How many shoppable procedure prices are published for Johns Hopkins All Children's Hospital?

Johns Hopkins All Children's Hospital in Saint Petersburg, FL currently has 114 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Johns Hopkins All Children's Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Johns Hopkins All Children's Hospital's median negotiated commercial rate is 1.4× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Children's Hospital Voluntary non-profit - Private 259 Beds · urban Updated: 4/1/2026

Johns Hopkins All Children's Hospital

501 Sixth Avenue South, Saint Petersburg, FL 33701 · 114 Priced Procedures

CMS Overall Rating No CMS Rating

Above Fair Market · Negotiate

1.41×vs. Fair Market Price

Typical commercial prices here are +41% above the fair benchmark (1.41×) even after accounting for local nurse/doctor wages and patient complexity.

63/100 · Caution

63/100Self-Pay Cash Beats Insurance 0% of the Time

File Completeness73

Price Logic87

Peer Alignment66

Clean Billing69

Real Cash Discount6

High-Markup · Check Safety

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

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Johns Hopkins All Children's Hospital prices shoppable and inpatient services (2.4× to 1.6× Medicare, divergence 0.67×) in alignment with regional hospital peers (1.41× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#126 of 165 in FL · 75th State Percentile#2,465 of 3,385 in U.S. · 72nd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.44× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 0% 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 (14.3% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 3.0× markup over Medicare rates
Commercial insurance median sits at 1.55× Fair BaseRate (2.4× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.95×) jump +26% above the median procedure ratio (Q50 1.55×)
Unnegotiated chargemaster list prices average 16.5× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

2.4× Medicare

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

Back-Door Captive & ER0.67× Divergence

1.6× Medicare

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

Quantile Tail Spread+26% Upper Tail

Q25 1.44× · Q50 1.55× · Q75 1.95×

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

2.4× MedicareFair

Outpatient Surgery & ORBack-Door Captive

3.0× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.9× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.6× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

4.8× MedicareWatchout

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

2.8× MedicareFair

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

0% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 54/100Elevated

Procedure Prices at Johns Hopkins All Children's Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 114 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$24,490	$8,223	3.0×
Total hip replacement CPT Code: `27130`	—	$14,917	$13,413	1.1×
Total knee replacement CPT Code: `27447`	—	$14,917	$13,523	1.1×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$12,972	$6,109	2.1×
Trauma team activation HCPCS Code: `G0390`	$12,788	$12,788	$1,453	8.8×
C-section delivery (full package) CPT Code: `59510`	—	$10,673	$2,975	3.6×
Vaginal delivery (full package) CPT Code: `59400`	—	$9,868	$2,680	3.7×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$8,451	$3,372	2.5×
Inguinal hernia repair CPT Code: `49505`	—	$8,451	$3,629	2.3×
Bunion correction surgery CPT Code: `28296`	—	$8,394	$3,446	2.4×
Cataract surgery with lens implant CPT Code: `66984`	—	$7,945	$2,540	3.1×
Breast lump removal CPT Code: `19120`	—	$7,547	$3,875	1.9×
Upper endoscopy with biopsy CPT Code: `43239`	—	$4,603	$987	unverified
Colonoscopy with biopsy CPT Code: `45380`	—	$4,603	$1,256	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	—	$4,108	$981	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$7,624	$2,873	$1,021	2.8×
Blood transfusion CPT Code: `36430`	$1,814	$1,814	$498	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$5,727	$859	$448	1.9×
MRI, brain (with and without contrast) CPT Code: `70553`	$6,287	$859	$511	1.7×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$2,029	$787	$272	2.9×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$4,673	$670	$583	1.1×
Family therapy session CPT Code: `90847`	—	$555	$173	3.2×
Speech therapy (language evaluation) CPT Code: `92507`	$509	$509	$86	5.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$4,852	$524	$303	1.7×
MRI, lower back (no contrast) CPT Code: `72148`	$4,027	$524	$338	1.6×
MRI, brain (no contrast) CPT Code: `70551`	$3,952	$524	$343	1.5×
MRI, knee or other leg joint CPT Code: `73721`	$3,125	$524	$369	1.4×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$496	$166	3.0×
Rabies immune globulin HCPCS Code: `90375`	—	$462	$322	1.4×
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$465	$123	unverified
Neurobehavioral status check CPT Code: `96116`	—	$393	$231	1.7×
CT scan, head (with contrast) CPT Code: `70460`	$2,056	$410	$242	1.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,455	$410	$258	1.6×
New patient office visit (30-44 min) CPT Code: `99203`	—	$397	$110	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	—	$316	$87	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$277	$277	$86	3.2×
X-ray, pelvis CPT Code: `72170`	$631	$252	$110	2.3×
X-ray, lower back CPT Code: `72110`	$626	$252	$112	2.3×
Ultrasound, abdomen (limited) CPT Code: `76705`	$920	$252	$126	2.0×
Ultrasound, pelvis CPT Code: `76856`	$920	$252	$130	1.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$920	$252	$132	1.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	$920	$252	$134	1.9×
Diagnostic mammogram (both breasts) CPT Code: `77066`	—	$271	$148	1.8×
CT scan, head (no contrast) CPT Code: `70450`	$1,983	$252	$160	1.6×
CT scan, pelvis CPT Code: `72192`	$2,358	$252	$163	1.5×
CT scan, sinuses CPT Code: `70486`	$1,983	$252	$166	1.5×
CT scan, chest (no contrast) CPT Code: `71250`	$2,476	$252	$167	1.5×
Hepatitis B immune globulin HCPCS Code: `90371`	—	$227	$151	1.5×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,152	$252	$168	1.5×
CT scan, neck (cervical spine) CPT Code: `72125`	$2,574	$252	$169	1.5×
Screening mammogram (both breasts) CPT Code: `77067`	—	$225	$123	1.8×
X-ray, chest (single view) CPT Code: `71045`	$795	$180	$92	2.0×
X-ray, shoulder CPT Code: `73030`	$631	$180	$92	2.0×
X-ray, foot CPT Code: `73630`	$414	$180	$92	2.0×
X-ray, chest (two views) CPT Code: `71046`	$567	$180	$93	1.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$551	$180	$93	1.9×
X-ray, hand CPT Code: `73130`	$414	$180	$93	1.9×
X-ray, hip CPT Code: `73502`	$464	$180	$93	1.9×
X-ray, ankle CPT Code: `73610`	$662	$180	$93	1.9×
Psychological testing by technician CPT Code: `96138`	—	$196	$395	0.5×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$215	$215	$38	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	$209	$209	$40	unverified
Occupational therapy (self-care training) CPT Code: `97535`	$205	$205	$38	unverified
Physical therapy (functional capacity test) CPT Code: `97750`	$198	$198	$38	unverified
Speech therapy (group session) CPT Code: `92508`	$134	$134	$27	5.0×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$194	$154	$35	4.4×
Physical therapy (manual therapy) CPT Code: `97140`	$207	$147	$34	4.3×
Physical therapy (gait training) CPT Code: `97116`	$172	$172	$33	unverified
Orthotic fitting and training CPT Code: `97760`	$189	$189	$51	unverified
Prosthetic fitting and training CPT Code: `97761`	$174	$174	$45	unverified
Group therapy session CPT Code: `90853`	—	$132	$100	1.3×
Psychological testing evaluation CPT Code: `96136`	—	$117	$128	0.9×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$83	$25	3.3×
Typhoid vaccine HCPCS Code: `90675`	—	$541	$347	1.6×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$268	$203	1.3×
Pneumococcal vaccine HCPCS Code: `90732`	—	$232	$140	1.7×
Drug screening test HCPCS Code: `G0480`	—	$172	$116	1.5×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	$139	$111	1.3×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$57	$35	1.6×
Hepatitis B vaccine HCPCS Code: `90744`	—	$55	$37	1.5×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	—	$69	$56	1.2×
Flu vaccine (high dose) HCPCS Code: `90656`	—	$39	$25	1.6×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	$29	$20	1.4×
Blood test, vitamin D CPT Code: `82306`	$689	$44	$31	1.4×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$44	$39	1.1×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$90	$5	$3	1.7×
Blood test, calcium CPT Code: `82310`	$130	$8	$5	1.6×
Blood test, creatinine (kidney) CPT Code: `82565`	$119	$8	$5	1.6×
Blood test, glucose (blood sugar) CPT Code: `82947`	$114	$6	$4	1.5×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$230	$15	$10	1.5×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$104	$6	$4	1.5×
Blood test, complete blood count (CBC) CPT Code: `85025`	$320	$12	$8	1.5×
Blood test, clotting time (PTT) CPT Code: `85730`	$159	$9	$6	1.5×
Blood test, PSA (prostate screen) CPT Code: `84153`	$297	$28	$19	1.5×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$525	$16	$11	1.5×
Blood test, basic metabolic panel CPT Code: `80048`	$420	$13	$9	1.4×
Culture, bacterial CPT Code: `87070`	$206	$13	$9	1.4×
Blood test, vitamin B12 CPT Code: `82607`	$388	$23	$16	1.4×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$264	$20	$14	1.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$545	$37	$64	0.6×
Breathing treatment (nebulizer) CPT Code: `94640`	$492	$46	$201	0.2×
Blood test, amylase CPT Code: `82150`	$192	$10	$7	1.4×
Blood test, ferritin (iron stores) CPT Code: `82728`	$365	$20	$14	1.4×
Blood test, lipase CPT Code: `83690`	$187	$10	$7	1.4×
Blood test, magnesium CPT Code: `83735`	$196	$10	$7	1.4×
Blood test, potassium CPT Code: `84132`	$137	$7	$5	1.4×
Blood test, sodium CPT Code: `84295`	$140	$7	$5	1.4×
Hepatitis C antibody test CPT Code: `86803`	$215	$21	$15	1.4×
Blood test, thyroid (TSH) CPT Code: `84443`	$452	$25	$18	1.4×
Culture, blood CPT Code: `87040`	$245	$15	$11	1.4×
Blood test, liver function panel CPT Code: `80076`	$255	$12	$9	1.3×
Blood test, hemoglobin CPT Code: `85018`	$62	$4	$3	1.3×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$102	$6	$5	1.2×
Blood antibody screen CPT Code: `86850`	$244	$15	$46	0.3×

Showing top 25 high-impact procedures of 114 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 14.3%

Audit a Bill or Quote at Johns Hopkins All Children's Hospital (Zero PHI Required)

CMS CCN: 103300

CPT 392

Select Procedure to Audit:

Fair BaseRate™ $8,223

Medicare Rate $5,676

Self-Pay Cash Request Quote

Insurer Median $24,490

1. Amount on Your Bill or Quote ($) Pre-filled with Johns Hopkins All Children's Hospital’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: $8,423 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $8,423

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (14.3% of gross = $8,423).

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Johns Hopkins All Children's Hospital'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 +$50,553 Above Fair BaseRate

Negotiate Toward $8,223 Fair BaseRate ($5,676 Medicare)

Your bill ($58,776) is $50,553 above the denoised Fair BaseRate ($8,223) and 10.4× the $5,676 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)

EIN: 590683252

Filing Period: 194205

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 (14.3% 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 ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Johns Hopkins All Children's Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-03-26·administrative_or_closure
Met Requirements
Recorded
2023-09-08·administrative_or_closure
Closure Notice
Recorded
2023-05-26·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

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

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

Regional Quality & Price Benchmark Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Johns Hopkins All Children's Hospital.

Price Index: 0.63× regional baseline

Quality: 54/100 CMS composite

Median Household Income$70,293U.S. Census ACS

Local Uninsured Share10.7%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 63/100 · Caution CMS CCN 103300 EIN 590683252

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 103300) ↗ Verify IRS Form 990 (EIN 590683252) ↗ CMS HCRIS Cost Reports ↗

Published MRF File590683252_johns-hopkins-all-children-_s-hospital_standardcharges.csv

Publication / Vintage4/1/2026 · 17.74 MB

Validated Rate Rows288 (CMS v3.0.0)

File Integrity DigestVerified · CCN 103300

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