How many shoppable procedure prices are published for Nexus Childrens Hospital Dallas?

Nexus Childrens Hospital Dallas in Dallas, TX currently has 77 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

Hospital Profile Children's Hospital Proprietary Updated: 2026-04-28

Nexus Childrens Hospital Dallas

9525 Greenville Avenue, Dallas, TX 75243 · 77 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.

89/100 · Verified

89/100Self-Pay Cash Beats Insurance 0% of the Time

File Completeness100

Price Logic96

Peer Alignment65

Clean Billing80

Real Cash Discount100

Regional Value Leader

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

Behavioral Pricing FingerprintHigh Infusion / OR Multiples

Specialty Drug & Surgical Margin Engine

Nexus Childrens Hospital Dallas concentrates commercial margin in outpatient surgical suites (10.4× Medicare) and specialty drug infusions (2.0× Medicare) relative to routine diagnostics (2.8×). Comparing freestanding ambulatory surgery centers or specialty pharmacy options before treatment yields substantial savings.

Regional Benchmark in TXU.S. National Reference Pool

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.78× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 0% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (54/100 safety score) with 72% patient recommendation
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 10.4× markup over Medicare rates
Captive ER (12.0×) & laboratory (2.2×) services average 1.25× higher multiples than routine shoppable care (8.3×)
Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
Unnegotiated chargemaster list prices average 8.8× Medicare (22¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

8.3× Medicare

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

Back-Door Captive & ER1.25× Divergence

10.4× Medicare

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

Quantile Tail Spread+28% Upper Tail

Q25 0.78× · Q50 1.00× · Q75 1.28×

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

8.3× MedicareWatchout

Outpatient Surgery & ORBack-Door Captive

10.4× MedicareWatchout

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.8× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

12.0× MedicareWatchout

Inpatient Lab & PathologyBack-Door Captive

2.2× MedicareFair

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

2.0× MedicareGood

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

0% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 54/100Elevated

Procedure Prices at Nexus Childrens Hospital Dallas

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.

Sort:

Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
CT scan, head (with and without contrast) CPT Code: `70470`	$2,035	$2,035	$258	7.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,892	$1,892	$448	4.2×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,628	$1,628	$303	5.4×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,497	$1,497	$583	2.6×
CT scan, sinuses CPT Code: `70486`	$1,309	$1,309	$166	7.9×
CT scan, chest (no contrast) CPT Code: `71250`	$1,248	$1,248	$167	7.5×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,074	$1,074	$272	3.9×
CT scan, head (with contrast) CPT Code: `70460`	$1,033	$1,033	$242	4.3×
CT scan, neck (cervical spine) CPT Code: `72125`	$999	$999	$169	5.9×
MRI, knee or other leg joint CPT Code: `73721`	$991	$991	$369	2.7×
CT scan, head (no contrast) CPT Code: `70450`	$894	$894	$160	5.6×
CT scan, pelvis CPT Code: `72192`	$806	$806	$163	4.9×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$799	$799	$168	4.8×
Ultrasound, pelvis CPT Code: `76856`	$727	$727	$130	5.6×
Ultrasound, abdomen (complete) CPT Code: `76700`	$549	$549	$134	4.1×
Ultrasound, thyroid and neck CPT Code: `76536`	$526	$526	$132	4.0×
Neurobehavioral status check CPT Code: `96116`	$450	$450	$231	1.9×
X-ray, shoulder CPT Code: `73030`	$410	$410	$92	4.5×
X-ray, neck (cervical spine) CPT Code: `72040`	$410	$410	$93	4.4×
Ultrasound, abdomen (limited) CPT Code: `76705`	$428	$428	$126	3.4×
X-ray, hand CPT Code: `73130`	$380	$380	$93	4.1×
X-ray, ankle CPT Code: `73610`	$372	$372	$93	4.0×
Speech therapy (group session) CPT Code: `92508`	$326	$326	$27	12.1×
X-ray, foot CPT Code: `73630`	$337	$337	$92	3.7×
X-ray, chest (two views) CPT Code: `71046`	$332	$332	$93	3.6×
X-ray, chest (single view) CPT Code: `71045`	$319	$319	$92	3.5×
X-ray, pelvis CPT Code: `72170`	$313	$313	$110	2.8×
Psychotherapy session (60 minutes) CPT Code: `90837`	$335	$335	$181	1.9×
Family therapy session CPT Code: `90847`	$313	$313	$173	1.8×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$256	$256	$64	4.0×
Psychological testing evaluation CPT Code: `96136`	$271	$271	$128	2.1×
Psychiatric evaluation (first visit) CPT Code: `90791`	$265	$265	$185	1.4×
Group therapy session CPT Code: `90853`	$217	$217	$100	2.2×
Psychotherapy session (45 minutes) CPT Code: `90834`	$226	$226	$166	1.4×
Psychological testing by technician CPT Code: `96138`	$238	$238	$395	0.6×
Speech therapy (language evaluation) CPT Code: `92507`	$184	$184	$86	2.1×
New patient office visit (30-44 min) CPT Code: `99203`	$208	$208	$110	1.9×
Office visit, established patient (30-39 min) CPT Code: `99214`	$175	$175	$123	1.4×
Breathing treatment (nebulizer) CPT Code: `94640`	$148	$148	$201	0.7×
Physical therapy (gait training) CPT Code: `97116`	$114	$114	$33	3.5×
Physical therapy (manual therapy) CPT Code: `97140`	$117	$117	$34	3.4×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$105	$105	$38	2.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$96	$96	$35	2.7×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$108	$108	$40	2.7×
Occupational therapy (self-care training) CPT Code: `97535`	$96	$96	$38	2.5×
Physical therapy (functional capacity test) CPT Code: `97750`	$87	$87	$38	2.3×
Orthotic fitting and training CPT Code: `97760`	$105	$105	$51	2.1×
Office visit, established patient (20-29 min) CPT Code: `99213`	$107	$107	$87	1.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$223	$223	$5	44.6×
Blood antibody screen CPT Code: `86850`	$150	$150	$46	3.3×
Blood test, ferritin (iron stores) CPT Code: `82728`	$71	$71	$14	5.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$70	$70	$14	5.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$87	$87	$18	4.8×
Culture, blood CPT Code: `87040`	$60	$60	$11	5.5×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$50	$50	$10	5.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$66	$66	$19	3.5×
Drug screening test HCPCS Code: `G0480`	$82	$82	$116	0.7×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$21	$21	$3	7.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$21	$21	$4	5.3×
Blood test, amylase CPT Code: `82150`	$35	$35	$7	5.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$40	$40	$8	5.0×
Blood test, basic metabolic panel CPT Code: `80048`	$44	$44	$9	4.9×
Blood test, liver function panel CPT Code: `80076`	$43	$43	$9	4.8×
Blood test, vitamin B12 CPT Code: `82607`	$65	$65	$16	4.1×
Blood test, magnesium CPT Code: `83735`	$35	$35	$7	5.0×
Hepatitis C antibody test CPT Code: `86803`	$59	$59	$15	3.9×
Blood test, potassium CPT Code: `84132`	$24	$24	$5	4.8×
Blood test, lipase CPT Code: `83690`	$33	$33	$7	4.7×
Blood test, calcium CPT Code: `82310`	$22	$22	$5	4.4×
Flu vaccine (high dose) HCPCS Code: `90656`	$47	$47	$25	1.9×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$19	$19	$4	4.8×
Blood test, hemoglobin CPT Code: `85018`	$12	$12	$3	4.0×
Blood test, sodium CPT Code: `84295`	$19	$19	$5	3.8×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$37	$37	$11	3.4×
Culture, bacterial CPT Code: `87070`	$29	$29	$9	3.2×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$14	$14	$5	2.8×
Blood test, clotting time (PTT) CPT Code: `85730`	$6	$6	$6	1.0×

Showing top 25 high-impact procedures of 77 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Nexus Childrens Hospital Dallas (Zero PHI Required)

CMS CCN: 453318

CPT 70470

Select Procedure to Audit:

Fair BaseRate™ $258

Medicare Rate $179

Self-Pay Cash $2,035

Insurer Median $2,035

1. Amount on Your Bill or Quote ($) Pre-filled with Nexus Childrens Hospital Dallas’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 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Save $2,034 Paying Cash

Self-Pay Cash Rate ($2,035) Beats Your Bill

Nexus Childrens Hospital Dallas's published 45 CFR § 180 self-pay cash rate is $2,035 (vs. $2,035 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$3,811 Above Fair BaseRate

Negotiate Toward $258 Fair BaseRate ($179 Medicare)

Your bill ($4,069) is $3,811 above the denoised Fair BaseRate ($258) and 22.7× the $179 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) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Public IRS & CMS ownership records classify Nexus Childrens Hospital Dallas as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

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 Nexus Childrens Hospital Dallas.

Price Index: 0.77× regional baseline

Quality: 54/100 CMS composite

Median Household Income$74,149U.S. Census ACS

Local Uninsured Share21.6%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 89/100 · Verified CMS CCN 453318

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 453318) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileReports.aspx

Publication / Vintage2026-04-28 · 0.63 MB

Validated Rate Rows107 (CMS v3.0.0)

File Integrity Digestf13b758636fe4ed1202a…

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