$1,580 - $5,475
from 3 insurers · median $2,472
197 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 470
$26,357 - $47,070
from 4 insurers · median $37,985
Hospital reports orthopedic surgery services to CMS
Digestive procedures
CPT 47563
$6,860 - $16,637
from 2 insurers · median $11,748
34 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
X-ray and bone density
CPT 71046
$32 - $236
from 4 insurers · median $162
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 29881
$1,580 - $8,496
from 3 insurers · median $5,189
66 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Nuclear imaging
CPT 78815
$1,237 - $4,013
from 4 insurers · median $3,025
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$190 - $1,281
from 4 insurers · median $788
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 42820
$7,499 - $10,073
from 2 insurers · median $8,786
Typical for a hospital with this service line
Mammography
CPT 77067
$124 - $185
from 4 insurers · median $131
Common here, based on CMS Medicare volume
Ear, nose and throat
CPT 69436
$1,580 - $4,890
from 3 insurers · median $3,889
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 251% | 8 | 5 |
| Insurer B* | 15 | 173% | 2 | 4 |
| Insurer C* | 21 | 142% | 1 | 0 |
| Insurer D* | 24 | 125% | 6 | 13 |
How we chose these services: 6 appear in this hospital's own Medicare claims, 11 are common here based on CMS Medicare volume, and 7 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Nanticoke Memorial Hospital.
801 Middleford Road, Seaford, DE 19973
(302) 629-6611
The nearest hospitals of similar type and size. Their rates are compared with Nanticoke Memorial Hospital for the same insurers and services above.
Peninsula Regional Medical Center
▼ Rates typically 25% lower than Nanticoke Memorial Hospital (16 services)
Beebe Healthcare
▲ Rates typically 44% higher than Nanticoke Memorial Hospital (20 services)
Memorial Easton
▼ Rates typically 29% lower than Nanticoke Memorial Hospital (13 services)
Bayhealth Hospital Kent Campus
▲ Rates typically 181% higher than Nanticoke Memorial Hospital (21 services)
Cape Regional Medical Center
▲ Rates typically 67% higher than Nanticoke Memorial Hospital (21 services)
Calvert Memorial Hospital
Rates about the same as Nanticoke Memorial Hospital (14 services)
St. Francis Hospital Wilmington
Christianacare Wilmington Hospital
About Nanticoke Memorial Hospital's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Nanticoke Memorial Hospital range from $342 to $1,618 across 4 insurers. Blue Cross Blue Shield's rate is $985. The median at nearby comparable hospitals is $961. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Nanticoke Memorial Hospital range from $900 to $1,544 across 4 insurers. Aetna's rate is $1,544. The median at nearby comparable hospitals is $3,106. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Nanticoke Memorial Hospital range from $7,509 to $10,283 across 4 insurers. Cigna's rate is $7,861. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Nanticoke Memorial Hospital range from $124 to $185 across 4 insurers. Aetna's rate is $124. The median at nearby comparable hospitals is $442. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Nanticoke Memorial Hospital range from $26,357 to $47,070 across 4 insurers. Aetna's rate is $47,070. What a patient pays depends on their plan's deductible, coinsurance and network status.
Nanticoke Memorial Hospital has 139 beds. Facility type: Short Term Acute Care Hospital.
Nanticoke Memorial Hospital is located at 801 Middleford Road, Seaford, DE 19973. Its main phone number is (302) 629-6611.
Nanticoke Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 080006.
The National Provider Identifier (NPI) on file for Nanticoke Memorial Hospital is 1245214477.
Nanticoke Memorial Hospital is affiliated with Nanticoke Health Services.
Nanticoke Memorial Hospital lists 33 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
168 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers