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

El Paso Children's Hospital in El Paso, TX currently has 115 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, El Paso Children's Hospital's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Children's Hospital Voluntary non-profit - Private 122 Beds · urban Updated: 1/27/2026

El Paso Children's Hospital

4845 Alameda Avenue, El Paso, TX 79905 · 115 Priced Procedures

CMS Overall Rating No CMS Rating

Good Deal · Below Fair Market

0.90×vs. Fair Market Price

Typical commercial prices here are 10% below the fair benchmark (0.90×) after accounting for local nurse/doctor wages and patient complexity.

85/100 · Corroborated

85/100Self-Pay Cash Beats Insurance 98% of the Time

File Completeness85

Price Logic88

Peer Alignment71

Clean Billing79

Real Cash Discount100

Regional Value Leader

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

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

El Paso Children's Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (0.7× Medicare, p50 0.79× Fair BaseRate) and emergency/ancillary services (1.1× Medicare, p75 0.99× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#32 of 307 in TX · 10th State Percentile#681 of 3,385 in U.S. · 20th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 10% below peer Fair BaseRate (0.90×)
Self-pay cash beats commercial insurance on 98% 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 (42.5% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.3× markup over Medicare rates
Captive ER (1.6×) & laboratory (0.9×) services average 1.57× higher multiples than routine shoppable care (0.7×)
Upper-quartile procedures (Q75 0.99×) jump +25% above the median procedure ratio (Q50 0.79×)
Consolidated metro market (HHI 2,772) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

0.7× Medicare

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

Back-Door Captive & ER1.57× Divergence

1.1× Medicare

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

Quantile Tail Spread+25% Upper Tail

Q25 0.51× · Q50 0.79× · Q75 0.99×

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

0.7× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.3× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.3× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.6× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

0.9× MedicareGood

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

1.0× MedicareGood

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

98% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 54/100Elevated

Procedure Prices at El Paso 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 115 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$31,422	$30,775	1.0×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$25,220	$17,936	1.4×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$22,316	$19,432	1.1×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$16,846	$19,087	0.9×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$6,422	$8,223	0.8×
Total hip replacement CPT Code: `27130`	—	$2,959	$13,413	0.2×
Total knee replacement CPT Code: `27447`	—	$2,959	$13,523	0.2×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$2,002	$6,109	0.3×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$1,154	$3,372	0.3×
Bunion correction surgery CPT Code: `28296`	—	$1,154	$3,446	0.3×
Inguinal hernia repair CPT Code: `49505`	—	$1,152	$3,629	0.3×
Breast lump removal CPT Code: `19120`	—	$964	$3,875	0.2×
Cataract surgery with lens implant CPT Code: `66984`	—	$901	$2,540	0.4×
Colonoscopy with biopsy CPT Code: `45380`	$522	$490	$1,256	0.4×
Injection procedure for pain management HCPCS Code: `G0260`	—	$397	$855	0.5×
Upper endoscopy with biopsy CPT Code: `43239`	$656	$368	$987	0.4×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$436	$312	$448	0.7×
MRI, brain (with and without contrast) CPT Code: `70553`	$458	$328	$511	0.6×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$348	$981	0.4×
Rabies immune globulin HCPCS Code: `90375`	$134	$286	$322	0.9×
Blood transfusion CPT Code: `36430`	$291	$291	$498	0.6×
MRI, brain (no contrast) CPT Code: `70551`	$282	$202	$343	0.6×
MRI, knee or other leg joint CPT Code: `73721`	$298	$209	$369	0.6×
CT scan, head (with and without contrast) CPT Code: `70470`	$163	$175	$258	0.7×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$421	$172	$272	0.6×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$175	$188	$303	0.6×
MRI, lower back (no contrast) CPT Code: `72148`	$183	$197	$338	0.6×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$869	$188	$583	0.3×
Hepatitis B immune globulin HCPCS Code: `90371`	$74	$141	$151	0.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	$90	$142	$185	0.8×
CT scan, head (with contrast) CPT Code: `70460`	$142	$152	$242	0.6×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$114	$114	$64	1.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$97	$105	$132	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$146	$106	$134	0.8×
Psychotherapy session (60 minutes) CPT Code: `90837`	$111	$128	$181	0.7×
Office visit, established patient (30-39 min) CPT Code: `99214`	$84	$93	$123	0.8×
Ultrasound, pelvis CPT Code: `76856`	$90	$97	$130	0.7×
CT scan, pelvis CPT Code: `72192`	$97	$116	$163	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$97	$116	$167	0.7×
CT scan, sinuses CPT Code: `70486`	$97	$115	$166	0.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$97	$115	$168	0.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$97	$115	$169	0.7×
Ultrasound, abdomen (limited) CPT Code: `76705`	$102	$87	$126	0.7×
CT scan, head (no contrast) CPT Code: `70450`	$122	$105	$160	0.7×
Family therapy session CPT Code: `90847`	$99	$101	$173	0.6×
Psychotherapy session (45 minutes) CPT Code: `90834`	$46	$90	$166	0.5×
Speech therapy (language evaluation) CPT Code: `92507`	$110	$108	$86	unverified
Breathing treatment (nebulizer) CPT Code: `94640`	$80	$80	$201	0.4×
Typhoid vaccine HCPCS Code: `90675`	$273	$323	$347	0.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$83	$185	$203	0.9×
Pneumococcal vaccine HCPCS Code: `90732`	$76	$133	$140	0.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$57	$98	$111	0.9×
Drug screening test HCPCS Code: `G0480`	$49	$120	$116	unverified
New patient office visit (30-44 min) CPT Code: `99203`	$90	$78	$110	0.7×
Flu vaccine (high dose) HCPCS Code: `90656`	$15	$44	$25	1.8×
Office visit, established patient (20-29 min) CPT Code: `99213`	$60	$63	$87	0.7×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$33	$21	$20	1.1×
Blood test, vitamin D CPT Code: `82306`	$28	$31	$31	1.0×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$48	$34	$35	1.0×
Physical therapy (manual therapy) CPT Code: `97140`	$53	$32	$34	0.9×
Physical therapy (gait training) CPT Code: `97116`	$46	$31	$33	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$52	$34	$38	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$42	$34	$38	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$21	$34	$38	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$51	$34	$40	0.8×
Prosthetic fitting and training CPT Code: `97761`	$19	$37	$45	0.8×
Orthotic fitting and training CPT Code: `97760`	$47	$40	$51	0.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$32	$39	$56	0.7×
X-ray, hip CPT Code: `73502`	$44	$48	$93	0.5×
X-ray, lower back CPT Code: `72110`	$49	$52	$112	0.5×
X-ray, neck (cervical spine) CPT Code: `72040`	$37	$40	$93	0.4×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$28	$14	$14	1.0×
X-ray, hand CPT Code: `73130`	$35	$37	$93	0.4×
X-ray, ankle CPT Code: `73610`	$34	$37	$93	0.4×
X-ray, shoulder CPT Code: `73030`	$33	$35	$92	0.4×
Blood test, basic metabolic panel CPT Code: `80048`	$12	$9	$9	1.0×
Blood test, liver function panel CPT Code: `80076`	$8	$9	$9	1.0×
X-ray, foot CPT Code: `73630`	$32	$34	$92	0.4×
X-ray, chest (two views) CPT Code: `71046`	$47	$34	$93	0.4×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$15	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$14	$7	$7	1.0×
Blood test, calcium CPT Code: `82310`	$5	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$5	$5	$5	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$5	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$9	$10	$10	1.0×
X-ray, chest (single view) CPT Code: `71045`	$31	$26	$92	0.3×
X-ray, pelvis CPT Code: `72170`	$26	$28	$110	0.3×
Psychological testing evaluation CPT Code: `96136`	$16	$22	$128	0.2×
Speech therapy (group session) CPT Code: `92508`	$27	$46	$27	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$42	$42	$86	unverified
Blood test, magnesium CPT Code: `83735`	$11	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$7	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$7	$5	$5	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$16	$18	$18	1.0×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$19	$31	$39	0.8×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$4	$4	$4	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$4	$5	$5	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$6	$6	$6	1.0×
Hepatitis C antibody test CPT Code: `86803`	$21	$15	$15	1.0×
Culture, blood CPT Code: `87040`	$14	$11	$11	1.0×
Culture, bacterial CPT Code: `87070`	$8	$9	$9	1.0×
Hepatitis B vaccine HCPCS Code: `90744`	$21	$31	$37	0.8×
Electrical stimulation therapy HCPCS Code: `G0283`	$20	$11	$14	0.8×
Blood test, hemoglobin CPT Code: `85018`	$2	$2	$3	0.7×
Flu vaccine injection HCPCS Code: `G0008`	$33	$20	$48	0.4×
Pneumonia vaccine injection HCPCS Code: `G0009`	$16	$20	$49	0.4×
Blood antibody screen CPT Code: `86850`	$65	$17	$46	0.4×
Colorectal cancer screening HCPCS Code: `G0010`	$9	$9	$49	0.2×
Psychological testing by technician CPT Code: `96138`	$52	$31	$395	0.1×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$15	$11	$11	unverified
Blood test, vitamin B12 CPT Code: `82607`	$14	$16	$16	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$21	$14	$14	unverified
Blood test, lipase CPT Code: `83690`	$15	$7	$7	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	$17	$19	$19	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	$11	$8	$8	unverified

Showing top 25 high-impact procedures of 115 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 42.5%

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

CMS CCN: 453313

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $31,422

1. Amount on Your Bill or Quote ($) Pre-filled with El Paso 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: $32,051 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $32,051

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (42.5% of gross = $32,051).

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask El Paso Children's 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 +$44,638 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($75,413) is $44,638 above the denoised Fair BaseRate ($30,775) and 3.2× the $23,504 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: 263075429

Filing Period: 200903

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 (42.5% 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 ↑

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 El Paso Children's Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2024-06-18·administrative_or_closure
Closure Notice
Recorded
2024-05-10·cap_corrective_action
CAP Request
Recorded
2024-02-01·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

Higher-Quality, Above-Median Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for El Paso Children's Hospital.

Price Index: 1.18× regional baseline

Quality: 54/100 CMS composite

Median Household Income$58,859U.S. Census ACS

Local Uninsured Share21.9%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 85/100 · Corroborated CMS CCN 453313 EIN 263075429

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 453313) ↗ Verify IRS Form 990 (EIN 263075429) ↗ CMS HCRIS Cost Reports ↗

Published MRF File26-3075429_el-paso-childrens-hospital_standardcharges.csv

Publication / Vintage1/27/2026 · 53.28 MB

Validated Rate Rows2,592 (CMS v3.0.0)

File Integrity Digest8b42d33b22f75a45be5c…

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