How many shoppable procedure prices are published for The Children's Mercy Hospital?

The Children's Mercy Hospital in Kansas City, MO currently has 114 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do The Children's Mercy Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, The Children's Mercy Hospital's median negotiated commercial rate is 0.8× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Children's Hospital Voluntary non-profit - Private 329 Beds · urban Updated: 4/1/2026

The Children's Mercy Hospital

2401 Gillham Road, Kansas City, MO 64108 · 114 Priced Procedures

CMS Overall Rating No CMS Rating

Good Deal · Below Fair Market

0.76×vs. Fair Market Price

Typical commercial prices here are 24% below the fair benchmark (0.76×) after accounting for local nurse/doctor wages and patient complexity.

77/100 · Corroborated

77/100Self-Pay Cash Beats Insurance 67% of the Time

File Completeness85

Price Logic59

Peer Alignment60

Clean Billing88

Real Cash Discount100

Regional Value Leader

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

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

The Children's Mercy Hospital prices routine shoppable procedures near 0.9× Medicare (p50 0.55×) while skewing captive emergency, lab, and upper-quartile codes to 1.9× Medicare (p75 1.35×, +145% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#3 of 79 in MO · 2nd State Percentile#204 of 3,385 in U.S. · 5th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 24% below peer Fair BaseRate (0.76×)
Self-pay cash beats commercial insurance on 67% 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 (48.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.76× 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 (0.7×) & laboratory (0.9×) services average 2.11× higher multiples than routine shoppable care (0.9×)
Upper-quartile procedures (Q75 1.35×) jump +145% above the median procedure ratio (Q50 0.55×)
Unnegotiated chargemaster list prices average 6.7× Medicare (23¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

0.9× Medicare

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

Back-Door Captive & ER2.11× Divergence

1.9× Medicare

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

Quantile Tail Spread+145% Upper Tail

Q25 0.37× · Q50 0.55× · Q75 1.35×

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

0.9× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.7× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.9× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.7× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

0.9× MedicareGood

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

0.5× MedicareGood

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

67% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 54/100Elevated

Procedure Prices at The Children's Mercy 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
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$15,120	$30,775	0.5×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$9,797	$17,936	0.5×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$9,158	$19,432	0.5×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$8,760	$19,087	0.5×
Trauma team activation HCPCS Code: `G0390`	$5,204	$5,204	$1,453	3.6×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$3,902	$8,223	0.5×
C-section delivery (full package) CPT Code: `59510`	$3,770	$3,339	$2,975	1.1×
Total knee replacement CPT Code: `27447`	$1,886	$2,533	$13,523	0.2×
Total hip replacement CPT Code: `27130`	$1,829	$2,346	$13,413	0.2×
Cataract surgery with lens implant CPT Code: `66984`	$813	$1,149	$2,540	0.5×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$945	$1,116	$6,109	0.2×
Bunion correction surgery CPT Code: `28296`	$988	$1,063	$3,446	0.3×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$776	$1,019	$3,372	0.3×
Blood transfusion CPT Code: `36430`	$521	$947	$498	1.9×
Inguinal hernia repair CPT Code: `49505`	$937	$787	$3,629	0.2×
Breast lump removal CPT Code: `19120`	$894	$688	$3,875	0.2×
Rabies immune globulin HCPCS Code: `90375`	$1,710	$478	$322	1.5×
Colonoscopy with biopsy CPT Code: `45380`	$463	$473	$1,256	0.4×
Upper endoscopy with biopsy CPT Code: `43239`	$906	$334	$987	0.3×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,462	$311	$1,021	0.3×
Hepatitis B immune globulin HCPCS Code: `90371`	$406	$228	$151	1.5×
Psychiatric evaluation (first visit) CPT Code: `90791`	$214	$244	$185	1.3×
Colonoscopy (diagnostic) CPT Code: `45378`	$392	$247	$981	0.3×
Speech therapy (language evaluation) CPT Code: `92507`	$216	$177	$86	2.1×
Family therapy session CPT Code: `90847`	$141	$194	$173	1.1×
Psychotherapy session (60 minutes) CPT Code: `90837`	$184	$201	$181	1.1×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,050	$207	$511	0.4×
Neurobehavioral status check CPT Code: `96116`	$118	$161	$231	0.7×
Orthotic fitting and training CPT Code: `97760`	$105	$125	$51	2.5×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$348	$133	$64	2.1×
X-ray, hand CPT Code: `73130`	$152	$152	$93	1.6×
X-ray, ankle CPT Code: `73610`	$151	$151	$93	1.6×
Hospital observation (per hour) HCPCS Code: `G0378`	$134	$134	$86	1.6×
X-ray, foot CPT Code: `73630`	$140	$140	$92	1.5×
New patient office visit (30-44 min) CPT Code: `99203`	$115	$140	$110	1.3×
Office visit, established patient (30-39 min) CPT Code: `99214`	$144	$139	$123	1.1×
Psychotherapy session (45 minutes) CPT Code: `90834`	$125	$137	$166	0.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,026	$144	$303	0.5×
X-ray, pelvis CPT Code: `72170`	$105	$105	$110	1.0×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,128	$112	$258	0.4×
MRI, lower back (no contrast) CPT Code: `72148`	$771	$130	$338	0.4×
MRI, brain (no contrast) CPT Code: `70551`	$630	$130	$343	0.4×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,156	$151	$448	0.3×
Prosthetic fitting and training CPT Code: `97761`	$90	$96	$45	2.1×
X-ray, chest (single view) CPT Code: `71045`	$96	$96	$92	1.0×
CT scan, chest (no contrast) CPT Code: `71250`	$821	$99	$167	0.6×
CT scan, pelvis CPT Code: `72192`	$816	$96	$163	0.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$988	$98	$169	0.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$980	$93	$168	0.6×
CT scan, sinuses CPT Code: `70486`	$871	$80	$166	0.5×
CT scan, head (with contrast) CPT Code: `70460`	$942	$99	$242	0.4×
MRI, knee or other leg joint CPT Code: `73721`	$704	$118	$369	0.3×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,132	$120	$583	0.2×
Office visit, established patient (20-29 min) CPT Code: `99213`	$109	$88	$87	1.0×
Care planning with family CPT Code: `90887`	$104	$104	$107	unverified
Breathing treatment (nebulizer) CPT Code: `94640`	$87	$87	$201	unverified
Blood test, vitamin D CPT Code: `82306`	$149	$149	$31	4.8×
Blood antibody screen CPT Code: `86850`	$99	$118	$46	unverified
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$75	$75	$14	5.4×
Blood test, PSA (prostate screen) CPT Code: `84153`	$78	$78	$19	4.1×
Ultrasound, abdomen (complete) CPT Code: `76700`	$438	$72	$134	0.5×
Ultrasound, pelvis CPT Code: `76856`	$404	$61	$130	0.5×
CT scan, head (no contrast) CPT Code: `70450`	$657	$75	$160	0.5×
Blood test, ferritin (iron stores) CPT Code: `82728`	$77	$77	$14	unverified
Blood test, calcium CPT Code: `82310`	$29	$29	$5	5.8×
Blood test, creatinine (kidney) CPT Code: `82565`	$29	$29	$5	5.8×
Blood test, amylase CPT Code: `82150`	$39	$39	$7	5.6×
Speech therapy (group session) CPT Code: `92508`	$68	$56	$27	2.1×
Occupational therapy (self-care training) CPT Code: `97535`	$72	$75	$38	2.0×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$59	$47	$35	1.3×
Physical therapy (functional capacity test) CPT Code: `97750`	$67	$50	$38	1.3×
Physical therapy (manual therapy) CPT Code: `97140`	$54	$44	$34	1.3×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$67	$49	$38	1.3×
Physical therapy (gait training) CPT Code: `97116`	$59	$41	$33	1.2×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$74	$49	$40	1.2×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$58	$58	$111	0.5×
Psychological testing evaluation CPT Code: `96136`	$50	$55	$128	0.4×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$830	$64	$272	0.2×
Psychological testing by technician CPT Code: `96138`	$50	$64	$395	0.2×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$27	$31	$25	1.2×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$56	$56	$10	unverified
Blood test, potassium CPT Code: `84132`	$27	$27	$5	5.4×
Blood test, sodium CPT Code: `84295`	$27	$27	$5	5.4×
Blood test, liver function panel CPT Code: `80076`	$46	$46	$9	5.1×
Hepatitis C antibody test CPT Code: `86803`	$52	$52	$15	3.5×
Group therapy session CPT Code: `90853`	$71	$50	$100	0.5×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$24	$24	$5	4.8×
Culture, bacterial CPT Code: `87070`	$50	$21	$9	2.3×
Blood test, thyroid (TSH) CPT Code: `84443`	$63	$41	$18	2.3×
Ultrasound, abdomen (limited) CPT Code: `76705`	$332	$52	$126	0.4×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$60	$25	$11	2.3×
Ultrasound, thyroid and neck CPT Code: `76536`	$459	$49	$132	0.4×
Blood test, lipase CPT Code: `83690`	$39	$39	$7	unverified
Blood test, magnesium CPT Code: `83735`	$38	$38	$7	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$22	$10	$4	2.5×
Blood test, clotting time (PTT) CPT Code: `85730`	$34	$15	$6	2.5×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$18	$7	$3	2.3×
Culture, blood CPT Code: `87040`	$60	$25	$11	2.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$22	$9	$4	2.3×
Blood test, basic metabolic panel CPT Code: `80048`	$48	$20	$9	2.2×
Blood test, hemoglobin CPT Code: `85018`	$13	$6	$3	2.0×
Blood test, vitamin B12 CPT Code: `82607`	$24	$24	$16	1.5×
Hepatitis B vaccine HCPCS Code: `90744`	$14	$14	$37	0.4×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$13	$13	$39	0.3×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$14	$14	$56	0.3×
X-ray, lower back CPT Code: `72110`	$205	$27	$112	0.2×
X-ray, chest (two views) CPT Code: `71046`	$124	$19	$93	0.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$153	$19	$93	0.2×
X-ray, hip CPT Code: `73502`	$190	$19	$93	0.2×
X-ray, shoulder CPT Code: `73030`	$138	$16	$92	0.2×
Pneumococcal vaccine HCPCS Code: `90732`	$17	$17	$140	0.1×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$13	$13	$203	0.1×
Typhoid vaccine HCPCS Code: `90675`	$21	$21	$347	0.1×
Blood test, complete blood count (CBC) CPT Code: `85025`	$44	$19	$8	unverified

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 48.0%

Audit a Bill or Quote at The Children's Mercy Hospital (Zero PHI Required)

CMS CCN: 263302

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $15,120

1. Amount on Your Bill or Quote ($) Pre-filled with The Children's Mercy 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: $17,418 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $17,418

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (48.0% of gross = $17,418).

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask The Children's Mercy 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 +$5,513 Above Fair BaseRate

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

Your bill ($36,288) is $5,513 above the denoised Fair BaseRate ($30,775) and 1.5× 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)

EIN: 440605373

Filing Period: 195602

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 (48.0% 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.

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 The Children's Mercy Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2026-04-15·warning_notice
Warning Notice
Recorded
2025-04-03·administrative_or_closure
Closure Notice
Recorded
2025-03-25·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 The Children's Mercy Hospital.

Price Index: 0.67× regional baseline

Quality: 54/100 CMS composite

Median Household Income$67,178U.S. Census ACS

Local Uninsured Share11.3%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 263302 EIN 440605373

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 263302) ↗ Verify IRS Form 990 (EIN 440605373) ↗ CMS HCRIS Cost Reports ↗

Published MRF File440552485_mercy-hospital-springfield_standardcharges.zip!440552485_mercy-hospital-springfield_standardcharges.csv

Publication / Vintage4/1/2026 · 226.85 MB

Validated Rate Rows9,180 (CMS v3.0.0)

File Integrity Digest96744c8f2b575e08c23c…

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

The Children's Mercy Hospital

Loss-Leader / Captive Ancillary Cross-Subsidizer

Where They're Good (Patient & Payer Edge)

Where You Can Get Burned (Markup Traps)

REA Pricing Decompiler · 5-Layer Cost-to-Charge Reverse Engineering

Insurer Bargaining Power & Cash-Vulnerability Matrix

Procedure Prices at The Children's Mercy Hospital

Audit a Bill or Quote at The Children's Mercy Hospital (Zero PHI Required)

Statutory 501(r) AGB Cap Limits Bill to $17,418

Compare Prompt-Pay Cash Rate Against Remaining Deductible

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

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

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Price Transparency Administrative Enforcement Log

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

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