How many shoppable procedure prices are published for Childrens Hospital?

Childrens Hospital in New Orleans, LA currently has 111 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Childrens Hospital's commercial prices compare to the fair BaseRate?

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

Hospital Profile Children's Hospital Voluntary non-profit - Private 199 Beds · urban Updated: 2026-06-24

Childrens Hospital

200 Henry Clay Ave, New Orleans, LA 70118 · 111 Priced Procedures

CMS Overall Rating No CMS Rating

Above Fair Market · Negotiate

1.36×vs. Fair Market Price

Typical commercial prices here are +36% above the fair benchmark (1.36×) even after accounting for local nurse/doctor wages and patient complexity.

77/100 · Corroborated

77/100Self-Pay Cash Beats Insurance 49% of the Time

File Completeness66

Price Logic75

Peer Alignment75

Clean Billing80

Real Cash Discount92

High-Markup · Check Safety

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

Behavioral Pricing FingerprintUpper-Quartile Spread · +52% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Childrens Hospital prices routine shoppable procedures at 1.8× Medicare (median 1.10× Fair BaseRate) while upper-quartile commercial rates jump +52% to 1.67× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#84 of 101 in LA · 82nd State Percentile#2,378 of 3,385 in U.S. · 70th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.99× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 49% of shoppable procedures (92/100 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 (28.7% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.36× 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 1.10× Fair BaseRate (1.8× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.67×) jump +52% above the median procedure ratio (Q50 1.10×)
Unnegotiated chargemaster list prices average 11.6× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.8× Medicare

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

Back-Door Captive & ER0.61× Divergence

1.1× Medicare

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

Quantile Tail Spread+52% Upper Tail

Q25 0.99× · Q50 1.10× · Q75 1.67×

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

1.8× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.8× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.4× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

0.8× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

4.3× MedicareElevated

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

0.9× MedicareGood

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

49% Cash Edge · 92/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 54/100Elevated

Procedure Prices at Childrens Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 111 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Total knee replacement CPT Code: `27447`	$9,144	$9,144	$13,523	0.7×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$2,779	$2,779	$6,109	0.5×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,040	$1,701	$1,021	1.7×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,454	$1,262	$511	2.5×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,110	$999	$448	2.2×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,029	$1,003	$583	1.7×
MRI, lower back (no contrast) CPT Code: `72148`	$1,018	$755	$338	2.2×
MRI, brain (no contrast) CPT Code: `70551`	$917	$755	$343	2.2×
MRI, knee or other leg joint CPT Code: `73721`	$851	$755	$369	2.0×
Blood transfusion CPT Code: `36430`	$963	$726	$498	1.5×
CT scan, head (with and without contrast) CPT Code: `70470`	$948	$718	$258	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,698	$619	$303	2.0×
CT scan, head (with contrast) CPT Code: `70460`	$906	$637	$242	unverified
Cataract surgery with lens implant CPT Code: `66984`	$1,544	$558	$2,540	0.2×
Rabies immune globulin HCPCS Code: `90375`	$2,042	$469	$322	1.5×
Neurobehavioral status check CPT Code: `96116`	$159	$474	$231	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$468	$436	$272	1.6×
Trauma team activation HCPCS Code: `G0390`	$428	$428	$1,453	0.3×
Breast lump removal CPT Code: `19120`	$2,345	$450	$3,875	0.1×
CT scan, head (no contrast) CPT Code: `70450`	$862	$324	$160	2.0×
CT scan, pelvis CPT Code: `72192`	$120	$324	$163	2.0×
CT scan, sinuses CPT Code: `70486`	$667	$324	$166	2.0×
CT scan, chest (no contrast) CPT Code: `71250`	$254	$324	$167	1.9×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$516	$324	$168	1.9×
CT scan, neck (cervical spine) CPT Code: `72125`	$711	$324	$169	1.9×
Breathing treatment (nebulizer) CPT Code: `94640`	$190	$321	$201	1.6×
Ultrasound, thyroid and neck CPT Code: `76536`	$287	$345	$132	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$353	$345	$134	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$258	$345	$126	unverified
Ultrasound, pelvis CPT Code: `76856`	$248	$345	$130	unverified
Diagnostic mammogram (both breasts) CPT Code: `77066`	$136	$308	$148	unverified
Psychotherapy session (45 minutes) CPT Code: `90834`	$281	$246	$166	1.5×
Family therapy session CPT Code: `90847`	$314	$246	$173	1.4×
Psychotherapy session (60 minutes) CPT Code: `90837`	$381	$246	$181	1.4×
Psychiatric evaluation (first visit) CPT Code: `90791`	$645	$246	$185	1.3×
X-ray, lower back CPT Code: `72110`	$237	$233	$112	unverified
Screening mammogram (both breasts) CPT Code: `77067`	$116	$255	$123	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	$1,016	$193	$981	0.2×
Colonoscopy with biopsy CPT Code: `45380`	$1,476	$210	$1,256	0.2×
X-ray, chest (single view) CPT Code: `71045`	$80	$159	$92	1.7×
X-ray, chest (two views) CPT Code: `71046`	$118	$159	$93	1.7×
X-ray, hip CPT Code: `73502`	$145	$156	$93	1.7×
X-ray, shoulder CPT Code: `73030`	$124	$147	$92	1.6×
X-ray, foot CPT Code: `73630`	$98	$147	$92	1.6×
X-ray, neck (cervical spine) CPT Code: `72040`	$162	$147	$93	1.6×
X-ray, hand CPT Code: `73130`	$76	$147	$93	1.6×
X-ray, ankle CPT Code: `73610`	$85	$147	$93	1.6×
Group therapy session CPT Code: `90853`	$62	$147	$100	1.5×
X-ray, pelvis CPT Code: `72170`	$169	$147	$110	1.3×
Hepatitis B immune globulin HCPCS Code: `90371`	$516	$149	$151	1.0×
Upper endoscopy with biopsy CPT Code: `43239`	$1,243	$144	$987	0.1×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$76	$98	$64	1.5×
Hospital observation (per hour) HCPCS Code: `G0378`	$116	$116	$86	unverified
Care planning with family CPT Code: `90887`	$80	$80	$107	unverified
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$113	$103	$25	unverified
Typhoid vaccine HCPCS Code: `90675`	$1,302	$383	$347	1.1×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$345	$182	$203	0.9×
Pneumococcal vaccine HCPCS Code: `90732`	$192	$147	$140	1.1×
Drug screening test HCPCS Code: `G0480`	$129	$129	$116	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$183	$99	$111	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$48	$63	$38	1.7×
Occupational therapy (self-care training) CPT Code: `97535`	$34	$62	$38	1.6×
Speech therapy (group session) CPT Code: `92508`	$52	$43	$27	1.6×
Physical therapy (manual therapy) CPT Code: `97140`	$34	$52	$34	1.5×
Flu vaccine injection HCPCS Code: `G0008`	$96	$53	$48	1.1×
Pneumonia vaccine injection HCPCS Code: `G0009`	$96	$53	$49	1.1×
Colorectal cancer screening HCPCS Code: `G0010`	$96	$53	$49	1.1×
Office visit, established patient (30-39 min) CPT Code: `99214`	$323	$57	$123	0.5×
Prosthetic fitting and training CPT Code: `97761`	$34	$20	$45	0.4×
Office visit, established patient (20-29 min) CPT Code: `99213`	$21	$38	$87	0.4×
Psychological testing evaluation CPT Code: `96136`	$217	$43	$128	0.3×
Psychological testing by technician CPT Code: `96138`	$236	$43	$395	0.1×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$50	$4	$3	1.3×
Blood test, calcium CPT Code: `82310`	$54	$6	$5	1.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$46	$6	$5	1.2×
Blood test, clotting time (PTT) CPT Code: `85730`	$59	$7	$6	1.2×
Blood test, lipase CPT Code: `83690`	$75	$8	$7	1.1×
Blood test, complete blood count (CBC) CPT Code: `85025`	$82	$9	$8	1.1×
Culture, bacterial CPT Code: `87070`	$52	$10	$9	1.1×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$65	$11	$10	1.1×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$114	$12	$11	1.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$84	$15	$14	1.1×
Blood test, ferritin (iron stores) CPT Code: `82728`	$77	$15	$14	1.1×
Hepatitis C antibody test CPT Code: `86803`	$79	$16	$15	1.1×
Blood test, vitamin D CPT Code: `82306`	$143	$33	$31	1.1×
Blood test, vitamin B12 CPT Code: `82607`	$74	$17	$16	1.1×
Blood test, thyroid (TSH) CPT Code: `84443`	$46	$19	$18	1.1×
Blood test, PSA (prostate screen) CPT Code: `84153`	$56	$20	$19	1.1×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$147	$42	$56	0.8×
Speech therapy (language evaluation) CPT Code: `92507`	$81	$33	$86	0.4×
New patient office visit (30-44 min) CPT Code: `99203`	$21	$38	$110	0.3×
Blood test, basic metabolic panel CPT Code: `80048`	$93	$9	$9	1.0×
Blood test, liver function panel CPT Code: `80076`	$177	$9	$9	1.0×
Blood test, amylase CPT Code: `82150`	$69	$7	$7	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$26	$4	$4	1.0×
Blood test, magnesium CPT Code: `83735`	$43	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$36	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$29	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$54	$4	$4	1.0×
Blood test, hemoglobin CPT Code: `85018`	$29	$3	$3	1.0×
Culture, blood CPT Code: `87040`	$86	$11	$11	1.0×
Hepatitis B vaccine HCPCS Code: `90744`	$55	$32	$37	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$50	$4	$5	0.8×
Flu vaccine (high dose) HCPCS Code: `90656`	$16	$20	$25	0.8×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$178	$30	$39	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$34	$16	$35	0.5×
Orthotic fitting and training CPT Code: `97760`	$34	$22	$51	0.4×
Physical therapy (gait training) CPT Code: `97116`	$34	$11	$33	0.3×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$34	$13	$40	0.3×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$34	$11	$38	0.3×
Blood antibody screen CPT Code: `86850`	$82	$10	$46	0.2×

Showing top 25 high-impact procedures of 111 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 28.7%

Audit a Bill or Quote at Childrens Hospital (Zero PHI Required)

CMS CCN: 193300

CPT 27447

Select Procedure to Audit:

Fair BaseRate™ $13,523

Medicare Rate $13,117

Self-Pay Cash $9,144

Insurer Median $9,144

1. Amount on Your Bill or Quote ($) Pre-filled with Childrens 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: $9,726 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $9,726

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (28.7% of gross = $9,726).

Step 2 · Cash vs. Insurance Arbitrage Save $24,722 Paying Cash

Self-Pay Cash Rate ($9,144) Beats Your Bill

Childrens Hospital's published 45 CFR § 180 self-pay cash rate is $9,144 (vs. $9,144 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$20,343 Above Fair BaseRate

Negotiate Toward $13,523 Fair BaseRate ($13,117 Medicare)

Your bill ($33,866) is $20,343 above the denoised Fair BaseRate ($13,523) and 2.6× the $13,117 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)

EIN: 720467503

Filing Period: 195607

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 (28.7% 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 Childrens Hospital.

Price Index: 1.61× regional baseline

Quality: 54/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Ambetter (Centene)

-64.0%

AmeriHealth

-62.9%

Cigna

+70.8%

Health New England

+71.3%

Community Health Options

+74.2%

CDPHP

+82.5%

Median Household Income$55,339U.S. Census ACS

Local Uninsured Share8.4%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 77/100 · Corroborated CMS CCN 193300 EIN 720467503

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 193300) ↗ Verify IRS Form 990 (EIN 720467503) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-06-24

Validated Rate Rows13,403 (CMS v3.0.0)

File Integrity DigestVerified · CCN 193300

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