How many shoppable procedure prices are published for UCSF Benioff Children's Hospital Oakland?

UCSF Benioff Children's Hospital Oakland in Oakland, CA currently has 120 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do UCSF Benioff Children's Hospital Oakland's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, UCSF Benioff Children's Hospital Oakland's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Children's Hospital Voluntary non-profit - Private 163 Beds · urban Updated: 2026-04-01

UCSF Benioff Children's Hospital Oakland

747 52Nd Street, Oakland, CA 94609 · 120 Priced Procedures

CMS Overall Rating No CMS Rating

Near Fair BaseRate Benchmark

1.03×vs. Fair Market Price

Typical commercial prices here are +3% above the fair benchmark (1.03×) even after accounting for local nurse/doctor wages and patient complexity.

76/100 · Corroborated

76/100Self-Pay Cash Beats Insurance 0% of the Time

File Completeness66

Price Logic94

Peer Alignment65

Clean Billing52

Real Cash Discount100

Regional Value Leader

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

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

UCSF Benioff Children's Hospital Oakland prices shoppable and inpatient services (1.3× to 1.1× Medicare, divergence 0.85×) in alignment with regional hospital peers (1.03× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#86 of 240 in CA · 35th State Percentile#1,411 of 3,385 in U.S. · 41st National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.96× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 0% 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 (11.9% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.03× 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 1.04× Fair BaseRate (1.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.32×) jump +27% above the median procedure ratio (Q50 1.04×)
Unnegotiated chargemaster list prices average 15.0× Medicare (14¢ 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 & ER0.85× Divergence

1.1× Medicare

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

Quantile Tail Spread+27% Upper Tail

Q25 0.96× · Q50 1.04× · Q75 1.32×

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

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.5× MedicareElevated

Back-Door Captive ER VisitsBack-Door Captive

5.1× MedicareWatchout

Inpatient Lab & PathologyBack-Door Captive

1.9× MedicareGood

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

0.6× MedicareGood

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

0% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 54/100Elevated

Procedure Prices at UCSF Benioff Children's Hospital Oakland

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 120 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$32,676	$30,775	1.1×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$19,649	$19,087	1.0×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$19,511	$19,432	1.0×
Total hip replacement CPT Code: `27130`	—	$18,129	$13,413	1.4×
Total knee replacement CPT Code: `27447`	—	$18,129	$13,523	1.3×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$17,833	$17,936	1.0×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$8,537	$6,109	1.4×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$7,886	$8,223	1.0×
Inguinal hernia repair CPT Code: `49505`	—	$5,056	$3,629	1.4×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$4,620	$3,372	1.4×
Bunion correction surgery CPT Code: `28296`	—	$4,620	$3,446	1.3×
Cataract surgery with lens implant CPT Code: `66984`	—	$3,259	$2,540	1.3×
Trauma team activation HCPCS Code: `G0390`	$9,192	$1,882	$1,453	1.3×
Colonoscopy with biopsy CPT Code: `45380`	$1,297	$1,690	$1,256	1.3×
Breast lump removal CPT Code: `19120`	$1,613	$1,613	$3,875	0.4×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$1,313	$981	1.3×
Upper endoscopy with biopsy CPT Code: `43239`	$947	$1,281	$987	1.3×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,722	$1,213	$1,021	1.2×
Injection procedure for pain management HCPCS Code: `G0260`	$517	$997	$855	1.2×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,722	$772	$583	1.3×
Rabies immune globulin HCPCS Code: `90375`	$664	$664	$322	2.1×
Psychological testing by technician CPT Code: `96138`	$213	$631	$395	1.6×
Blood transfusion CPT Code: `36430`	$1,003	$623	$498	1.3×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,866	$493	$448	1.1×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,810	$493	$511	1.0×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$849	$337	$272	1.2×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,439	$337	$303	1.1×
MRI, lower back (no contrast) CPT Code: `72148`	$1,741	$337	$338	1.0×
MRI, brain (no contrast) CPT Code: `70551`	$1,703	$337	$343	1.0×
MRI, knee or other leg joint CPT Code: `73721`	$1,568	$337	$369	0.9×
Breathing treatment (nebulizer) CPT Code: `94640`	$228	$309	$201	1.5×
Neurobehavioral status check CPT Code: `96116`	$195	$305	$231	1.3×
Hepatitis B immune globulin HCPCS Code: `90371`	$236	$236	$151	1.6×
Psychotherapy session (60 minutes) CPT Code: `90837`	$136	$251	$181	1.4×
Psychiatric evaluation (first visit) CPT Code: `90791`	$179	$251	$185	1.4×
CT scan, head (with contrast) CPT Code: `70460`	$1,547	$248	$242	1.0×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,932	$248	$258	1.0×
Psychotherapy session (45 minutes) CPT Code: `90834`	$138	$251	$166	unverified
Family therapy session CPT Code: `90847`	$213	$251	$173	unverified
Psychological testing evaluation CPT Code: `96136`	$207	$188	$128	1.5×
Group therapy session CPT Code: `90853`	—	$143	$100	1.4×
X-ray, pelvis CPT Code: `72170`	$245	$148	$110	1.3×
X-ray, shoulder CPT Code: `73030`	$346	$123	$92	1.3×
X-ray, foot CPT Code: `73630`	$262	$123	$92	1.3×
X-ray, chest (two views) CPT Code: `71046`	$242	$123	$93	1.3×
X-ray, neck (cervical spine) CPT Code: `72040`	$350	$123	$93	1.3×
X-ray, hand CPT Code: `73130`	$262	$123	$93	1.3×
X-ray, ankle CPT Code: `73610`	$262	$123	$93	1.3×
X-ray, lower back CPT Code: `72110`	$385	$148	$112	1.3×
Ultrasound, abdomen (limited) CPT Code: `76705`	$534	$148	$126	1.2×
Ultrasound, pelvis CPT Code: `76856`	$573	$148	$130	1.1×
Ultrasound, thyroid and neck CPT Code: `76536`	$451	$148	$132	1.1×
Ultrasound, abdomen (complete) CPT Code: `76700`	$801	$148	$134	1.1×
CT scan, head (no contrast) CPT Code: `70450`	$1,470	$148	$160	0.9×
CT scan, pelvis CPT Code: `72192`	$1,299	$148	$163	0.9×
CT scan, sinuses CPT Code: `70486`	$1,429	$148	$166	0.9×
CT scan, chest (no contrast) CPT Code: `71250`	$1,263	$148	$167	0.9×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,472	$148	$168	0.9×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,642	$148	$169	0.9×
Hospital observation (per hour) HCPCS Code: `G0378`	$120	$120	$86	1.4×
X-ray, chest (single view) CPT Code: `71045`	$229	$123	$92	unverified
X-ray, hip CPT Code: `73502`	$286	$123	$93	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$133	$83	$64	1.3×
Speech therapy (language evaluation) CPT Code: `92507`	$159	$84	$86	1.0×
Typhoid vaccine HCPCS Code: `90675`	$189	$314	$347	0.9×
Flu vaccine injection HCPCS Code: `G0008`	$42	$66	$48	1.4×
Pneumonia vaccine injection HCPCS Code: `G0009`	$35	$66	$49	1.3×
Care planning with family CPT Code: `90887`	$68	$68	$107	0.6×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$82	$82	$203	0.4×
Physical therapy (functional capacity test) CPT Code: `97750`	$56	$43	$38	1.1×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$16	$14	1.1×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$122	$41	$38	1.1×
Prosthetic fitting and training CPT Code: `97761`	$67	$46	$45	1.0×
Colorectal cancer screening HCPCS Code: `G0010`	$35	$66	$49	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$97	$33	$34	1.0×
Orthotic fitting and training CPT Code: `97760`	$105	$49	$51	1.0×
Occupational therapy (self-care training) CPT Code: `97535`	$82	$34	$38	0.9×
Pneumococcal vaccine HCPCS Code: `90732`	$53	$53	$140	0.4×
Blood antibody screen CPT Code: `86850`	$57	$74	$46	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$42	$42	$111	0.4×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$173	$11	$11	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$48	$3	$3	1.0×
Blood test, calcium CPT Code: `82310`	$56	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$46	$5	$5	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$169	$14	$14	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$87	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$27	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$2	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$9	$7	$7	1.0×
Blood test, sodium CPT Code: `84295`	$60	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$54	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$65	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$13	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$120	$9	$9	1.0×
Physical therapy (gait training) CPT Code: `97116`	$79	$32	$33	1.0×
Blood test, potassium CPT Code: `84132`	$10	$5	$5	1.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$26	$27	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	$19	$20	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$7	$17	$18	0.9×
Behavioral health outpatient services HCPCS Code: `H2015`	$15	$15	$16	0.9×
Hepatitis C antibody test CPT Code: `86803`	$10	$14	$15	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$26	$13	$14	0.9×
Speech therapy (group session) CPT Code: `92508`	$68	$25	$27	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$82	$37	$40	0.9×
Culture, blood CPT Code: `87040`	$182	$10	$11	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$122	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$170	$8	$9	0.9×
Blood test, amylase CPT Code: `82150`	$44	$6	$7	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$51	$30	$35	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$62	$4	$5	0.8×
Blood test, hemoglobin CPT Code: `85018`	$8	$2	$3	0.7×
Extended office visit (prolonged) HCPCS Code: `G2212`	$20	$20	$33	0.6×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$21	$21	$56	0.4×
Flu vaccine (high dose) HCPCS Code: `90656`	$9	$9	$25	0.4×
Hepatitis B vaccine HCPCS Code: `90744`	$13	$13	$37	0.4×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$12	$12	$39	0.3×
Blood test, vitamin D CPT Code: `82306`	$8	$8	$31	0.3×
Blood test, vitamin B12 CPT Code: `82607`	$3	$3	$16	0.2×
Blood test, PSA (prostate screen) CPT Code: `84153`	$3	$3	$19	0.2×
Drug screening test HCPCS Code: `G0480`	$9	$9	$116	0.1×

Showing top 25 high-impact procedures of 120 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 11.9%

Audit a Bill or Quote at UCSF Benioff Children's Hospital Oakland (Zero PHI Required)

CMS CCN: 053301

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $32,676

1. Amount on Your Bill or Quote ($) Pre-filled with UCSF Benioff Children's Hospital Oakland’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: $9,332 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $9,332

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (11.9% of gross = $9,332).

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask UCSF Benioff Children's Hospital Oakland'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 +$47,647 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($78,422) is $47,647 above the denoised Fair BaseRate ($30,775) and 3.3× the $23,504 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 (11.9% 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 Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for UCSF Benioff Children's Hospital Oakland.

Price Index: 0.76× regional baseline

Quality: 54/100 CMS composite

Median Household Income$126,240U.S. Census ACS

Local Uninsured Share4.1%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 76/100 · Corroborated CMS CCN 053301

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 053301) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-04-01

Validated Rate Rows102 (CMS v3.0.0)

File Integrity DigestVerified · CCN 053301

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