How many shoppable procedure prices are published for Children's Hosp of Los Angeles?

Children's Hosp of Los Angeles in Los Angeles, CA currently has 82 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Children's Hosp of Los Angeles's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Children's Hosp of Los Angeles's median negotiated commercial rate is 0.8× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Children's Hospital Voluntary non-profit - Private 452 Beds · urban Updated: 2026-04-10

Children's Hosp of Los Angeles

4650 Sunset Blvd, Ms 108, Los Angeles, CA 90027 · 82 Priced Procedures

CMS Overall Rating No CMS Rating

Good Deal · Below Fair Market

0.80×vs. Fair Market Price

Typical commercial prices here are 20% below the fair benchmark (0.80×) after accounting for local nurse/doctor wages and patient complexity.

49/100 · Quarantined

49/100Self-Pay Cash Beats Insurance 16% of the Time

File Completeness66

Price Logic41

Peer Alignment56

Clean Billing70

Real Cash Discount10

Regional Value Leader

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintLow Shoppable & Low Captive

Uniform Value Leader

Children's Hosp of Los Angeles maintains disciplined commercial pricing across both elective shoppable care (1.3× Medicare) and captive emergency/ancillary departments (1.2× Medicare). Patients and health plans benefit from predictable, below-benchmark rates (0.80× Fair BaseRate) without hidden ancillary cross-subsidization.

#13 of 240 in CA · 5th State Percentile#269 of 3,385 in U.S. · 7th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 20% below peer Fair BaseRate (0.80×)
Self-pay cash beats commercial insurance on 16% of shoppable procedures (25/100 Cash Honesty)
CMS clinical safety score (54/100 safety score) with 72% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (60.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.6× markup over Medicare rates
Commercial insurance median sits at 0.84× Fair BaseRate (1.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.33×) jump +58% above the median procedure ratio (Q50 0.84×)
Unnegotiated chargemaster list prices average 1.4× Medicare (63¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.3× Medicare

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

Back-Door Captive & ER0.92× Divergence

1.2× Medicare

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

Quantile Tail Spread+58% Upper Tail

Q25 0.42× · Q50 0.84× · Q75 1.33×

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

1.3× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.7× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

0.8× MedicareGood

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

2.4× MedicareFair

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

16% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 54/100Elevated

Procedure Prices at Children's Hosp of Los Angeles

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 82 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$28,305	$19,087	1.5×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$27,601	$19,432	1.4×
Cataract surgery with lens implant CPT Code: `66984`	—	$2,956	$2,540	1.2×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$1,620	$3,372	0.5×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$1,371	$6,109	0.2×
Bunion correction surgery CPT Code: `28296`	—	$1,178	$3,446	0.3×
Inguinal hernia repair CPT Code: `49505`	—	$1,012	$3,629	0.3×
Colonoscopy with biopsy CPT Code: `45380`	—	$971	$1,256	0.8×
Trauma team activation HCPCS Code: `G0390`	$2,452	$960	$1,453	0.7×
MRI, brain (with and without contrast) CPT Code: `70553`	$904	$904	$511	1.8×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$868	$981	0.9×
Upper endoscopy with biopsy CPT Code: `43239`	—	$689	$987	0.7×
CT scan, pelvis CPT Code: `72192`	$917	$640	$163	3.9×
CT scan, head (with contrast) CPT Code: `70460`	$836	$635	$242	2.6×
CT scan, head (with and without contrast) CPT Code: `70470`	$949	$650	$258	2.5×
Breast lump removal CPT Code: `19120`	—	$620	$3,875	0.2×
CT scan, chest (no contrast) CPT Code: `71250`	$513	$487	$167	2.9×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$859	$512	$583	0.9×
MRI, lower back (no contrast) CPT Code: `72148`	$478	$478	$338	1.4×
MRI, brain (no contrast) CPT Code: `70551`	$478	$478	$343	1.4×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$289	$286	$272	1.1×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$278	$278	$448	0.6×
Ultrasound, thyroid and neck CPT Code: `76536`	$308	$200	$132	1.5×
MRI, knee or other leg joint CPT Code: `73721`	$182	$182	$369	0.5×
X-ray, lower back CPT Code: `72110`	$161	$132	$112	1.2×
Psychotherapy session (45 minutes) CPT Code: `90834`	$90	$90	$166	0.5×
Neurobehavioral status check CPT Code: `96116`	$93	$93	$231	0.4×
Speech therapy (group session) CPT Code: `92508`	$92	$60	$27	2.2×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$70	$70	$203	0.3×
Typhoid vaccine HCPCS Code: `90675`	$75	$75	$347	0.2×
Physical therapy (manual therapy) CPT Code: `97140`	$61	$46	$34	1.4×
Physical therapy (gait training) CPT Code: `97116`	$58	$40	$33	1.2×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$76	$46	$38	1.2×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$50	$35	$35	1.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$58	$40	$40	1.0×
X-ray, hand CPT Code: `73130`	$81	$65	$93	0.7×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$44	$43	$64	0.7×
Behavioral health day program HCPCS Code: `H2012`	$89	$53	$100	0.5×
Blood transfusion CPT Code: `36430`	$78	$78	$498	0.2×
Speech therapy (language evaluation) CPT Code: `92507`	$51	$43	$86	0.5×
New patient office visit (30-44 min) CPT Code: `99203`	$46	$46	$110	0.4×
Culture, bacterial CPT Code: `87070`	$29	$15	$9	1.7×
Blood test, ferritin (iron stores) CPT Code: `82728`	$29	$23	$14	1.6×
X-ray, ankle CPT Code: `73610`	$34	$34	$93	0.4×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$4	$4	$3	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$5	$5	$4	1.3×
Culture, blood CPT Code: `87040`	$12	$12	$11	1.1×
Blood test, calcium CPT Code: `82310`	$7	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$5	$5	$5	1.0×
Blood test, vitamin D CPT Code: `82306`	$25	$25	$31	0.8×
Breathing treatment (nebulizer) CPT Code: `94640`	$33	$29	$201	0.1×
Blood test, glucose (blood sugar) CPT Code: `82947`	$3	$3	$4	0.8×
Blood test, hemoglobin CPT Code: `85018`	$2	$2	$3	0.7×
Blood test, potassium CPT Code: `84132`	$3	$3	$5	0.6×
Blood test, sodium CPT Code: `84295`	$3	$3	$5	0.6×
Hepatitis C antibody test CPT Code: `86803`	$9	$9	$15	0.6×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$8	$8	$14	0.6×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$5	$5	$10	0.5×
Orthotic fitting and training CPT Code: `97760`	$40	$24	$51	0.5×
Flu vaccine (high dose) HCPCS Code: `90656`	$10	$10	$25	0.4×
Occupational therapy (self-care training) CPT Code: `97535`	$17	$12	$38	0.3×
Blood test, thyroid (TSH) CPT Code: `84443`	$5	$5	$18	0.3×
X-ray, shoulder CPT Code: `73030`	$25	$25	$92	0.3×
Hepatitis B vaccine HCPCS Code: `90744`	$8	$8	$37	0.2×
Office visit, established patient (20-29 min) CPT Code: `99213`	$18	$18	$87	0.2×
Ultrasound, abdomen (limited) CPT Code: `76705`	$23	$23	$126	0.2×
X-ray, foot CPT Code: `73630`	$16	$16	$92	0.2×
Blood antibody screen CPT Code: `86850`	$9	$5	$46	0.1×
X-ray, pelvis CPT Code: `72170`	$4	$4	$110	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$18	$18	$134	unverified
Blood test, amylase CPT Code: `82150`	$2	$2	$7	unverified
Blood test, vitamin B12 CPT Code: `82607`	$3	$3	$16	unverified
Blood test, lipase CPT Code: `83690`	$1	$1	$7	unverified
Blood test, magnesium CPT Code: `83735`	$3	$3	$7	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	—	—	$6	unverified
Hepatitis B immune globulin HCPCS Code: `90371`	$19	$19	$151	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$7	$7	$111	unverified
Psychiatric evaluation (first visit) CPT Code: `90791`	$8	$8	$185	unverified
Group therapy session CPT Code: `90853`	$3	$3	$100	unverified
Care planning with family CPT Code: `90887`	$20	$20	$107	unverified
Physical therapy (functional capacity test) CPT Code: `97750`	$5	$5	$38	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	$20	$20	$123	unverified

Showing top 25 high-impact procedures of 82 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 60.0%

Audit a Bill or Quote at Children's Hosp of Los Angeles (Zero PHI Required)

CMS CCN: 053302

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash Request Quote

Insurer Median $28,305

1. Amount on Your Bill or Quote ($) Pre-filled with Children's Hosp of Los Angeles’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: $40,759 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $40,759

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (60.0% of gross = $40,759).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Children's Hosp of Los Angeles's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$48,845 Above Fair BaseRate

Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)

Your bill ($67,932) is $48,845 above the denoised Fair BaseRate ($19,087) and 4.8× the $14,117 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)

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 (60.0% 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 ↑

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

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

Regional Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Children's Hosp of Los Angeles.

Price Index: 0.42× regional baseline

Quality: 54/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

National Healthcare Solutions

-74.5%

Plotkin Health

-55.3%

Beverly Hospital

+91.9%

Seoul Medical Group

+126.0%

Median Household Income$87,760U.S. Census ACS

Local Uninsured Share8.7%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 49/100 · Quarantined CMS CCN 053302

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 053302) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-04-10

Validated Rate Rows20,749 (CMS v3.0.0)

File Integrity DigestVerified · CCN 053302

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