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Childrens HospitalVoluntary non-profit - Private

Children'S Hospital Medical Center

Cincinnati Childrens Hospital Medical Center · Cincinnati, OH

3333 Burnet Avenue Mlc 8006, Cincinnati, OH 45229

506

Beds

37

In-network payers

Warren LeMay from Cincinnati, OH, United States, CC0, via Wikimedia Commons

About this facility

Children'S Hospital Medical Center is a 506-bed voluntary non-profit - private facility in Cincinnati, OH, affiliated with Cincinnati Childrens Hospital Medical Center. Below you'll find publicly disclosed negotiated rates and facility details, including 37 in-network payers and 193 disclosed rate categories.

CCN
369806
NPI
1548212988
Health system
Cincinnati Childrens Hospital Medical Center
County
Hamilton County
Metro area
Cincinnati, OH-KY-IN MSA
Medicare contractor
Jurisdiction 15, CGS Administrators (15201)
In Medicare since
2009
Last CMS survey
2023

Negotiated Rates

The data below comes from CMS-mandated price transparency data. Learn more.

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PayerCategoryCode Type & GroupContract Typevs. State Average

Aetna

Outpatient

CPT Anesthesia

Range: 00100 - 01999

Negotiated

Very Low

Aetna

Outpatient

CPT Anesthesia

Range: 00100 - 01999

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Category II Codes

Range: 0001F - 9007F

Negotiated

Very Low

Aetna

Outpatient

CPT Category III Codes

Range: 0042T - 0810T

Negotiated

Very Low

Aetna

Outpatient

CPT Category III Codes

Range: 0042T - 0810T

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Evaluation and Management

Range: 99091 - 99499

Negotiated

Very Low

Aetna

Outpatient

CPT Evaluation and Management

Range: 99091 - 99499

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Negotiated

Very Low

Aetna

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Multianalyte Assay

Range: 0002M - 0018M

Negotiated

Very Low

Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

...

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCareSource (incl Common Ground Health Coop)Centene

More about this facility

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Children'S Hospital Medical Center in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
31-0833936(multi-state) Childrens Hospital Medical Center70Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), AMPS, Allied Benefit Systems and 65 more1548212988 Children'S Hospital Medical Center1891044749 Woodstock Rescue Squad1609915784 Children'S Hospital Medical Centerand 21 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

3333 Burnet Avenue Mlc 8006, Cincinnati, OH 45229

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Frequently asked questions

About Children'S Hospital Medical Center's rates and hospital price transparency.

Who is the CEO of Children'S Hospital Medical Center?

Children'S Hospital Medical Center's 2024 IRS Form 990 lists Steve Davis MD as President & CEO.

What is Children'S Hospital Medical Center's tax ID (EIN)?

Insurers' price transparency files list Children'S Hospital Medical Center under employer identification number 31-0833936 ((multi-state) Childrens Hospital Medical Center). 70 health plans and networks list 31-0833936 for it.

Is Children'S Hospital Medical Center accredited?

CMS's Provider of Services file lists no accrediting organization for Children'S Hospital Medical Center; it is certified for Medicare through state survey.

How many beds does Children'S Hospital Medical Center have?

Children'S Hospital Medical Center has 506 beds. Facility type: Childrens Hospital.

Where is Children'S Hospital Medical Center and what is its phone number?

Children'S Hospital Medical Center is located at 3333 Burnet Avenue Mlc 8006, Cincinnati, OH 45229.

What is Children'S Hospital Medical Center's CCN (Medicare provider number)?

Children'S Hospital Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 369806.

What is Children'S Hospital Medical Center's NPI number?

The National Provider Identifier (NPI) on file for Children'S Hospital Medical Center is 1548212988.

What health system is Children'S Hospital Medical Center part of?

Children'S Hospital Medical Center is affiliated with Cincinnati Childrens Hospital Medical Center.

Which insurance plans are in network at Children'S Hospital Medical Center?

Children'S Hospital Medical Center lists 37 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.

What price transparency data is available for Children'S Hospital Medical Center?

193 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

What a review covers

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
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