Kennedy Krieger Institute
707 North Broadway, Baltimore, MD 21205 · 47 Priced Procedures
Typical commercial prices here are 30% below the fair benchmark (0.70×) after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Uniform Value Leader · Low-Cost Across Departments
Kennedy Krieger Institute maintains low, disciplined commercial pricing across both routine shoppable procedures (0.7× Medicare, p50 0.68× Fair BaseRate) and emergency/ancillary services (0.5× Medicare, p75 0.89× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 30% below peer Fair BaseRate (0.70×)
- Self-pay cash beats commercial insurance on 0% 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 (25.0% AGB cap)
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (0.70× 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 0.68× Fair BaseRate (0.7× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 0.89×) jump +31% above the median procedure ratio (Q50 0.68×)
- Unnegotiated chargemaster list prices average 3.0× Medicare (28¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Kennedy Krieger Institute
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 47 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Sleep study (overnight, in lab) CPT Code: 95810 | $3,894 | 3.8× |
| X-ray, lower back CPT Code: 72110 | $701 | 6.3× |
| X-ray, hand CPT Code: 73130 | $506 | 5.4× |
| X-ray, shoulder CPT Code: 73030 | $441 | 4.8× |
| X-ray, hip CPT Code: 73502 | $438 | 4.7× |
| X-ray, ankle CPT Code: 73610 | $438 | 4.7× |
| X-ray, pelvis CPT Code: 72170 | $409 | 3.7× |
| X-ray, neck (cervical spine) CPT Code: 72040 | $372 | 4.0× |
| X-ray, chest (single view) CPT Code: 71045 | $352 | 3.8× |
| X-ray, foot CPT Code: 73630 | $349 | 3.8× |
| X-ray, chest (two views) CPT Code: 71046 | $352 | 3.8× |
| Group therapy session CPT Code: 90853 | $369 | 3.7× |
| Psychological testing by technician CPT Code: 96138 | $273 | 0.7× |
| Electrocardiogram (ECG/EKG) CPT Code: 93000 | $195 | 7.8× |
| Physical therapy (gait training) CPT Code: 97116 | $182 | 5.5× |
| Physical therapy (functional capacity test) CPT Code: 97750 | $202 | 5.3× |
| Psychiatric evaluation (first visit) CPT Code: 90791 | $200 | 1.1× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $218 | 0.4× |
| Orthotic fitting and training CPT Code: 97760 | $173 | 3.4× |
| Psychotherapy session (60 minutes) CPT Code: 90837 | $190 | 1.0× |
| Family therapy session CPT Code: 90847 | $195 | unverified |
| Physical therapy (manual therapy) CPT Code: 97140 | $136 | 4.0× |
| Physical therapy (therapeutic exercise) CPT Code: 97110 | $136 | 3.9× |
| Physical therapy (neuromuscular re-education) CPT Code: 97112 | $136 | 3.6× |
| Occupational therapy (self-care training) CPT Code: 97535 | $136 | 3.6× |
Audit a Bill or Quote at Kennedy Krieger Institute (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $1,217
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (25.0% of gross = $1,217).
Self-Pay Cash Rate ($3,894) Beats Your Bill
Kennedy Krieger Institute's published 45 CFR § 180 self-pay cash rate is $3,894 (vs. $3,894 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $1,021 Fair BaseRate ($877 Medicare)
Your bill ($4,868) is $3,847 above the denoised Fair BaseRate ($1,021) and 5.6× the $877 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (25.0% 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.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Kennedy Krieger Institute.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.