How many shoppable procedure prices are published for Lucile Salter Packard Children's Hsp at Stanford?

Lucile Salter Packard Children's Hsp at Stanford in Palo Alto, CA currently has 102 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Lucile Salter Packard Children's Hsp at Stanford's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Lucile Salter Packard Children's Hsp at Stanford's median negotiated commercial rate is 2.2× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Children's Hospital Voluntary non-profit - Private 394 Beds · urban Updated: 2026-03-31

Lucile Salter Packard Children's Hsp at Stanford

725 Welch Road, Palo Alto, CA 94304 · 102 Priced Procedures

CMS Overall Rating No CMS Rating

High Markup · Shop Alternatives

2.22×vs. Fair Market Price

Typical commercial prices here are +122% above the fair benchmark (2.22×) even after accounting for local nurse/doctor wages and patient complexity.

69/100 · Caution

69/100Self-Pay Cash Beats Insurance 41% of the Time

File Completeness66

Price Logic74

Peer Alignment45

Clean Billing60

Real Cash Discount100

High-Markup · Check Safety

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

Behavioral Pricing FingerprintUpper-Quartile Spread · +42% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Lucile Salter Packard Children's Hsp at Stanford prices routine shoppable procedures at 2.5× Medicare (median 1.89× Fair BaseRate) while upper-quartile commercial rates jump +42% to 2.68× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#228 of 240 in CA · 94th State Percentile#3,177 of 3,385 in U.S. · 93rd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.20× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 41% of shoppable procedures (99/100 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 (44.7% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (2.22× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Commercial insurance median sits at 1.89× Fair BaseRate (2.5× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.68×) jump +42% above the median procedure ratio (Q50 1.89×)
Unnegotiated chargemaster list prices average 17.9× Medicare (16¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

2.5× Medicare

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

Back-Door Captive & ER0.80× Divergence

2.0× Medicare

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

Quantile Tail Spread+42% Upper Tail

Q25 1.20× · Q50 1.89× · Q75 2.68×

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

2.5× MedicareFair

Outpatient Surgery & ORBack-Door Captive

0.9× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

5.6× MedicareWatchout

Back-Door Captive ER VisitsBack-Door Captive

3.6× MedicareElevated

Inpatient Lab & PathologyBack-Door Captive

3.0× MedicareFair

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

1.7× MedicareGood

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

41% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 54/100Elevated

Procedure Prices at Lucile Salter Packard Children's Hsp at Stanford

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 102 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$371,367	$371,367	$19,432	19.1×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$332,988	$332,988	$19,087	17.4×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$50,357	$50,357	$8,223	6.1×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$8,456	$8,456	$448	18.9×
C-section delivery (full package) CPT Code: `59510`	—	$7,880	$2,975	2.6×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$7,687	$7,687	$303	25.4×
Sleep study (overnight, in lab) CPT Code: `95810`	$7,239	$7,239	$1,021	7.1×
Vaginal delivery (full package) CPT Code: `59400`	—	$7,171	$2,680	2.7×
CT scan, pelvis CPT Code: `72192`	$5,765	$5,765	$163	35.4×
CT scan, chest (no contrast) CPT Code: `71250`	$5,765	$5,765	$167	34.5×
MRI, lower back (no contrast) CPT Code: `72148`	$5,133	$5,133	$338	15.2×
CT scan, head (with and without contrast) CPT Code: `70470`	$4,973	$4,973	$258	19.3×
MRI, brain (with and without contrast) CPT Code: `70553`	$4,911	$4,911	$511	9.6×
CT scan, head (with contrast) CPT Code: `70460`	$4,756	$4,756	$242	19.7×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$4,626	$4,626	$583	7.9×
CT scan, head (no contrast) CPT Code: `70450`	$4,324	$4,324	$160	27.0×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$4,323	$4,323	$168	25.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$4,323	$4,323	$169	25.6×
MRI, knee or other leg joint CPT Code: `73721`	$3,502	$3,502	$369	9.5×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$3,468	$3,468	$272	12.8×
CT scan, sinuses CPT Code: `70486`	$3,365	$3,365	$166	20.3×
MRI, brain (no contrast) CPT Code: `70551`	$3,074	$3,074	$343	9.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$2,067	$2,067	$134	15.4×
Ultrasound, pelvis CPT Code: `76856`	$1,596	$1,596	$130	12.3×
Ultrasound, thyroid and neck CPT Code: `76536`	$1,596	$1,596	$132	12.1×
Ultrasound, abdomen (limited) CPT Code: `76705`	$1,492	$1,492	$126	11.8×
Blood transfusion CPT Code: `36430`	$1,352	$1,352	$498	2.7×
X-ray, chest (two views) CPT Code: `71046`	$1,112	$1,112	$93	12.0×
X-ray, lower back CPT Code: `72110`	$1,128	$1,128	$112	10.1×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$1,033	$1,033	$64	16.1×
X-ray, chest (single view) CPT Code: `71045`	$1,037	$1,037	$92	11.3×
X-ray, shoulder CPT Code: `73030`	$1,024	$1,024	$92	11.1×
X-ray, hip CPT Code: `73502`	$1,024	$1,024	$93	11.0×
X-ray, pelvis CPT Code: `72170`	$1,037	$1,037	$110	9.4×
Hospital observation (per hour) HCPCS Code: `G0378`	$862	$862	$86	10.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$853	$853	$93	9.2×
X-ray, foot CPT Code: `73630`	$818	$818	$92	8.9×
X-ray, hand CPT Code: `73130`	$818	$818	$93	8.8×
X-ray, ankle CPT Code: `73610`	$818	$818	$93	8.8×
Hepatitis B immune globulin HCPCS Code: `90371`	$576	$576	$151	3.8×
Speech therapy (language evaluation) CPT Code: `92507`	$572	$572	$86	unverified
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$471	$181	2.6×
Family therapy session CPT Code: `90847`	$381	$399	$173	2.3×
Speech therapy (group session) CPT Code: `92508`	$348	$348	$27	12.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$290	$290	$38	7.6×
Prosthetic fitting and training CPT Code: `97761`	$313	$313	$45	7.0×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$314	$166	1.9×
Neurobehavioral status check CPT Code: `96116`	—	$338	$231	1.5×
New patient office visit (30-44 min) CPT Code: `99203`	$78	$256	$110	2.3×
Orthotic fitting and training CPT Code: `97760`	$221	$221	$51	4.3×
Psychological testing evaluation CPT Code: `96136`	—	$199	$128	1.6×
Office visit, established patient (20-29 min) CPT Code: `99213`	—	$152	$87	1.7×
Psychological testing by technician CPT Code: `96138`	—	$177	$395	0.4×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	—	$185	—
Occupational therapy (therapeutic activities) CPT Code: `97530`	$270	$148	$40	3.7×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$254	$129	$38	3.4×
Physical therapy (gait training) CPT Code: `97116`	$260	$110	$33	3.3×
Occupational therapy (self-care training) CPT Code: `97535`	$231	$126	$38	3.3×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$321	$111	$35	3.2×
Physical therapy (manual therapy) CPT Code: `97140`	$254	$102	$34	3.0×
Group therapy session CPT Code: `90853`	—	$94	$100	0.9×
Typhoid vaccine HCPCS Code: `90675`	$2,759	$2,759	$347	8.0×
Culture, blood CPT Code: `87040`	$631	$631	$11	57.4×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$490	$490	$11	44.5×
Blood test, basic metabolic panel CPT Code: `80048`	$426	$426	$9	47.3×
Culture, bacterial CPT Code: `87070`	$392	$392	$9	43.6×
Blood test, vitamin D CPT Code: `82306`	$371	$371	$31	12.0×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$391	$391	$111	3.5×
Blood test, liver function panel CPT Code: `80076`	$318	$318	$9	35.3×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$331	$331	$14	23.6×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$274	$274	$3	91.3×
Blood test, vitamin B12 CPT Code: `82607`	$277	$277	$16	17.3×
Blood test, PSA (prostate screen) CPT Code: `84153`	$292	$292	$19	15.4×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$306	$306	$20	15.3×
Blood antibody screen CPT Code: `86850`	$314	$314	$46	6.8×
Blood test, clotting time (PTT) CPT Code: `85730`	$240	$240	$6	40.0×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$707	$263	$203	1.3×
Blood test, sodium CPT Code: `84295`	$213	$213	$5	42.6×
Blood test, creatinine (kidney) CPT Code: `82565`	$206	$206	$5	41.2×
Blood test, ferritin (iron stores) CPT Code: `82728`	$220	$220	$14	15.7×
Blood test, complete blood count (CBC) CPT Code: `85025`	$184	$184	$8	23.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$157	$157	$4	39.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$155	$155	$4	38.8×
Blood test, potassium CPT Code: `84132`	$178	$178	$5	35.6×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$172	$172	$5	34.4×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$160	$160	$39	4.1×
Pneumococcal vaccine HCPCS Code: `90732`	$562	$168	$140	1.2×
Blood test, lipase CPT Code: `83690`	$128	$128	$7	18.3×
Blood test, magnesium CPT Code: `83735`	$114	$114	$7	16.3×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$94	$94	$10	9.4×
Blood test, hemoglobin CPT Code: `85018`	$63	$63	$3	21.0×
Hepatitis C antibody test CPT Code: `86803`	$70	$70	$15	4.7×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$92	$71	$56	1.3×
Drug screening test HCPCS Code: `G0480`	$78	$78	$116	0.7×
Breathing treatment (nebulizer) CPT Code: `94640`	$264	$79	$201	0.4×
Office visit, established patient (30-39 min) CPT Code: `99214`	$74	$74	$123	unverified
Blood test, calcium CPT Code: `82310`	$43	$43	$5	8.6×
Blood test, amylase CPT Code: `82150`	$18	$18	$7	2.6×
Blood test, thyroid (TSH) CPT Code: `84443`	$27	$27	$18	1.5×
Flu vaccine (high dose) HCPCS Code: `90656`	$130	$30	$25	1.2×
Hepatitis B vaccine HCPCS Code: `90744`	$177	$41	$37	1.1×
Extended office visit (prolonged) HCPCS Code: `G2212`	—	—	$33	—

Showing top 25 high-impact procedures of 102 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 44.7%

Audit a Bill or Quote at Lucile Salter Packard Children's Hsp at Stanford (Zero PHI Required)

CMS CCN: 053305

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash $371,367

Insurer Median $371,367

1. Amount on Your Bill or Quote ($) Pre-filled with Lucile Salter Packard Children's Hsp at Stanford’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: $398,403 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $398,403

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (44.7% of gross = $398,403).

Step 2 · Cash vs. Insurance Arbitrage Save $519,914 Paying Cash

Self-Pay Cash Rate ($371,367) Beats Your Bill

Lucile Salter Packard Children's Hsp at Stanford's published 45 CFR § 180 self-pay cash rate is $371,367 (vs. $371,367 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$871,849 Above Fair BaseRate

Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)

Your bill ($891,281) is $871,849 above the denoised Fair BaseRate ($19,432) and 63.5× the $14,044 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 (44.7% 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

Above-Benchmark Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Lucile Salter Packard Children's Hsp at Stanford.

Price Index: 2.79× regional baseline

Quality: 54/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Health Net

+173.1%

Median Household Income$159,674U.S. Census ACS

Local Uninsured Share4.0%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 69/100 · Caution CMS CCN 053305

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 053305) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-03-31

Validated Rate Rows1,199 (CMS v3.0.0)

File Integrity DigestVerified · CCN 053305

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