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

Nationwide Children's Hospital in Columbus, OH currently has 137 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Nationwide Children's Hospital's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Children's Hospital Voluntary non-profit - Private 701 Beds · urban Updated: 2026-04-01

Nationwide Children's Hospital

700 Children's Drive, Columbus, OH 43205 · 137 Priced Procedures

CMS Overall Rating No CMS Rating

Near Fair BaseRate Benchmark

0.99×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (0.99×) after accounting for local nurse/doctor wages and patient complexity.

66/100 · Caution

66/100Self-Pay Cash Beats Insurance 48% of the Time

File Completeness85

Price Logic63

Peer Alignment61

Clean Billing72

Real Cash Discount44

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

Nationwide Children's Hospital prices routine shoppable procedures near 1.2× Medicare (p50 0.99×) while skewing captive emergency, lab, and upper-quartile codes to 1.8× Medicare (p75 1.46×, +47% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#48 of 137 in OH · 34th State Percentile#1,247 of 3,385 in U.S. · 36th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.56× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 48% of shoppable procedures (44/100 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 (73.3% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.99× 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 (1.7×) & laboratory (0.5×) services average 1.50× higher multiples than routine shoppable care (1.2×)
Upper-quartile procedures (Q75 1.46×) jump +47% above the median procedure ratio (Q50 0.99×)
Unnegotiated chargemaster list prices average 6.8× Medicare (30¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.2× Medicare

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

Back-Door Captive & ER1.50× Divergence

1.8× Medicare

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

Quantile Tail Spread+47% Upper Tail

Q25 0.56× · Q50 0.99× · Q75 1.46×

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

1.2× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.7× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.3× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.7× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

0.5× MedicareGood

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

1.4× MedicareGood

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

48% Cash Edge · 44/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 54/100Elevated

Procedure Prices at Nationwide 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 137 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Trauma team activation HCPCS Code: `G0390`	$8,217	$8,217	$1,453	unverified
C-section delivery (full package) CPT Code: `59510`	$12,165	$5,729	$2,975	1.9×
Vaginal delivery (full package) CPT Code: `59400`	$10,933	$5,058	$2,680	1.9×
Total knee replacement CPT Code: `27447`	$5,809	$4,313	$13,523	0.3×
Total hip replacement CPT Code: `27130`	$5,817	$4,017	$13,413	0.3×
Rabies immune globulin HCPCS Code: `90375`	$3,017	$3,017	$322	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	$3,012	$1,991	$6,109	0.3×
Cataract surgery with lens implant CPT Code: `66984`	$2,379	$1,892	$2,540	0.7×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$2,462	$1,747	$3,372	0.5×
Inguinal hernia repair CPT Code: `49505`	$2,388	$1,549	$3,629	0.4×
Bunion correction surgery CPT Code: `28296`	$2,336	$1,485	$3,446	0.4×
Breast lump removal CPT Code: `19120`	$2,574	$1,087	$3,875	0.3×
Colonoscopy with biopsy CPT Code: `45380`	$896	$727	$1,256	0.6×
Hepatitis B immune globulin HCPCS Code: `90371`	$695	$695	$151	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	$824	$600	$981	0.6×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,421	$535	$448	1.2×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,483	$535	$511	1.0×
Injection procedure for pain management HCPCS Code: `G0260`	—	$486	$855	0.6×
Upper endoscopy with biopsy CPT Code: `43239`	$615	$499	$987	0.5×
Sleep study (overnight, in lab) CPT Code: `95810`	$9,090	$499	$1,021	0.5×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,133	$366	$303	1.2×
MRI, lower back (no contrast) CPT Code: `72148`	$2,430	$366	$338	1.1×
MRI, brain (no contrast) CPT Code: `70551`	$2,286	$366	$343	1.1×
MRI, knee or other leg joint CPT Code: `73721`	$2,367	$366	$369	1.0×
Mental health services (assessment) HCPCS Code: `H0031`	—	$266	$140	1.9×
Behavioral health assessment HCPCS Code: `H0001`	—	$266	$157	1.7×
Psychiatric evaluation (first visit) CPT Code: `90791`	$378	$266	$185	1.4×
Neurobehavioral status check CPT Code: `96116`	$450	$259	$231	1.1×
CT scan, head (with contrast) CPT Code: `70460`	$1,251	$269	$242	1.1×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,557	$269	$258	1.0×
Hospital observation (per hour) HCPCS Code: `G0378`	$216	$231	$86	2.7×
Care planning with family CPT Code: `90887`	$293	$214	$107	2.0×
Family therapy session CPT Code: `90847`	$279	$214	$173	1.2×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$3,645	$234	$583	0.4×
Behavioral health counseling (per session) HCPCS Code: `H0008`	—	$199	$257	0.8×
Behavioral health counseling (group) HCPCS Code: `H0009`	—	$199	$269	0.7×
Behavioral health day treatment HCPCS Code: `H0010`	—	$199	$343	0.6×
Behavioral health residential care HCPCS Code: `H0011`	—	$199	$364	0.5×
Ultrasound, pelvis CPT Code: `76856`	$756	$160	$130	1.2×
Ultrasound, abdomen (complete) CPT Code: `76700`	$774	$160	$134	1.2×
Ultrasound, abdomen (limited) CPT Code: `76705`	$504	$150	$126	1.2×
Ultrasound, thyroid and neck CPT Code: `76536`	$486	$150	$132	1.1×
CT scan, chest (no contrast) CPT Code: `71250`	$1,296	$170	$167	1.0×
CT scan, sinuses CPT Code: `70486`	$1,035	$168	$166	1.0×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,296	$170	$168	1.0×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,296	$170	$169	1.0×
CT scan, head (no contrast) CPT Code: `70450`	$1,035	$160	$160	1.0×
CT scan, pelvis CPT Code: `72192`	$1,296	$161	$163	1.0×
Psychotherapy session (45 minutes) CPT Code: `90834`	$333	$160	$166	1.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	$459	$160	$181	0.9×
Residential substance abuse treatment HCPCS Code: `H2035`	—	$128	$88	1.5×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$84	$93	$40	2.3×
Orthotic fitting and training CPT Code: `97760`	$84	$93	$51	1.8×
Speech therapy (language evaluation) CPT Code: `92507`	$243	$109	$86	1.3×
Office visit, established patient (20-29 min) CPT Code: `99213`	$244	$106	$87	1.2×
Group therapy session CPT Code: `90853`	$114	$103	$100	1.0×
New patient office visit (30-44 min) CPT Code: `99203`	$266	$106	$110	1.0×
Behavioral health day program HCPCS Code: `H2012`	—	$88	$100	0.9×
Office visit, established patient (30-39 min) CPT Code: `99214`	$244	$106	$123	0.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,908	$104	$272	0.4×
Residential mental health treatment HCPCS Code: `H2036`	—	$116	$406	0.3×
Psychological testing by technician CPT Code: `96138`	$147	$109	$395	0.3×
Blood transfusion CPT Code: `36430`	$558	$114	$498	0.2×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$80	$35	2.3×
X-ray, lower back CPT Code: `72110`	$432	$87	$112	0.8×
Screening mammogram (both breasts) CPT Code: `77067`	—	$80	$123	0.7×
Diagnostic mammogram (both breasts) CPT Code: `77066`	—	$80	$148	0.5×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$84	$82	$35	unverified
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$84	$92	$38	unverified
Physical therapy (functional capacity test) CPT Code: `97750`	$162	$95	$38	unverified
Prosthetic fitting and training CPT Code: `97761`	$103	$115	$45	unverified
Extended office visit (prolonged) HCPCS Code: `G2212`	$113	$91	$33	unverified
Typhoid vaccine HCPCS Code: `90675`	$1,407	$1,407	$347	unverified
Drug screening test HCPCS Code: `G0480`	$351	$351	$116	3.0×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$368	$368	$203	1.8×
Pneumococcal vaccine HCPCS Code: `90732`	$353	$353	$140	unverified
Blood test, liver function panel CPT Code: `80076`	$256	$256	$9	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$191	$191	$14	13.6×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$214	$214	$111	1.9×
Culture, bacterial CPT Code: `87070`	$125	$125	$9	13.9×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$146	$146	$11	13.3×
Blood test, basic metabolic panel CPT Code: `80048`	$110	$110	$9	12.2×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$134	$134	$14	9.6×
Hepatitis C antibody test CPT Code: `86803`	$130	$130	$15	8.7×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$70	$70	$5	14.0×
Blood test, lipase CPT Code: `83690`	$75	$75	$7	10.7×
Blood test, magnesium CPT Code: `83735`	$73	$73	$7	10.4×
Blood test, amylase CPT Code: `82150`	$72	$72	$7	10.3×
Blood test, vitamin B12 CPT Code: `82607`	$65	$65	$16	4.1×
Community mental health services HCPCS Code: `H0038`	—	$62	$16	3.9×
Speech therapy (group session) CPT Code: `92508`	$243	$68	$27	2.5×
Physical therapy (manual therapy) CPT Code: `97140`	$84	$75	$34	2.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$360	$76	$93	0.8×
X-ray, hip CPT Code: `73502`	$360	$76	$93	0.8×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$48	$14	3.4×
Mental health services (therapy) HCPCS Code: `H0032`	—	$64	$65	1.0×
X-ray, chest (two views) CPT Code: `71046`	$423	$73	$93	0.8×
X-ray, shoulder CPT Code: `73030`	$270	$64	$92	0.7×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$36	$36	$3	12.0×
Culture, blood CPT Code: `87040`	$114	$26	$11	2.4×
Blood test, thyroid (TSH) CPT Code: `84443`	$69	$34	$18	1.9×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	$35	$20	1.8×
Occupational therapy (self-care training) CPT Code: `97535`	$84	$60	$38	1.6×
X-ray, chest (single view) CPT Code: `71045`	$387	$59	$92	0.6×
X-ray, hand CPT Code: `73130`	$243	$59	$93	0.6×
X-ray, ankle CPT Code: `73610`	$243	$59	$93	0.6×
X-ray, pelvis CPT Code: `72170`	$243	$59	$110	0.5×
Behavioral health outpatient services HCPCS Code: `H2015`	—	$30	$16	1.9×
Physical therapy (gait training) CPT Code: `97116`	$84	$50	$33	1.5×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$91	$18	$10	1.8×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$252	$36	$25	1.4×
Behavioral health living support HCPCS Code: `H2019`	$42	$42	$34	1.2×
Blood test, PSA (prostate screen) CPT Code: `84153`	$20	$20	$19	1.1×
Blood test, vitamin D CPT Code: `82306`	$136	$32	$31	1.0×
Blood antibody screen CPT Code: `86850`	$181	$43	$46	0.9×
X-ray, foot CPT Code: `73630`	$243	$57	$92	0.6×
Review of medical records for care CPT Code: `90889`	—	$64	$114	0.6×
Psychological testing evaluation CPT Code: `96136`	$199	$71	$128	0.6×
Blood test, creatinine (kidney) CPT Code: `82565`	$31	$31	$5	6.2×
Blood test, calcium CPT Code: `82310`	$51	$51	$5	unverified
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$23	$27	0.9×
Flu vaccine injection HCPCS Code: `G0008`	—	$26	$48	0.5×
Pneumonia vaccine injection HCPCS Code: `G0009`	—	$26	$49	0.5×
Colorectal cancer screening HCPCS Code: `G0010`	—	$26	$49	0.5×
Breathing treatment (nebulizer) CPT Code: `94640`	$86	$44	$201	0.2×
Blood test, glucose (blood sugar) CPT Code: `82947`	$43	$43	$4	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$85	$15	$6	2.5×
Blood test, complete blood count (CBC) CPT Code: `85025`	$43	$13	$8	1.6×
Flu vaccine (high dose) HCPCS Code: `90656`	$36	$15	$25	0.6×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$252	$36	$64	0.6×
Hepatitis B vaccine HCPCS Code: `90744`	$85	$15	$37	0.4×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$70	$15	$39	0.4×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$129	$15	$56	0.3×
Blood test, potassium CPT Code: `84132`	$35	$35	$5	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$51	$51	$4	unverified
Blood test, sodium CPT Code: `84295`	$18	$18	$5	unverified
Blood test, hemoglobin CPT Code: `85018`	$27	$27	$3	unverified

Showing top 25 high-impact procedures of 137 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 73.3%

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

CMS CCN: 363305

CPT G0390

Select Procedure to Audit:

Fair BaseRate™ $1,453

Medicare Rate $1,362

Self-Pay Cash $8,217

Insurer Median $8,217

1. Amount on Your Bill or Quote ($) Pre-filled with Nationwide Children's 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: $6,689 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $6,689

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (73.3% of gross = $6,689).

Step 2 · Cash vs. Insurance Arbitrage Save $913 Paying Cash

Self-Pay Cash Rate ($8,217) Beats Your Bill

Nationwide Children's Hospital's published 45 CFR § 180 self-pay cash rate is $8,217 (vs. $8,217 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$7,677 Above Fair BaseRate

Negotiate Toward $1,453 Fair BaseRate ($1,362 Medicare)

Your bill ($9,130) is $7,677 above the denoised Fair BaseRate ($1,453) and 6.7× the $1,362 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)

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 (73.3% 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 Nationwide Children's Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-04-16·administrative_or_closure
Met Requirements
Recorded
2023-10-06·administrative_or_closure
Closure Notice
Recorded
2023-03-01·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 Nationwide Children's Hospital.

Price Index: 0.77× regional baseline

Quality: 54/100 CMS composite

Median Household Income$73,795U.S. Census ACS

Local Uninsured Share8.4%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 66/100 · Caution CMS CCN 363305

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 363305) ↗ CMS HCRIS Cost Reports ↗

Published MRF Filenationwidechildrens

Publication / Vintage2026-04-01 · 194.50 MB

Validated Rate Rows4,574 (CMS v3.0.0)

File Integrity Digeste6d64cc16085365663ba…

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