Avera St Lukes vs Tidalhealth Nanticoke, Inc.
Side-by-side hospital cost and quality comparison from CMS Medicare data
This comparison crosses state lines: Avera St Lukes (South Dakota) versus Tidalhealth Nanticoke, Inc. (Delaware). Cost differences are influenced by the federal wage-index adjustment in addition to hospital-specific cost structure. Average payments are close: $10,445 vs $11,225, only 7% apart. With cost close to tied, the quality measures do most of the work in the value-rubric comparison. Avera St Lukes comes out slightly ahead.
With costs this close, the choice between these two hospitals turns on the quality measure set, geographic convenience, or insurance-network status rather than payment-per-procedure differences.
Verdict
Avera St Lukes earns a higher Value Score of 86/100 (A) compared to Tidalhealth Nanticoke, Inc. at 84/100 (A). Average Medicare payment differs by $780 ($10,445 vs $11,225). Avera St Lukes holds a 5-star CMS rating.
| Metric | Avera St Lukes | Tidalhealth Nanticoke, Inc. |
|---|---|---|
| Value Score Composite of price, quality, and outcomes | 86/100 (A)* | 84/100 (A) |
| CMS Quality Rating | ★★★★★ (5/5) | ★★★★★ (5/5) |
| Avg Payment Average Medicare payment across all procedures | $10,445* | $11,225 |
| Outcome Score | 50/100 | 50/100 |
| Emergency Services | Yes | Yes |
| Hospital Type | Acute Care Hospitals | Acute Care Hospitals |
| Ownership | Voluntary non-profit - Church | Voluntary non-profit - Private |
| Location | Aberdeen, SD | Seaford, DE |
| Procedures Tracked | 9 | 8 |
Avera St Lukes earns a higher Value Score of 86/100 (A) compared to Tidalhealth Nanticoke, Inc. at 84/100 (A). Average Medicare payment differs by $780 ($10,445 vs $11,225). Avera St Lukes holds a 5-star CMS rating.
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Source: CMS Hospital Price Transparency, 2026.