How many shoppable procedure prices are published for Shriners Hospitals for Children?

Shriners Hospitals for Children in Greenville, SC currently has 77 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Shriners Hospitals for Children's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Shriners Hospitals for Children's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Children's Hospital Voluntary non-profit - Private Updated: 3/18/2026

Shriners Hospitals for Children

950 West Faris Road, Greenville, SC 29605 · 77 Priced Procedures

CMS Overall Rating No CMS Rating

Good Deal · Below Fair Market

0.91×vs. Fair Market Price

Typical commercial prices here are 9% below the fair benchmark (0.91×) after accounting for local nurse/doctor wages and patient complexity.

68/100 · Caution

68/100Self-Pay Cash Beats Insurance 1% of the Time

File Completeness60

Price Logic99

Peer Alignment79

Clean Billing82

Real Cash Discount6

Regional Value Leader

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

Behavioral Pricing FingerprintLow Shoppable & Low Captive

Uniform Value Leader

Shriners Hospitals for Children maintains disciplined commercial pricing across both elective shoppable care (1.3× Medicare) and captive emergency/ancillary departments (1.3× Medicare). Patients and health plans benefit from predictable, below-benchmark rates (0.91× Fair BaseRate) without hidden ancillary cross-subsidization.

#12 of 52 in SC · 21st State Percentile#742 of 3,385 in U.S. · 21st National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 9% below peer Fair BaseRate (0.91×)
Self-pay cash beats commercial insurance on 1% of shoppable procedures (25/100 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 (18.5% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 2.1× markup over Medicare rates
Commercial insurance median sits at 1.02× Fair BaseRate (1.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.23×) jump +21% above the median procedure ratio (Q50 1.02×)
Consolidated metro market (HHI 3,779) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.3× Medicare

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

Back-Door Captive & ER1.00× Divergence

1.3× Medicare

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

Quantile Tail Spread+21% Upper Tail

Q25 0.88× · Q50 1.02× · Q75 1.23×

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

1.3× MedicareGood

Outpatient Surgery & ORBack-Door Captive

2.1× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.0× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.6× MedicareGood

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

3.8× MedicareElevated

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

1% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 54/100Elevated

Procedure Prices at Shriners Hospitals for Children

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 77 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$14,931	$19,432	0.8×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$3,628	$3,361	$3,372	1.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,106	$798	$511	1.6×
MRI, knee or other leg joint CPT Code: `73721`	$2,028	$573	$369	unverified
MRI, brain (no contrast) CPT Code: `70551`	$2,028	$455	$343	1.3×
Blood transfusion CPT Code: `36430`	$1,867	$442	$498	0.9×
MRI, lower back (no contrast) CPT Code: `72148`	$5,652	$463	$338	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,293	$370	$448	0.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,935	$338	$258	unverified
CT scan, head (with contrast) CPT Code: `70460`	$1,723	$296	$242	1.2×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,321	$296	$303	1.0×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$900	$262	$272	1.0×
CT scan, neck (cervical spine) CPT Code: `72125`	$3,395	$286	$169	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$3,395	$285	$168	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$1,132	$256	$167	1.5×
CT scan, pelvis CPT Code: `72192`	$1,132	$246	$163	1.5×
CT scan, sinuses CPT Code: `70486`	$1,132	$221	$166	1.3×
Hospital observation (per hour) HCPCS Code: `G0378`	$183	$183	$86	2.1×
CT scan, head (no contrast) CPT Code: `70450`	$1,132	$197	$160	1.2×
Breathing treatment (nebulizer) CPT Code: `94640`	$159	$159	$201	0.8×
Speech therapy (language evaluation) CPT Code: `92507`	$378	$85	$86	1.0×
X-ray, lower back CPT Code: `72110`	$436	$107	$112	1.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$564	$115	$126	0.9×
Ultrasound, pelvis CPT Code: `76856`	$548	$115	$130	0.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$564	$115	$132	0.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	$677	$115	$134	0.9×
Office visit, established patient (30-39 min) CPT Code: `99214`	$303	$95	$123	0.8×
New patient office visit (30-44 min) CPT Code: `99203`	$364	$80	$110	0.7×
X-ray, chest (single view) CPT Code: `71045`	$261	$79	$92	0.9×
X-ray, chest (two views) CPT Code: `71046`	$313	$79	$93	0.8×
X-ray, hip CPT Code: `73502`	$176	$79	$93	0.8×
X-ray, shoulder CPT Code: `73030`	$326	$73	$92	0.8×
X-ray, neck (cervical spine) CPT Code: `72040`	$261	$73	$93	0.8×
X-ray, foot CPT Code: `73630`	$407	$72	$92	0.8×
X-ray, hand CPT Code: `73130`	$407	$72	$93	0.8×
X-ray, ankle CPT Code: `73610`	$407	$72	$93	0.8×
X-ray, pelvis CPT Code: `72170`	$261	$77	$110	0.7×
Blood test, vitamin D CPT Code: `82306`	$244	$38	$31	1.2×
Physical therapy (functional capacity test) CPT Code: `97750`	$453	$45	$38	1.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$154	$65	$64	1.0×
Orthotic fitting and training CPT Code: `97760`	$186	$50	$51	1.0×
Prosthetic fitting and training CPT Code: `97761`	$163	$44	$45	1.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	$271	$65	$87	0.7×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$497	$39	$40	1.0×
Occupational therapy (self-care training) CPT Code: `97535`	$504	$36	$38	0.9×
Blood test, calcium CPT Code: `82310`	$42	$7	$5	1.4×
Blood test, creatinine (kidney) CPT Code: `82565`	$42	$7	$5	1.4×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$26	$4	$3	1.3×
Blood test, clotting time (PTT) CPT Code: `85730`	$50	$8	$6	1.3×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$80	$13	$10	1.3×
Blood test, lipase CPT Code: `83690`	$57	$9	$7	1.3×
Blood test, magnesium CPT Code: `83735`	$54	$9	$7	1.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$32	$5	$4	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$33	$5	$4	1.3×
Blood test, complete blood count (CBC) CPT Code: `85025`	$64	$10	$8	1.3×
Blood test, basic metabolic panel CPT Code: `80048`	$70	$11	$9	1.2×
Blood test, liver function panel CPT Code: `80076`	$67	$11	$9	1.2×
Culture, bacterial CPT Code: `87070`	$71	$11	$9	1.2×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$110	$17	$14	1.2×
Blood test, potassium CPT Code: `84132`	$38	$6	$5	1.2×
Blood test, sodium CPT Code: `84295`	$40	$6	$5	1.2×
Hepatitis C antibody test CPT Code: `86803`	$118	$18	$15	1.2×
Blood test, vitamin B12 CPT Code: `82607`	$124	$19	$16	1.2×
Culture, blood CPT Code: `87040`	$85	$13	$11	1.2×
Blood test, amylase CPT Code: `82150`	$53	$8	$7	1.1×
Electrical stimulation therapy HCPCS Code: `G0283`	$58	$14	$14	1.0×
Physical therapy (gait training) CPT Code: `97116`	$137	$32	$33	1.0×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$327	$36	$38	0.9×
Physical therapy (manual therapy) CPT Code: `97140`	$146	$31	$34	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$158	$30	$35	0.9×
Blood test, hemoglobin CPT Code: `85018`	$20	$3	$3	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$32	$5	$5	1.0×
Speech therapy (group session) CPT Code: `92508`	$168	$26	$27	1.0×
Blood antibody screen CPT Code: `86850`	$67	$26	$46	0.6×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$87	$13	$11	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$112	$18	$14	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$138	$22	$18	unverified

Showing top 25 high-impact procedures of 77 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 18.5%

Audit a Bill or Quote at Shriners Hospitals for Children (Zero PHI Required)

CMS CCN: 423300

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash Request Quote

Insurer Median $14,931

1. Amount on Your Bill or Quote ($) Pre-filled with Shriners Hospitals for Children’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: $6,633 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $6,633

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (18.5% of gross = $6,633).

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Shriners Hospitals for Children'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 +$16,402 Above Fair BaseRate

Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)

Your bill ($35,834) is $16,402 above the denoised Fair BaseRate ($19,432) and 2.6× the $14,044 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: 362193608

Filing Period: 193703

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 (18.5% 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

Regional Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Shriners Hospitals for Children.

Price Index: 0.44× regional baseline

Quality: 54/100 CMS composite

Median Household Income$74,624U.S. Census ACS

Local Uninsured Share10.1%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 68/100 · Caution CMS CCN 423300 EIN 362193608

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

MRF Portal Indexed (mrf!362193608_Shriners-Childrens-Greenville_standardcharges.csv) Verify on CMS Medicare.gov (CCN 423300) ↗ Verify IRS Form 990 (EIN 362193608) ↗ CMS HCRIS Cost Reports ↗

Published MRF Filemrf!362193608_Shriners-Childrens-Greenville_standardcharges.csv

Publication / Vintage3/18/2026 · 3.84 MB

Validated Rate Rows1,402 (CMS v3.0.0)

File Integrity DigestVerified · CCN 423300

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