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Hospital Profile Children's Hospital Voluntary non-profit - Private Updated: 2026-02-09

Texas Scottish Rite Hospital for Children

2222 Welborn Street, Dallas, TX 75219 · 80 Priced Procedures

CMS Overall Rating No CMS Rating
Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.Above Fair Market · Negotiate
1.15×vs. Fair Market Price
Position vs. 1.00× Fair Price+15% Above Fair Price 1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.

Typical commercial prices here are +15% above the fair benchmark (1.15×) even after accounting for local nurse/doctor wages and patient complexity.

Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).57/100 · Caution
57/100Self-Pay Cash Beats Insurance 13% of the Time
File Completeness60Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic68Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment69Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing76Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount6Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Clinical Quality & ER SpeedChecks whether higher hospital prices actually buy better clinical quality — combining CMS Star Ratings, hospital safety scores, and emergency room wait times.Regional Benchmark Tier
CMS Star RatingNot RatedOfficial CMS Overall Hospital Quality Star Rating (1 to 5 stars) summarizing mortality, safety of care, readmissions, and patient experience.
Safety ScoreNot ScoredComposite patient safety score (0–100) derived from CMS hospital-acquired infection rates (CLABSI, CAUTI, MRSA, C. diff), surgical complications, and HCAHPS surveys.
Typical ER WaitNo ER DataMedian minutes patients spent in the emergency department before leaving from the visit, as reported to CMS Timely and Effective Care.

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

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Texas Scottish Rite Hospital for Children prices routine shoppable procedures near 1.7× Medicare (p50 1.26×) while skewing captive emergency, lab, and upper-quartile codes to 11.4× Medicare (p75 1.89×, +50% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#138 of 307 in TX · 44th State Percentile#1,876 of 3,385 in U.S. · 55th 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 13% 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 (44.0% AGB cap)
Watchout

Where You Can Get Burned (Markup Traps)

  • Outpatient surgery & OR suites carry a 2.1× markup over Medicare rates
  • Captive ER (2.5×) & laboratory (4.0×) services average 6.71× higher multiples than routine shoppable care (1.7×)
  • Upper-quartile procedures (Q75 1.89×) jump +50% above the median procedure ratio (Q50 1.26×)
  • Unnegotiated chargemaster list prices average 9.7× Medicare (19¢ true HCRIS cost per $1 gross)
Front-Door ShoppableElective / Imaging
1.7× Medicare

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

Back-Door Captive & ER6.71× Divergence
11.4× Medicare

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

Quantile Tail Spread+50% Upper Tail
Q25 0.83× · Q50 1.26× · Q75 1.89×

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
1.7× MedicareGood
Outpatient Surgery & ORBack-Door Captive
2.1× MedicareGood
Diagnostic Imaging (CT/MRI)Front-Door Shoppable
4.2× MedicareElevated
Back-Door Captive ER VisitsBack-Door Captive
2.5× MedicareFair
Inpatient Lab & PathologyBack-Door Captive
4.0× MedicareElevated
Specialty & Infusion Drugs (J-Codes)Back-Door Captive
0.8× MedicareGood
Self-Pay Cash Honesty & 501(r)Integrity & Outcomes
13% Cash Edge · 25/100Watchout
CMS Clinical Safety & Star ValueIntegrity & Outcomes
3 CMS · 54/100Elevated

Procedure Prices at Texas Scottish Rite Hospital for Children

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 80 published procedures.

Sort:
Procedure & Billing Code This Hospital vs. Fair
Total knee replacement
CPT Code: 27447
— —
Total hip replacement
CPT Code: 27130
$4,600 0.3×
Injection procedure for pain management
HCPCS Code: G0260
$1,770 2.1×
CT scan, head (with and without contrast)
CPT Code: 70470
$1,778 unverified
Knee arthroscopy with meniscus repair
CPT Code: 29881
$1,746 0.5×
Bunion correction surgery
CPT Code: 28296
$1,670 0.5×
CT scan, head (with contrast)
CPT Code: 70460
$1,426 unverified
CT scan, sinuses
CPT Code: 70486
$1,104 unverified
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
$589 1.3×
Psychotherapy session (60 minutes)
CPT Code: 90837
$383 2.1×
Psychiatric evaluation (first visit)
CPT Code: 90791
$385 2.1×
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
$366 1.2×
MRI, brain (with and without contrast)
CPT Code: 70553
$379 unverified
Family therapy session
CPT Code: 90847
$322 1.9×
Psychological testing by technician
CPT Code: 96138
$315 0.8×
X-ray, lower back
CPT Code: 72110
$323 unverified
New patient office visit (30-44 min)
CPT Code: 99203
$242 2.2×
Psychotherapy session (45 minutes)
CPT Code: 90834
$255 1.5×
Breathing treatment (nebulizer)
CPT Code: 94640
$246 1.2×
Neurobehavioral status check
CPT Code: 96116
$261 1.1×
Office visit, established patient (30-39 min)
CPT Code: 99214
$222 1.8×
MRI, brain (no contrast)
CPT Code: 70551
$235 unverified
MRI, lower back (no contrast)
CPT Code: 72148
$239 unverified
MRI, knee or other leg joint
CPT Code: 73721
$224 unverified
Office visit, established patient (20-29 min)
CPT Code: 99213
$139 1.6×
Showing top 25 high-impact procedures of 80 total
Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 44.0%

Audit a Bill or Quote at Texas Scottish Rite Hospital for Children (Zero PHI Required)

CMS CCN: 453314
CPT 27447
Fair BaseRate™ $13,523
Medicare Rate $13,117
Self-Pay Cash Request Quote
Insurer Median $15,551
Pre-filled with Texas Scottish Rite Hospital for Children’s charged/list benchmark
Screened against 2026 HHS Federal Poverty Guidelines
2026 FPL: $15,650 + $5,500 per additional person
Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $2,267 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $2,267

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (44.0% of gross = $2,267).

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Texas Scottish Rite Hospital 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 Target: $13,523 Fair BaseRate

Negotiate Toward $13,523 Fair BaseRate ($13,117 Medicare)

Your entered amount is at or below the modeled Fair BaseRate benchmark ($13,523).

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: 750818178
Filing Period: 194102
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 (44.0% 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 Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Texas Scottish Rite Hospital for Children.

Price Index: 0.41× regional baseline
Quality: 54/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Aetna
-55.4%
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 57/100 · Caution CMS CCN 453314 EIN 750818178

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

Published MRF FileReports.aspx
Publication / Vintage2026-02-09 · 107.46 MB
Validated Rate Rows2,216 (CMS v3.0.0)
File Integrity DigestVerified · CCN 453314

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.