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

Seattle Children's Hospital in Seattle, WA currently has 104 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Seattle Children's Hospital's median negotiated commercial rate is 0.7× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Children's Hospital Voluntary non-profit - Private 370 Beds · urban Updated: 03/31/2026

Seattle Children's Hospital

4800 Sand Point Way Ne, Po Box C-5371, Seattle, WA 98105 · 104 Priced Procedures

CMS Overall Rating No CMS Rating

Good Deal · Below Fair Market

0.67×vs. Fair Market Price

Typical commercial prices here are 33% below the fair benchmark (0.67×) after accounting for local nurse/doctor wages and patient complexity.

64/100 · Caution

64/100Self-Pay Cash Beats Insurance 20% of the Time

File Completeness85

Price Logic75

Peer Alignment55

Clean Billing87

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 Rates

Uniform Value Leader · Low-Cost Across Departments

Seattle Children's Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (0.6× Medicare, p50 0.50× Fair BaseRate) and emergency/ancillary services (0.4× Medicare, p75 0.58× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#8 of 58 in WA · 12th State Percentile#118 of 3,385 in U.S. · 3rd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 33% below peer Fair BaseRate (0.67×)
Self-pay cash beats commercial insurance on 20% 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 (54.5% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.1× markup over Medicare rates
Commercial insurance median sits at 0.50× Fair BaseRate (0.6× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 0.58×) jump +16% above the median procedure ratio (Q50 0.50×)
Unnegotiated chargemaster list prices average 8.0× Medicare (24¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

0.6× Medicare

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

Back-Door Captive & ER0.67× Divergence

0.4× Medicare

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

Quantile Tail Spread+16% Upper Tail

Q25 0.26× · Q50 0.50× · Q75 0.58×

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

0.6× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.1× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.9× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.5× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

0.8× MedicareGood

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

0.5× MedicareGood

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

20% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 54/100Elevated

Procedure Prices at Seattle 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 104 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Rabies immune globulin HCPCS Code: `90375`	$4,795	$4,795	$322	14.9×
Hepatitis B immune globulin HCPCS Code: `90371`	$3,498	$3,498	$151	23.2×
Total hip replacement CPT Code: `27130`	—	$3,007	$13,413	0.2×
Blood transfusion CPT Code: `36430`	$2,796	$2,796	$498	5.6×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$1,551	$6,109	0.3×
Cataract surgery with lens implant CPT Code: `66984`	—	$1,257	$2,540	0.5×
Inguinal hernia repair CPT Code: `49505`	—	$1,232	$3,629	0.3×
Breast lump removal CPT Code: `19120`	—	$986	$3,875	0.3×
Hospital observation (per hour) HCPCS Code: `G0378`	$663	$663	$86	7.7×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$601	$601	$3,372	0.2×
Colonoscopy with biopsy CPT Code: `45380`	—	$461	$1,256	0.4×
Care planning with family CPT Code: `90887`	$417	$417	$107	3.9×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$424	$981	0.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$381	$381	$64	6.0×
X-ray, pelvis CPT Code: `72170`	$320	$320	$110	2.9×
Upper endoscopy with biopsy CPT Code: `43239`	—	$319	$987	0.3×
Psychiatric evaluation (first visit) CPT Code: `90791`	$606	$288	$185	1.6×
Breathing treatment (nebulizer) CPT Code: `94640`	$313	$313	$201	unverified
Psychotherapy session (60 minutes) CPT Code: `90837`	$606	$260	$181	1.4×
MRI, brain (with and without contrast) CPT Code: `70553`	$5,688	$246	$511	0.5×
Sleep study (overnight, in lab) CPT Code: `95810`	—	$244	$1,021	0.2×
Office visit, established patient (30-39 min) CPT Code: `99214`	$140	$203	$123	1.7×
Family therapy session CPT Code: `90847`	$521	$215	$173	1.2×
New patient office visit (30-44 min) CPT Code: `99203`	$135	$172	$110	1.6×
Psychotherapy session (45 minutes) CPT Code: `90834`	$404	$191	$166	1.2×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	—	$187	$303	0.6×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,415	$195	$448	0.4×
Office visit, established patient (20-29 min) CPT Code: `99213`	$135	$135	$87	1.6×
Group therapy session CPT Code: `90853`	$150	$150	$100	1.5×
Neurobehavioral status check CPT Code: `96116`	—	$167	$231	0.7×
Echocardiogram (heart ultrasound) CPT Code: `93306`	—	$147	$583	0.3×
CT scan, pelvis CPT Code: `72192`	—	$116	$163	0.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$250	$136	$258	0.5×
MRI, lower back (no contrast) CPT Code: `72148`	—	$158	$338	0.5×
MRI, brain (no contrast) CPT Code: `70551`	—	$158	$343	0.5×
CT scan, chest (no contrast) CPT Code: `71250`	—	$116	$167	0.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,688	$107	$168	0.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,547	$107	$169	0.6×
CT scan, head (with contrast) CPT Code: `70460`	—	$121	$242	0.5×
MRI, knee or other leg joint CPT Code: `73721`	$4,553	$145	$369	0.4×
Ultrasound, abdomen (complete) CPT Code: `76700`	$817	$87	$134	0.6×
CT scan, head (no contrast) CPT Code: `70450`	$2,395	$91	$160	0.6×
CT scan, sinuses CPT Code: `70486`	$1,294	$91	$166	0.5×
Typhoid vaccine HCPCS Code: `90675`	$879	$879	$347	2.5×
Drug screening test HCPCS Code: `G0480`	$641	$641	$116	5.5×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$393	$393	$203	1.9×
Culture, bacterial CPT Code: `87070`	$257	$257	$9	28.6×
Culture, blood CPT Code: `87040`	$282	$282	$11	25.6×
Blood test, vitamin D CPT Code: `82306`	$289	$289	$31	9.3×
Pneumococcal vaccine HCPCS Code: `90732`	$244	$244	$140	1.7×
Hepatitis C antibody test CPT Code: `86803`	$206	$206	$15	13.7×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$202	$202	$56	3.6×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$202	$202	$111	1.8×
Blood test, lipase CPT Code: `83690`	$136	$136	$7	19.4×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$152	$152	$11	13.8×
Blood test, clotting time (PTT) CPT Code: `85730`	$113	$113	$6	18.8×
Blood test, amylase CPT Code: `82150`	$126	$126	$7	18.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$121	$121	$8	15.1×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$131	$131	$10	13.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$148	$148	$14	10.6×
Blood antibody screen CPT Code: `86850`	$129	$129	$46	2.8×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$87	$87	$3	29.0×
Blood test, magnesium CPT Code: `83735`	$102	$102	$7	14.6×
Blood test, liver function panel CPT Code: `80076`	$112	$112	$9	12.4×
Blood test, basic metabolic panel CPT Code: `80048`	$111	$111	$9	12.3×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$75	$75	$5	15.0×
Hepatitis B vaccine HCPCS Code: `90744`	$69	$69	$37	1.9×
Extended office visit (prolonged) HCPCS Code: `G2212`	—	$60	$33	1.8×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$69	$69	$39	1.8×
Ultrasound, pelvis CPT Code: `76856`	—	$74	$130	0.6×
Psychological testing by technician CPT Code: `96138`	$170	$72	$395	0.2×
Blood test, hemoglobin CPT Code: `85018`	$37	$37	$3	12.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$42	$42	$4	10.5×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$42	$42	$4	10.5×
Blood test, creatinine (kidney) CPT Code: `82565`	$43	$43	$5	8.6×
Blood test, calcium CPT Code: `82310`	$42	$42	$5	8.4×
Blood test, potassium CPT Code: `84132`	$42	$42	$5	8.4×
Blood test, sodium CPT Code: `84295`	$42	$42	$5	8.4×
Flu vaccine (high dose) HCPCS Code: `90656`	$50	$50	$25	2.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	—	$64	$126	0.5×
Ultrasound, thyroid and neck CPT Code: `76536`	—	$61	$132	0.5×
Orthotic fitting and training CPT Code: `97760`	$195	$30	$51	0.6×
Prosthetic fitting and training CPT Code: `97761`	$237	$26	$45	0.6×
Speech therapy (language evaluation) CPT Code: `92507`	$586	$48	$86	0.6×
Psychological testing evaluation CPT Code: `96136`	—	$49	$128	0.4×
Ultrasound, leg veins (duplex) CPT Code: `93970`	—	$70	$272	0.3×
Speech therapy (group session) CPT Code: `92508`	$393	$15	$27	0.6×
Physical therapy (functional capacity test) CPT Code: `97750`	$221	$21	$38	0.6×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$200	$22	$40	0.6×
Physical therapy (gait training) CPT Code: `97116`	$233	$18	$33	0.5×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$194	$20	$38	0.5×
Occupational therapy (self-care training) CPT Code: `97535`	$457	$20	$38	0.5×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$165	$18	$35	0.5×
Physical therapy (manual therapy) CPT Code: `97140`	$192	$17	$34	0.5×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$9	$25	0.4×
X-ray, chest (two views) CPT Code: `71046`	$335	$24	$93	0.3×
X-ray, neck (cervical spine) CPT Code: `72040`	$405	$24	$93	0.3×
X-ray, hip CPT Code: `73502`	$296	$24	$93	0.3×
X-ray, lower back CPT Code: `72110`	—	$28	$112	0.3×
X-ray, shoulder CPT Code: `73030`	$603	$21	$92	0.2×
X-ray, chest (single view) CPT Code: `71045`	$332	$19	$92	0.2×
X-ray, foot CPT Code: `73630`	$50	$19	$92	0.2×
X-ray, hand CPT Code: `73130`	$828	$19	$93	0.2×
X-ray, ankle CPT Code: `73610`	$690	$19	$93	0.2×

Showing top 25 high-impact procedures of 104 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 54.5%

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

CMS CCN: 503300

CPT 90375

Select Procedure to Audit:

Fair BaseRate™ $322

Medicare Rate $275

Self-Pay Cash $4,795

Insurer Median $4,795

1. Amount on Your Bill or Quote ($) Pre-filled with Seattle 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: $2,612 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $2,612

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (54.5% of gross = $2,612).

Step 2 · Cash vs. Insurance Arbitrage Published Cash: $4,795

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Seattle Children's Hospital's published 45 CFR § 180 self-pay cash rate is $4,795 (vs. $4,795 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$4,473 Above Fair BaseRate

Negotiate Toward $322 Fair BaseRate ($275 Medicare)

Your bill ($4,795) is $4,473 above the denoised Fair BaseRate ($322) and 17.4× the $275 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: 910564748

Filing Period: 198605

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 (54.5% 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 Seattle Children's Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-09-04·administrative_or_closure
Closure Notice
Recorded
2025-07-21·cap_corrective_action
CAP Request
Recorded
2025-07-01·cap_corrective_action
CAP Request
Recorded
2025-03-26·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

Regional Quality & Price Benchmark

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

Price Index: 1.25× regional baseline

Quality: 54/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

PacificSource

+141.6%

Median Household Income$122,148U.S. Census ACS

Local Uninsured Share5.2%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 64/100 · Caution CMS CCN 503300 EIN 910564748

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 503300) ↗ Verify IRS Form 990 (EIN 910564748) ↗ CMS HCRIS Cost Reports ↗

Published MRF File910564748_seattle-childrens-hospital_standardcharges.csv

Publication / Vintage03/31/2026 · 910.07 MB

Validated Rate Rows25,825 (CMS v3.0.0)

File Integrity Digest4d7a563bf5568aa9c0c7…

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