How many shoppable procedure prices are published for Arthur G James Cancer Hospital and Research Institute?

Arthur G James Cancer Hospital and Research Institute in Columbus, OH currently has 118 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Arthur G James Cancer Hospital and Research Institute's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Arthur G James Cancer Hospital and Research Institute's median negotiated commercial rate is 2.0× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Hospital (Part A Provider) Updated: 7/1/2026

Arthur G James Cancer Hospital and Research Institute

460 W 10TH AVE, Columbus, OH 43210 · 118 Priced Procedures

CMS Overall Rating No CMS Rating

High Markup · Shop Alternatives

1.96×vs. Fair Market Price

Typical commercial prices here are +96% above the fair benchmark (1.96×) even after accounting for local nurse/doctor wages and patient complexity.

86/100 · Verified

86/100Hover Any Check Below to See How Prices Were Audited

File Completeness90

Price Logic88

Peer Alignment86

Clean Billing83

Real Cash Discount84

High-Markup · Check Safety

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

Behavioral Pricing FingerprintHigh Markup · Shop Alternatives

Regional Peer Pricing Profile

Typical commercial prices here are +96% above the fair benchmark (1.96×) even after accounting for local nurse/doctor wages and patient complexity.

State IndexedNational CMS MRF Cohort

Advantage

Where They're Good (Patient & Payer Edge)

Front-door shoppable procedures average 4.1× Medicare (1.53× at the 25th percentile).
Published self-pay cash discounts beat commercial insurance medians on 26% of audited procedures.
25th-percentile negotiated contracts reach 1.53× Fair BaseRate for high-leverage commercial plans.

Watchout

Where You Can Get Burned (Markup Traps)

Back-door captive departments average 5.1× Medicare (1.25× captive-to-shoppable divergence).
Upper-quartile tail (p75 2.51× vs. p50 1.96×) jumps +28%, exposing median-gaming on complex codes.

Front-Door ShoppableElective / Imaging

4.1× Medicare

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

Back-Door Captive & ER1.25× Divergence

5.2× Medicare

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

Quantile Tail Spread+28% Upper Tail

Q25 1.53× · Q50 1.96× · Q75 2.51×

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.

Open-Box Reverse Engineering: How the Crystal Isolates True Price from Confounders

Chargemaster Gross → (−Chargemaster Air) → CMS Medicare Anchor → (±Regional Wage & Acuity Glare) → (= Fair BaseRate) → Residual (ε)

Layer 01-57% chargemaster air stripped

Chargemaster Gross Sticker Anchor

4.6×

Unregulated hospital list price before insurer contract or 501(r) AGB adjustments

Layer 02OPPS/IPPS federal cost anchor

Federal CMS Medicare Cost Baseline

1.00× Medicare floor

Resource-based federal Medicare fee schedule baseline

Layer 03Regional labor strip

Regional Wage & Income Glare (AWI)

CMS Area Wage Index

Isolates local CMS hospital wage index and county household income baseline

Layer 04System Leverage

Facility Scale, CMI Acuity & HHI Monopoly

Market Index

Adjusts for tertiary trauma capability, bed scale, and regional concentration

Layer 05High Markup · Shop Alternatives

Denoised Fair BaseRate vs. Actual → Residual (ε)

1.96×

Pure hospital pricing signal after orthogonalizing wage, bed scale, and clinical acuity

Federal Confounder & Structural Telemetry (CMS HCRIS · Form 990 · DOJ/FTC HHI)

CMS Wage Index (AWI)

0.92×

County median income $68,400

Case Mix Index (CMI)

1.18 (Community)

CMS DRG severity weight

HCRIS Cost-to-Charge (CCR)

0.16

CMS Form 2552-10 cost ratio

Market Monopoly (HHI)

2,150

Regional Market

Ownership & Tax Status

For-Profit / Public

Independent

501(r) AGB Billing Cap

35.0% of Gross

Max legal charge for eligible uninsured

Procedure Prices at Arthur G James Cancer Hospital and Research Institute

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 118 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Breast lump removal CPT Code: `19120`	—	—	$2,749	unverified
Trauma team activation HCPCS Code: `G0390`	—	—	$1,338	unverified
Colonoscopy with biopsy CPT Code: `45380`	—	—	$1,266	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	—	—	$1,128	unverified
Upper endoscopy with biopsy CPT Code: `43239`	—	—	$1,063	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	—	—	$953	unverified
Injection procedure for pain management HCPCS Code: `G0260`	—	—	$759	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	—	—	$699	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	—	—	$522	—
Blood transfusion CPT Code: `36430`	—	—	$534	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	—	—	$468	—
MRI, knee or other leg joint CPT Code: `73721`	—	—	$372	—
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	—	—	$355	—
MRI, brain (no contrast) CPT Code: `70551`	—	—	$362	—
Behavioral health residential care HCPCS Code: `H0011`	—	—	$379	unverified
MRI, lower back (no contrast) CPT Code: `72148`	—	—	$364	—
Ultrasound, leg veins (duplex) CPT Code: `93970`	—	—	$332	unverified
Rabies immune globulin HCPCS Code: `90375`	—	—	$332	—
Residential mental health treatment HCPCS Code: `H2036`	—	—	$317	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	—	—	$283	unverified
CT scan, head (with contrast) CPT Code: `70460`	—	—	$284	unverified
Psychological testing by technician CPT Code: `96138`	—	—	$296	unverified
Psychotherapy session (60 minutes) CPT Code: `90837`	—	—	$237	—
Neurobehavioral status check CPT Code: `96116`	—	—	$261	unverified
Psychiatric evaluation (first visit) CPT Code: `90791`	—	—	$229	unverified
Psychotherapy session (45 minutes) CPT Code: `90834`	—	—	$204	—
CT scan, chest (no contrast) CPT Code: `71250`	—	—	$150	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	—	—	$152	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	—	—	$157	—
Ultrasound, abdomen (limited) CPT Code: `76705`	—	—	$154	—
CT scan, lower back (lumbar spine) CPT Code: `72131`	—	—	$155	unverified
Breathing treatment (nebulizer) CPT Code: `94640`	—	—	$157	unverified
Ultrasound, pelvis CPT Code: `76856`	—	—	$156	—
Family therapy session CPT Code: `90847`	—	—	$181	unverified
CT scan, head (no contrast) CPT Code: `70450`	—	—	$150	unverified
X-ray, lower back CPT Code: `72110`	—	—	$149	unverified
Diagnostic mammogram (both breasts) CPT Code: `77066`	—	—	$150	—
CT scan, sinuses CPT Code: `70486`	—	—	$152	unverified
Hepatitis B immune globulin HCPCS Code: `90371`	—	—	$174	—
CT scan, pelvis CPT Code: `72192`	—	—	$149	unverified
Ultrasound, thyroid and neck CPT Code: `76536`	—	—	$169	—
Psychological testing evaluation CPT Code: `96136`	—	—	$138	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	—	—	$94	unverified
X-ray, chest (single view) CPT Code: `71045`	—	—	$107	unverified
Screening mammogram (both breasts) CPT Code: `77067`	—	—	$123	—
X-ray, pelvis CPT Code: `72170`	—	—	$131	unverified
Behavioral health assessment HCPCS Code: `H0001`	—	—	$147	unverified
X-ray, hip CPT Code: `73502`	—	—	$110	unverified
X-ray, ankle CPT Code: `73610`	—	—	$111	unverified
X-ray, foot CPT Code: `73630`	—	—	$113	unverified
X-ray, chest (two views) CPT Code: `71046`	—	—	$111	unverified
Speech therapy (language evaluation) CPT Code: `92507`	—	—	$93	unverified
Group therapy session CPT Code: `90853`	—	—	$114	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	—	—	$126	—
New patient office visit (30-44 min) CPT Code: `99203`	—	—	$111	—
X-ray, shoulder CPT Code: `73030`	—	—	$114	unverified
X-ray, neck (cervical spine) CPT Code: `72040`	—	—	$110	unverified
X-ray, hand CPT Code: `73130`	—	—	$111	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	—	—	$87	—
Typhoid vaccine HCPCS Code: `90675`	—	—	$351	—
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	—	$123	—
Drug screening test HCPCS Code: `G0480`	—	—	$127	unverified
Pneumococcal vaccine HCPCS Code: `90732`	—	—	$140	—
Occupational therapy (self-care training) CPT Code: `97535`	—	—	$59	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	—	—	$70	unverified
Orthotic fitting and training CPT Code: `97760`	—	—	$69	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	—	—	$33	unverified
Physical therapy (therapeutic exercise) CPT Code: `97110`	—	—	$52	unverified
Blood test, vitamin D CPT Code: `82306`	—	—	$52	unverified
Pneumonia vaccine injection HCPCS Code: `G0009`	—	—	$50	unverified
Physical therapy (functional capacity test) CPT Code: `97750`	—	—	$56	unverified
Diagnostic procedure preparation HCPCS Code: `G0279`	—	—	$42	—
Blood test, liver function panel CPT Code: `80076`	—	—	$16	unverified
Behavioral health living support HCPCS Code: `H2019`	—	—	$38	—
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	—	$43	—
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	—	—	$47	—
Prosthetic fitting and training CPT Code: `97761`	—	—	$66	unverified
Blood test, calcium CPT Code: `82310`	—	—	$9	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	—	—	$5	unverified
Culture, blood CPT Code: `87040`	—	—	$19	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	—	—	$17	unverified
Blood test, amylase CPT Code: `82150`	—	—	$12	unverified
Hepatitis B vaccine HCPCS Code: `90744`	—	—	$33	—
Blood test, glucose (blood sugar) CPT Code: `82947`	—	—	$7	unverified
Hepatitis C antibody test CPT Code: `86803`	—	—	$27	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	—	—	$31	unverified
Blood test, hemoglobin CPT Code: `85018`	—	—	$4	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	—	—	$11	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	—	—	$8	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	—	—	$21	unverified
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	—	—	—
Blood test, cholesterol (lipid panel) CPT Code: `80061`	—	—	$25	unverified
Speech therapy (group session) CPT Code: `92508`	—	—	$37	unverified
Physical therapy (gait training) CPT Code: `97116`	—	—	$49	unverified
Colorectal cancer screening HCPCS Code: `G0010`	—	—	$53	unverified
Physical therapy (neuromuscular re-education) CPT Code: `97112`	—	—	$59	unverified
Physical therapy (manual therapy) CPT Code: `97140`	—	—	$52	unverified
Flu vaccine injection HCPCS Code: `G0008`	—	—	$43	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	—	—	$65	unverified
Culture, bacterial CPT Code: `87070`	—	—	$15	unverified
Blood test, potassium CPT Code: `84132`	—	—	$8	unverified
Blood test, vitamin B12 CPT Code: `82607`	—	—	$29	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	—	—	$9	unverified
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	—	$33	unverified
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	—	—	—
Blood test, basic metabolic panel CPT Code: `80048`	—	—	$17	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	—	—	$26	unverified
Flu vaccine (high dose) HCPCS Code: `90656`	—	—	$21	—
Blood antibody screen CPT Code: `86850`	—	—	$46	unverified
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	—	—	—
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	—	—	—
Blood test, sodium CPT Code: `84295`	—	—	$8	unverified
Blood test, lipase CPT Code: `83690`	—	—	$14	unverified
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	—	—	—
Blood test, magnesium CPT Code: `83735`	—	—	$13	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	—	—	$7	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	—	—	$17	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	—	—	$13	unverified

Showing top 25 high-impact procedures of 118 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 36.3%

Audit a Bill or Quote at Arthur G James Cancer Hospital and Research Institute (Zero PHI Required)

CMS CCN: 360242

CPT 19120

Select Procedure to Audit:

Fair BaseRate™ $2,749

Medicare Rate $1,594

Self-Pay Cash Request Quote

Insurer Median $3,161

1. Amount on Your Bill or Quote ($) Pre-filled with Arthur G James Cancer Hospital and Research Institute’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: $2,754 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $2,754

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $2,754).

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Arthur G James Cancer Hospital and Research Institute'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 +$4,837 Above Fair BaseRate

Negotiate Toward $2,749 Fair BaseRate ($1,594 Medicare)

Your bill ($7,586) is $4,837 above the denoised Fair BaseRate ($2,749) and 4.8× the $1,594 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.

45 CFR § 180 Primary-Source Lineage & Federal Verification Verified CMS CCN 360242

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

MRF Portal Indexed (31-1322863_JAMES-CANCER-HOSPITAL_standardcharges.csv.zip!31-1322863_JAMES-CANCER-HOSPITAL_standardcharges.csv) Verify on CMS Medicare.gov (CCN 360242) ↗ CMS HCRIS Cost Reports ↗

Published MRF File31-1322863_JAMES-CANCER-HOSPITAL_standardcharges.csv.zip!31-1322863_JAMES-CANCER-HOSPITAL_standardcharges.csv

Publication / Vintage7/1/2026 · 181.82 MB

Validated Rate Rows13,522,297 (CMS v3.0.0)

File Integrity Digestf17d6b93defd1d90c858…

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