How many shoppable procedure prices are published for Cook Childrens Medical Center?

Cook Childrens Medical Center in Fort Worth, TX currently has 112 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Cook Childrens Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Cook Childrens Medical Center's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Children's Hospital Voluntary non-profit - Private 447 Beds · urban Updated: 2026-01-01

Cook Childrens Medical Center

801 Seventh Avenue, Fort Worth, TX 76104 · 112 Priced Procedures

CMS Overall Rating No CMS Rating

Near Fair BaseRate Benchmark

1.00×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.

78/100 · Corroborated

78/100Self-Pay Cash Beats Insurance 28% of the Time

File Completeness66

Price Logic78

Peer Alignment58

Clean Billing93

Real Cash Discount100

Regional Value Leader

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

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Cook Childrens Medical Center prices shoppable and inpatient services (0.9× to 1.0× Medicare, divergence 1.11×) in alignment with regional hospital peers (1.00× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#76 of 307 in TX · 24th State Percentile#1,306 of 3,385 in U.S. · 38th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.73× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 28% 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 (38.5% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.1× markup over Medicare rates
Captive ER (1.3×) & laboratory (3.8×) services average 1.11× higher multiples than routine shoppable care (0.9×)
Even at low-cost facilities (1.00× 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 14.5× Medicare (15¢ 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+5% Upper Tail

Q25 0.73× · Q50 0.95× · Q75 1.00×

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

1.1× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.0× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.3× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

3.8× MedicareElevated

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

1.0× MedicareGood

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

28% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 54/100Elevated

Procedure Prices at Cook Childrens Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 112 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sleep study (overnight, in lab) CPT Code: `95810`	$7,496	$7,496	$1,021	7.3×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$6,227	$6,227	$448	13.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$5,378	$5,378	$303	17.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$4,001	$4,001	$169	23.7×
CT scan, chest (no contrast) CPT Code: `71250`	$3,848	$3,848	$167	23.0×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$3,737	$3,737	$583	6.4×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$3,265	$3,265	$168	19.4×
CT scan, pelvis CPT Code: `72192`	$2,226	$2,226	$163	13.7×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$1,936	$6,109	0.3×
Blood transfusion CPT Code: `36430`	$1,513	$1,513	$498	3.0×
Inguinal hernia repair CPT Code: `49505`	—	$1,238	$3,629	0.3×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$1,115	$3,372	0.3×
Bunion correction surgery CPT Code: `28296`	—	$1,115	$3,446	0.3×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,009	$1,009	$134	7.5×
Breast lump removal CPT Code: `19120`	—	$988	$3,875	0.3×
Cataract surgery with lens implant CPT Code: `66984`	—	$904	$2,540	0.4×
Ultrasound, pelvis CPT Code: `76856`	$713	$713	$130	5.5×
Ultrasound, thyroid and neck CPT Code: `76536`	$624	$624	$132	4.7×
Hepatitis B immune globulin HCPCS Code: `90371`	$562	$562	$151	3.7×
X-ray, neck (cervical spine) CPT Code: `72040`	$474	$474	$93	5.1×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,026	$487	$511	1.0×
X-ray, lower back CPT Code: `72110`	$443	$443	$112	4.0×
X-ray, pelvis CPT Code: `72170`	$434	$434	$110	3.9×
Colonoscopy with biopsy CPT Code: `45380`	—	$440	$1,256	0.4×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$340	$340	$25	13.6×
Breathing treatment (nebulizer) CPT Code: `94640`	$326	$326	$201	1.6×
Upper endoscopy with biopsy CPT Code: `43239`	—	$343	$987	0.3×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$337	$981	0.3×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$297	$297	$64	4.6×
MRI, lower back (no contrast) CPT Code: `72148`	$2,463	$309	$338	0.9×
MRI, brain (no contrast) CPT Code: `70551`	$1,397	$294	$343	0.9×
MRI, knee or other leg joint CPT Code: `73721`	$2,244	$309	$369	0.8×
Psychological testing by technician CPT Code: `96138`	$284	$284	$395	0.7×
X-ray, hand CPT Code: `73130`	$250	$250	$93	2.7×
X-ray, ankle CPT Code: `73610`	$245	$245	$93	2.6×
X-ray, foot CPT Code: `73630`	$242	$242	$92	2.6×
X-ray, shoulder CPT Code: `73030`	$235	$235	$92	2.6×
CT scan, head (with contrast) CPT Code: `70460`	$3,312	$239	$242	1.0×
CT scan, head (with and without contrast) CPT Code: `70470`	$4,416	$239	$258	0.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$947	$238	$272	0.9×
CT scan, head (no contrast) CPT Code: `70450`	$2,844	$141	$160	0.9×
X-ray, chest (two views) CPT Code: `71046`	$277	$115	$93	1.2×
Ultrasound, abdomen (limited) CPT Code: `76705`	$797	$138	$126	1.1×
Diagnostic mammogram (both breasts) CPT Code: `77066`	—	$146	$148	1.0×
Psychiatric evaluation (first visit) CPT Code: `90791`	$639	$159	$185	0.9×
Speech therapy (language evaluation) CPT Code: `92507`	$343	$116	$86	1.3×
CT scan, sinuses CPT Code: `70486`	$1,799	$138	$166	0.8×
X-ray, hip CPT Code: `73502`	$275	$112	$93	1.2×
Screening mammogram (both breasts) CPT Code: `77067`	—	$119	$123	1.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	$615	$119	$181	0.7×
New patient office visit (30-44 min) CPT Code: `99203`	$224	$83	$110	0.8×
Family therapy session CPT Code: `90847`	$580	$90	$173	0.5×
Mental health services (assessment) HCPCS Code: `H0031`	$113	$113	$140	unverified
Psychotherapy session (45 minutes) CPT Code: `90834`	$542	$81	$166	0.5×
Neurobehavioral status check CPT Code: `96116`	$1,331	$85	$231	0.4×
X-ray, chest (single view) CPT Code: `71045`	—	—	$92	—
Typhoid vaccine HCPCS Code: `90675`	$2,453	$2,453	$347	7.1×
Blood antibody screen CPT Code: `86850`	$312	$312	$46	6.8×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$316	$316	$203	1.6×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$283	$283	$56	5.1×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$247	$247	$111	2.2×
Pneumococcal vaccine HCPCS Code: `90732`	$270	$270	$140	1.9×
Hepatitis B vaccine HCPCS Code: `90744`	$166	$166	$37	4.5×
Blood test, calcium CPT Code: `82310`	$120	$120	$5	24.0×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$100	$100	$39	2.6×
Drug screening test HCPCS Code: `G0480`	—	$117	$116	1.0×
Speech therapy (group session) CPT Code: `92508`	$211	$49	$27	1.8×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$67	$35	unverified
Flu vaccine (high dose) HCPCS Code: `90656`	$38	$38	$25	1.5×
Physical therapy (gait training) CPT Code: `97116`	$36	$34	$33	1.0×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$69	$36	$35	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$334	$19	$19	1.0×
Physical therapy (manual therapy) CPT Code: `97140`	$56	$34	$34	1.0×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$69	$36	$38	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$85	$36	$38	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$216	$36	$38	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$69	$36	$40	0.9×
Prosthetic fitting and training CPT Code: `97761`	$69	$36	$45	0.8×
Orthotic fitting and training CPT Code: `97760`	$69	$37	$51	0.7×
Office visit, established patient (20-29 min) CPT Code: `99213`	$337	$51	$87	0.6×
Office visit, established patient (30-39 min) CPT Code: `99214`	$375	$59	$123	0.5×
Blood test, basic metabolic panel CPT Code: `80048`	$565	$9	$9	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$912	$11	$11	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$217	$14	$14	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$190	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$166	$7	$7	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$117	$5	$5	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$143	$14	$14	1.0×
Blood test, magnesium CPT Code: `83735`	—	$7	$7	1.0×
Blood test, vitamin D CPT Code: `82306`	$122	$30	$31	1.0×
Mental health services (therapy) HCPCS Code: `H0032`	$42	$42	$65	unverified
Behavioral health day program HCPCS Code: `H2012`	$53	$53	$100	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$75	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$212	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$128	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$75	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$108	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$13	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$193	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$175	$6	$6	1.0×
Hepatitis C antibody test CPT Code: `86803`	$183	$15	$15	1.0×
Culture, blood CPT Code: `87040`	$254	$11	$11	1.0×
Culture, bacterial CPT Code: `87070`	$206	$9	$9	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$138	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$116	$15	$16	0.9×
Blood test, liver function panel CPT Code: `80076`	$362	$8	$9	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$115	$4	$5	0.8×
Blood test, hemoglobin CPT Code: `85018`	$48	$2	$3	0.7×
Group therapy session CPT Code: `90853`	$1,172	$20	$100	0.2×
Psychological testing evaluation CPT Code: `96136`	$498	$20	$128	0.2×
Behavioral health outpatient services HCPCS Code: `H2015`	$13	$13	$16	unverified
Behavioral health living support HCPCS Code: `H2019`	$29	$29	$34	unverified

Showing top 25 high-impact procedures of 112 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 38.5%

Audit a Bill or Quote at Cook Childrens Medical Center (Zero PHI Required)

CMS CCN: 453300

CPT 95810

Select Procedure to Audit:

Fair BaseRate™ $1,021

Medicare Rate $877

Self-Pay Cash $7,496

Insurer Median $7,496

1. Amount on Your Bill or Quote ($) Pre-filled with Cook Childrens Medical Center’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: $3,850 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $3,850

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (38.5% of gross = $3,850).

Step 2 · Cash vs. Insurance Arbitrage Save $2,499 Paying Cash

Self-Pay Cash Rate ($7,496) Beats Your Bill

Cook Childrens Medical Center's published 45 CFR § 180 self-pay cash rate is $7,496 (vs. $7,496 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$8,974 Above Fair BaseRate

Negotiate Toward $1,021 Fair BaseRate ($877 Medicare)

Your bill ($9,995) is $8,974 above the denoised Fair BaseRate ($1,021) and 11.4× the $877 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: 752051646

Filing Period: 198510

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 (38.5% 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 Cook Childrens Medical Center.

Price Index: 1.23× regional baseline

Quality: 54/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Humana

+107.0%

Median Household Income$81,905U.S. Census ACS

Local Uninsured Share16.6%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 78/100 · Corroborated CMS CCN 453300 EIN 752051646

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

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 453300) ↗ Verify IRS Form 990 (EIN 752051646) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-01-01

Validated Rate Rows12,207 (CMS v3.0.0)

File Integrity DigestVerified · CCN 453300

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