How many shoppable procedure prices are published for Rainbow Babies and Childrens Hospital?

Rainbow Babies and Childrens Hospital in Cleveland, OH currently has 125 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Rainbow Babies and Childrens Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Rainbow Babies and Childrens Hospital's median negotiated commercial rate is 1.1× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Children's Hospital Voluntary non-profit - Other 286 Beds · urban Updated: 2026-07-14

Rainbow Babies and Childrens Hospital

11100 Euclid Avenue, Cleveland, OH 44106 · 125 Priced Procedures

CMS Overall Rating No CMS Rating

Above Fair Market · Negotiate

1.06×vs. Fair Market Price

Typical commercial prices here are +6% above the fair benchmark (1.06×) even after accounting for local nurse/doctor wages and patient complexity.

80/100 · Corroborated

80/100Self-Pay Cash Beats Insurance 30% of the Time

File Completeness60

Price Logic90

Peer Alignment69

Clean Billing85

Real Cash Discount100

High-Markup Tier

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

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Rainbow Babies and Childrens Hospital prices shoppable and inpatient services (0.9× to 1.0× Medicare, divergence 1.11×) in alignment with regional hospital peers (1.06× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#69 of 137 in OH · 49th State Percentile#1,554 of 3,385 in U.S. · 45th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.83× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 30% 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 (61.3% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.06× 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 (0.6×) & laboratory (0.9×) services average 1.11× higher multiples than routine shoppable care (0.9×)
Even at low-cost facilities (1.06× 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.
Unnegotiated chargemaster list prices average 10.3× Medicare (24¢ 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 & ER1.11× Divergence

1.0× Medicare

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

Quantile Tail Spread+7% Upper Tail

Q25 0.83× · Q50 0.90× · Q75 0.96×

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

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.7× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.6× 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

30% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 54/100Elevated

Procedure Prices at Rainbow Babies and Childrens Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 125 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Total hip replacement CPT Code: `27130`	—	$12,146	$13,413	0.9×
Total knee replacement CPT Code: `27447`	—	$12,146	$13,523	0.9×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$5,720	$6,109	0.9×
Breast lump removal CPT Code: `19120`	—	$3,704	$3,875	unverified
Inguinal hernia repair CPT Code: `49505`	—	$3,387	$3,629	0.9×
Bunion correction surgery CPT Code: `28296`	—	$3,096	$3,446	0.9×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$3,096	$3,372	unverified
C-section delivery (full package) CPT Code: `59510`	—	$2,419	$2,975	0.8×
Cataract surgery with lens implant CPT Code: `66984`	—	$2,183	$2,540	0.9×
Vaginal delivery (full package) CPT Code: `59400`	—	$2,163	$2,680	0.8×
Trauma team activation HCPCS Code: `G0390`	$4,758	$1,261	$1,453	0.9×
Colonoscopy with biopsy CPT Code: `45380`	$2,640	$1,132	$1,256	0.9×
Hospital observation (per hour) HCPCS Code: `G0378`	$913	$913	$86	10.6×
Colonoscopy (diagnostic) CPT Code: `45378`	$2,603	$880	$981	0.9×
Upper endoscopy with biopsy CPT Code: `43239`	$2,846	$858	$987	0.9×
Sleep study (overnight, in lab) CPT Code: `95810`	$6,071	$812	$1,021	0.8×
Injection procedure for pain management HCPCS Code: `G0260`	—	$668	$855	0.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,899	$517	$583	0.9×
Blood transfusion CPT Code: `36430`	$1,312	$417	$498	0.8×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,447	$340	$448	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,615	$340	$511	0.7×
Rabies immune globulin HCPCS Code: `90375`	$6,990	$275	$322	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,413	$233	$303	0.8×
MRI, lower back (no contrast) CPT Code: `72148`	$2,244	$233	$338	0.7×
MRI, brain (no contrast) CPT Code: `70551`	$2,243	$233	$343	0.7×
MRI, knee or other leg joint CPT Code: `73721`	$2,578	$233	$369	0.6×
Neurobehavioral status check CPT Code: `96116`	$336	$204	$231	0.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,654	$226	$272	0.8×
Psychological testing by technician CPT Code: `96138`	$211	$211	$395	0.5×
Breathing treatment (nebulizer) CPT Code: `94640`	$202	$207	$201	unverified
Psychotherapy session (45 minutes) CPT Code: `90834`	$267	$168	$166	1.0×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$521	$146	$148	1.0×
Family therapy session CPT Code: `90847`	$423	$168	$173	1.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	$329	$168	$181	0.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	$395	$168	$185	0.9×
CT scan, head (with contrast) CPT Code: `70460`	$1,468	$171	$242	0.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,599	$171	$258	0.7×
Office visit, established patient (30-39 min) CPT Code: `99214`	$285	$130	$123	1.1×
Screening mammogram (both breasts) CPT Code: `77067`	$377	$118	$123	1.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	$203	$91	$87	1.0×
New patient office visit (30-44 min) CPT Code: `99203`	$210	$113	$110	1.0×
Psychological testing evaluation CPT Code: `96136`	$305	$126	$128	1.0×
Hepatitis B immune globulin HCPCS Code: `90371`	$517	$140	$151	0.9×
Group therapy session CPT Code: `90853`	$274	$96	$100	1.0×
X-ray, pelvis CPT Code: `72170`	$289	$99	$110	0.9×
X-ray, chest (single view) CPT Code: `71045`	$251	$82	$92	0.9×
X-ray, shoulder CPT Code: `73030`	$395	$82	$92	0.9×
X-ray, foot CPT Code: `73630`	$452	$82	$92	0.9×
X-ray, lower back CPT Code: `72110`	$513	$99	$112	0.9×
X-ray, chest (two views) CPT Code: `71046`	$293	$82	$93	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$343	$82	$93	0.9×
X-ray, hand CPT Code: `73130`	$334	$82	$93	0.9×
X-ray, hip CPT Code: `73502`	$388	$82	$93	0.9×
X-ray, ankle CPT Code: `73610`	$393	$82	$93	0.9×
Care planning with family CPT Code: `90887`	—	$85	$107	0.8×
Ultrasound, abdomen (limited) CPT Code: `76705`	$752	$99	$126	0.8×
Ultrasound, pelvis CPT Code: `76856`	$777	$99	$130	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$799	$99	$132	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,115	$99	$134	0.7×
CT scan, head (no contrast) CPT Code: `70450`	$1,233	$102	$160	0.6×
CT scan, pelvis CPT Code: `72192`	$1,367	$102	$163	0.6×
CT scan, sinuses CPT Code: `70486`	$1,280	$102	$166	0.6×
CT scan, chest (no contrast) CPT Code: `71250`	$1,693	$102	$167	0.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,702	$102	$168	0.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,540	$102	$169	0.6×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$359	$359	$203	1.8×
Typhoid vaccine HCPCS Code: `90675`	$1,465	$315	$347	0.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$201	$201	$111	1.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$116	$116	$56	2.1×
Drug screening test HCPCS Code: `G0480`	—	$114	$116	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	$232	$133	$140	0.9×
Behavioral health living support HCPCS Code: `H2019`	$60	$60	$34	1.8×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$62	$62	$39	1.6×
Blood antibody screen CPT Code: `86850`	$105	$49	$46	1.1×
Speech therapy (language evaluation) CPT Code: `92507`	$325	$73	$86	0.8×
Behavioral health day program HCPCS Code: `H2012`	$77	$77	$100	0.8×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$39	$35	1.1×
Extended office visit (prolonged) HCPCS Code: `G2212`	—	$33	$33	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×
Flu vaccine injection HCPCS Code: `G0008`	$38	$44	$48	0.9×
Pneumonia vaccine injection HCPCS Code: `G0009`	$38	$44	$49	0.9×
Colorectal cancer screening HCPCS Code: `G0010`	$38	$44	$49	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	$70	$33	$37	0.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$305	$56	$64	0.9×
Orthotic fitting and training CPT Code: `97760`	$116	$44	$51	0.9×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$198	$11	$11	1.0×
Blood test, calcium CPT Code: `82310`	$45	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$46	$5	$5	1.0×
Blood test, vitamin D CPT Code: `82306`	$228	$30	$31	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$93	$3	$3	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$200	$14	$14	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$37	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$107	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$178	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$69	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$81	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$57	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$47	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$98	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$69	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$128	$9	$9	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$140	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$185	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$111	$15	$16	0.9×
Hepatitis C antibody test CPT Code: `86803`	$120	$14	$15	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$95	$13	$14	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	$46	$23	$25	0.9×
Culture, blood CPT Code: `87040`	$161	$10	$11	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$122	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$142	$8	$9	0.9×
Speech therapy (group session) CPT Code: `92508`	$130	$23	$27	0.9×
Physical therapy (gait training) CPT Code: `97116`	$122	$28	$33	0.8×
Prosthetic fitting and training CPT Code: `97761`	$91	$38	$45	0.8×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$12	$14	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$139	$32	$38	0.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$188	$33	$40	0.8×
Blood test, amylase CPT Code: `82150`	$156	$6	$7	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$124	$31	$38	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	$122	$31	$38	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$69	$4	$5	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$134	$28	$35	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$135	$27	$34	0.8×
Blood test, hemoglobin CPT Code: `85018`	$35	$2	$3	0.7×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$15	$25	0.6×

Showing top 25 high-impact procedures of 125 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 61.3%

Audit a Bill or Quote at Rainbow Babies and Childrens Hospital (Zero PHI Required)

CMS CCN: 363302

CPT 27130

Select Procedure to Audit:

Fair BaseRate™ $13,413

Medicare Rate $13,117

Self-Pay Cash Request Quote

Insurer Median $12,146

1. Amount on Your Bill or Quote ($) Pre-filled with Rainbow Babies and Childrens 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: $17,866 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $17,866

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (61.3% of gross = $17,866).

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Rainbow Babies and Childrens 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 +$15,737 Above Fair BaseRate

Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)

Your bill ($29,150) is $15,737 above the denoised Fair BaseRate ($13,413) and 2.2× the $13,117 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: 341567805

Filing Period: 198902

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 (61.3% 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 ↑

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

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

Above-Benchmark Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Rainbow Babies and Childrens Hospital.

Price Index: 1.53× regional baseline

Quality: 54/100 CMS composite

Median Household Income$62,823U.S. Census ACS

Local Uninsured Share5.5%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 80/100 · Corroborated CMS CCN 363302 EIN 341567805

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

MRF Portal Indexed (341567805-1518042175_university-hospitals-health-system_standardcharges.csv) Verify on CMS Medicare.gov (CCN 363302) ↗ Verify IRS Form 990 (EIN 341567805) ↗ CMS HCRIS Cost Reports ↗

Published MRF File341567805-1518042175_university-hospitals-health-system_standardcharges.csv

Publication / Vintage2026-07-14 · 3591.02 MB

Validated Rate Rows14,188 (CMS v3.0.0)

File Integrity DigestVerified · CCN 363302

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