Akron Children's Hospital
1 Perkins Square, Akron, OH 44308 · 121 Priced Procedures
Typical commercial prices here are 3% below the fair benchmark (0.97×) after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Loss-Leader / Captive Ancillary Cross-Subsidizer
Akron Children's Hospital prices routine shoppable procedures near 0.9× Medicare (p50 0.93×) while skewing captive emergency, lab, and upper-quartile codes to 1.7× Medicare (p75 1.14×, +23% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 3% below peer Fair BaseRate (0.97×)
- Self-pay cash beats commercial insurance on 57% 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 (50.1% AGB cap)
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (0.97× 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 (1.3×) & laboratory (2.1×) services average 1.89× higher multiples than routine shoppable care (0.9×)
- Upper-quartile procedures (Q75 1.14×) jump +23% above the median procedure ratio (Q50 0.93×)
- Consolidated metro market (HHI 2,942) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
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 Akron 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 121 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Total knee replacement CPT Code: 27447 | — | — |
| C-section delivery (full package) CPT Code: 59510 | $3,667 | unverified |
| Vaginal delivery (full package) CPT Code: 59400 | $2,898 | unverified |
| Total hip replacement CPT Code: 27130 | $2,760 | 0.2× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $950 | 0.2× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $852 | 0.8× |
| Bunion correction surgery CPT Code: 28296 | $863 | 0.3× |
| Cataract surgery with lens implant CPT Code: 66984 | $756 | 0.3× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $775 | 0.2× |
| Injection procedure for pain management HCPCS Code: G0260 | $440 | 0.5× |
| Inguinal hernia repair CPT Code: 49505 | $397 | 0.1× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $348 | 0.4× |
| Upper endoscopy with biopsy CPT Code: 43239 | $337 | 0.3× |
| MRI, brain (no contrast) CPT Code: 70551 | $290 | 0.8× |
| MRI, knee or other leg joint CPT Code: 73721 | $300 | 0.8× |
| Breast lump removal CPT Code: 19120 | $311 | 0.1× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $252 | 1.0× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $266 | 0.9× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $271 | 0.5× |
| Speech therapy (group session) CPT Code: 92508 | $237 | 8.8× |
| Behavioral health assessment HCPCS Code: H0001 | $240 | 1.5× |
| Colonoscopy with biopsy CPT Code: 45380 | $250 | 0.2× |
| CT scan, sinuses CPT Code: 70486 | $190 | 1.1× |
| Psychiatric evaluation (first visit) CPT Code: 90791 | $210 | 1.1× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $215 | 0.8× |
Audit a Bill or Quote at Akron Children's Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $1
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (50.1% of gross = $1).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Akron 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.
Negotiate Toward $13,523 Fair BaseRate ($13,117 Medicare)
Your entered amount is at or below the modeled Fair BaseRate benchmark ($13,523).
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (50.1% 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.
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 Akron Children's Hospital. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-03-26·administrative_or_closure
Met Requirements
Recorded
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
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 Akron Children's Hospital.
Notable Payer Contract Outliers (SVD Matrix Anomalies)
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.