How many shoppable procedure prices are published for Gillette Childrens Specialty Hospital?

Gillette Childrens Specialty Hospital in Saint Paul, MN currently has 135 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Gillette Childrens Specialty Hospital's median negotiated commercial rate is 0.8× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Children's Hospital Government - Hospital District or Authority 60 Beds · urban Updated: 1/1/2026

Gillette Childrens Specialty Hospital

200 University Avenue East, Saint Paul, MN 55106 · 135 Priced Procedures

CMS Overall Rating No CMS Rating

Good Deal · Below Fair Market

0.83×vs. Fair Market Price

Typical commercial prices here are 17% below the fair benchmark (0.83×) after accounting for local nurse/doctor wages and patient complexity.

76/100 · Corroborated

76/100Self-Pay Cash Beats Insurance 59% of the Time

File Completeness51

Price Logic90

Peer Alignment54

Clean Billing86

Real Cash Discount100

Regional Value Leader

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

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Gillette Childrens Specialty Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (0.7× Medicare, p50 0.76× Fair BaseRate) and emergency/ancillary services (0.9× Medicare, p75 0.95× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#11 of 76 in MN · 13th State Percentile#352 of 3,385 in U.S. · 10th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 17% below peer Fair BaseRate (0.83×)
Self-pay cash beats commercial insurance on 59% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (54/100 safety score) with 72% patient recommendation
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.83× 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.
Captive ER (1.0×) & laboratory (0.9×) services average 1.29× higher multiples than routine shoppable care (0.7×)
Upper-quartile procedures (Q75 0.95×) jump +25% above the median procedure ratio (Q50 0.76×)
Unnegotiated chargemaster list prices average 9.2× Medicare (23¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

0.7× Medicare

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

Back-Door Captive & ER1.29× Divergence

0.9× Medicare

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

Quantile Tail Spread+25% Upper Tail

Q25 0.51× · Q50 0.76× · Q75 0.95×

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

0.7× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.9× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.2× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.0× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

0.9× MedicareGood

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

1.1× MedicareGood

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

59% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 54/100Elevated

Procedure Prices at Gillette Childrens Specialty Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 135 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
C-section delivery (full package) CPT Code: `59510`	—	$4,057	$2,975	unverified
Vaginal delivery (full package) CPT Code: `59400`	—	$3,699	$2,680	1.4×
Total hip replacement CPT Code: `27130`	$2,276	$2,276	$13,413	0.2×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,141	$1,141	$6,109	0.2×
Bunion correction surgery CPT Code: `28296`	$1,403	$908	$3,446	0.3×
Cataract surgery with lens implant CPT Code: `66984`	—	$782	$2,540	0.3×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$1,588	$788	$3,372	0.2×
Breast lump removal CPT Code: `19120`	—	$773	$3,875	0.2×
Trauma team activation HCPCS Code: `G0390`	—	$731	$1,453	0.5×
Inguinal hernia repair CPT Code: `49505`	$1,268	$690	$3,629	0.2×
Colonoscopy with biopsy CPT Code: `45380`	$715	$649	$1,256	0.5×
Breathing treatment (nebulizer) CPT Code: `94640`	$577	$577	$201	2.9×
Sleep study (overnight, in lab) CPT Code: `95810`	$624	$595	$1,021	0.6×
Upper endoscopy with biopsy CPT Code: `43239`	$712	$553	$987	0.6×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$503	$981	0.5×
Behavioral health residential care HCPCS Code: `H0011`	—	$377	$364	1.0×
Rabies immune globulin HCPCS Code: `90375`	—	$289	$322	0.9×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,381	$260	$511	0.5×
MRI, knee or other leg joint CPT Code: `73721`	$4,315	$226	$369	0.6×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,420	$240	$448	0.5×
Behavioral health assessment HCPCS Code: `H0001`	—	$162	$157	1.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	$233	$172	$181	1.0×
Psychiatric evaluation (first visit) CPT Code: `90791`	$215	$166	$185	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,016	$162	$303	0.5×
MRI, lower back (no contrast) CPT Code: `72148`	$4,365	$167	$338	0.5×
MRI, brain (no contrast) CPT Code: `70551`	$3,974	$167	$343	0.5×
Hepatitis B immune globulin HCPCS Code: `90371`	—	$136	$151	0.9×
Family therapy session CPT Code: `90847`	$226	$148	$173	0.9×
Neurobehavioral status check CPT Code: `96116`	—	$138	$231	0.6×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,282	$157	$272	0.6×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$416	$156	$583	0.3×
CT scan, head (with contrast) CPT Code: `70460`	—	$126	$242	0.5×
CT scan, head (with and without contrast) CPT Code: `70470`	—	$132	$258	0.5×
New patient office visit (30-44 min) CPT Code: `99203`	$183	$151	$110	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	$182	$175	$123	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$211	$118	$86	1.4×
Care planning with family CPT Code: `90887`	—	$114	$107	1.1×
Psychotherapy session (45 minutes) CPT Code: `90834`	$154	$130	$166	0.8×
Behavioral health counseling (group) HCPCS Code: `H0009`	—	$125	$269	0.5×
Diagnostic mammogram (both breasts) CPT Code: `77066`	—	$90	$148	0.6×
CT scan, pelvis CPT Code: `72192`	$1,824	$99	$163	0.6×
Behavioral health counseling (per session) HCPCS Code: `H0008`	—	$112	$257	0.4×
Behavioral health day treatment HCPCS Code: `H0010`	—	$114	$343	0.3×
Ultrasound, abdomen (complete) CPT Code: `76700`	$908	$81	$134	0.6×
CT scan, chest (no contrast) CPT Code: `71250`	$1,824	$98	$167	0.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,824	$90	$168	0.5×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,529	$90	$169	0.5×
CT scan, head (no contrast) CPT Code: `70450`	$1,505	$83	$160	0.5×
CT scan, sinuses CPT Code: `70486`	$1,675	$83	$166	0.5×
Residential mental health treatment HCPCS Code: `H2036`	—	$104	$406	0.3×
Office visit, established patient (20-29 min) CPT Code: `99213`	$125	$118	$87	unverified
Mental health services (assessment) HCPCS Code: `H0031`	—	$82	$140	0.6×
Blood transfusion CPT Code: `36430`	—	$80	$498	0.2×
Typhoid vaccine HCPCS Code: `90675`	$269	$328	$347	0.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$167	$203	0.8×
Drug screening test HCPCS Code: `G0480`	—	$114	$116	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	$80	$133	$140	0.9×
Mental health services (therapy) HCPCS Code: `H0032`	—	$78	$65	1.2×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	$93	$111	0.8×
Review of medical records for care CPT Code: `90889`	—	$74	$114	0.6×
Ultrasound, pelvis CPT Code: `76856`	$955	$76	$130	0.6×
Ultrasound, thyroid and neck CPT Code: `76536`	$844	$76	$132	0.6×
Screening mammogram (both breasts) CPT Code: `77067`	—	$70	$123	0.6×
Ultrasound, abdomen (limited) CPT Code: `76705`	$820	$71	$126	0.6×
Speech therapy (group session) CPT Code: `92508`	—	$36	$27	1.3×
Extended office visit (prolonged) HCPCS Code: `G2212`	$98	$44	$33	1.3×
Residential substance abuse treatment HCPCS Code: `H2035`	—	$61	$88	0.7×
X-ray, hand CPT Code: `73130`	$339	$47	$93	0.5×
X-ray, ankle CPT Code: `73610`	$231	$47	$93	0.5×
X-ray, shoulder CPT Code: `73030`	$283	$43	$92	0.5×
X-ray, foot CPT Code: `73630`	$272	$43	$92	0.5×
X-ray, hip CPT Code: `73502`	$313	$38	$93	0.4×
Psychological testing evaluation CPT Code: `96136`	$115	$52	$128	0.4×
X-ray, lower back CPT Code: `72110`	$451	$41	$112	0.4×
Psychological testing by technician CPT Code: `96138`	$76	$61	$395	0.2×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$26	$25	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	—	$11	$11	1.0×
Blood test, calcium CPT Code: `82310`	—	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	—	$5	$5	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	—	$14	$14	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	—	$10	$10	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	—	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	—	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	—	$9	$9	1.0×
Blood test, vitamin D CPT Code: `82306`	—	$30	$31	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	—	$3	$3	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	—	$4	$4	1.0×
Blood test, lipase CPT Code: `83690`	—	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	—	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	—	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	—	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	—	$4	$4	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, PSA (prostate screen) CPT Code: `84153`	—	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	—	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	—	$15	$16	0.9×
Community mental health services HCPCS Code: `H0038`	—	$15	$16	0.9×
Hepatitis C antibody test CPT Code: `86803`	—	$14	$15	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	—	$13	$14	0.9×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$32	$35	0.9×
Orthotic fitting and training CPT Code: `97760`	—	$40	$51	0.8×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$13	$14	0.9×
Culture, blood CPT Code: `87040`	—	$10	$11	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	—	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	—	$8	$9	0.9×
Behavioral health outpatient services HCPCS Code: `H2015`	—	$14	$16	0.9×
Blood test, amylase CPT Code: `82150`	—	$6	$7	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	—	$21	$25	0.8×
Hepatitis B vaccine HCPCS Code: `90744`	—	$31	$37	0.8×
Prosthetic fitting and training CPT Code: `97761`	—	$35	$45	0.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$124	$31	$40	0.8×
Flu vaccine injection HCPCS Code: `G0008`	—	$37	$48	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	—	$4	$5	0.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	—	$29	$38	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	—	$29	$38	0.8×
Physical therapy (gait training) CPT Code: `97116`	$121	$25	$33	0.8×
Pneumonia vaccine injection HCPCS Code: `G0009`	—	$37	$49	0.8×
Colorectal cancer screening HCPCS Code: `G0010`	—	$37	$49	0.8×
Hospital observation (per hour) HCPCS Code: `G0378`	$345	$58	$86	0.7×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$29	$39	0.7×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$125	$26	$35	0.7×
Physical therapy (functional capacity test) CPT Code: `97750`	—	$28	$38	0.7×
Physical therapy (manual therapy) CPT Code: `97140`	—	$24	$34	0.7×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	—	$38	$56	0.7×
Behavioral health living support HCPCS Code: `H2019`	—	$20	$34	0.6×
Behavioral health day program HCPCS Code: `H2012`	—	$42	$100	0.4×
Group therapy session CPT Code: `90853`	—	$40	$100	0.4×
X-ray, neck (cervical spine) CPT Code: `72040`	$323	$28	$93	0.3×
Blood test, hemoglobin CPT Code: `85018`	—	$2	$3	0.7×
X-ray, chest (two views) CPT Code: `71046`	$283	$26	$93	0.3×
Blood antibody screen CPT Code: `86850`	—	$10	$46	0.2×
X-ray, pelvis CPT Code: `72170`	$229	$23	$110	0.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$424	$12	$64	0.2×
X-ray, chest (single view) CPT Code: `71045`	$215	$17	$92	0.2×

Showing top 25 high-impact procedures of 135 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

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

CMS CCN: 243300

CPT 59510

Select Procedure to Audit:

Fair BaseRate™ $2,975

Medicare Rate $2,473

Self-Pay Cash Request Quote

Insurer Median $4,057

1. Amount on Your Bill or Quote ($) Pre-filled with Gillette Childrens Specialty 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 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Gillette Childrens Specialty 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 +$6,762 Above Fair BaseRate

Negotiate Toward $2,975 Fair BaseRate ($2,473 Medicare)

Your bill ($9,737) is $6,762 above the denoised Fair BaseRate ($2,975) and 3.9× the $2,473 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) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Public IRS & CMS ownership records classify Gillette Childrens Specialty Hospital as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

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 Gillette Childrens Specialty Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2026-05-26·administrative_or_closure
Closure Notice
Recorded
2026-04-24·cap_corrective_action
CAP Request
Recorded
2026-01-22·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

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Gillette Childrens Specialty Hospital.

Price Index: 1.00× regional baseline

Quality: 54/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

GEHA

+84.9%

Median Household Income$81,004U.S. Census ACS

Local Uninsured Share5.2%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 243300

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 243300) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage1/1/2026

Validated Rate Rows7,692 (CMS v3.0.0)

File Integrity DigestVerified · CCN 243300

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