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Childrens HospitalVoluntary Non-Profit - Private

Cincinnati Children S

Cincinnati Childrens Hospital Medical Center · Cincinnati, OH

3333 Burnet Avenue Mlc 8006, Cincinnati, OH 45229(513) 636-3333

Not rated by CMS

CMS star rating

719

Beds

19,492

Inpatient discharges a year

$2.9B

Net patient revenue a year

37

In-network payers

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

About this hospital

Cincinnati Children S is a 719-bed voluntary non-profit - private hospital 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.

  • 340B participant
CCN
363300
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
1985
Last CMS survey
2010

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 hospital

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Cincinnati Children S 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

(513) 636-3333

Get directions

Frequently asked questions

About Cincinnati Children S's rates and hospital price transparency.

How many patients does Cincinnati Children S admit?

Cincinnati Children S reported 19,492 inpatient discharges and 168,170 inpatient days from Jul 1, 2024 to Jun 30, 2025.

How many employees does Cincinnati Children S have?

Cincinnati Children S reported 17,983 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.

How much revenue does Cincinnati Children S make?

Cincinnati Children S reported $2.9B in net patient revenue on $4.6B of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of -20.2%, and net income of $208.6M.

Who is the CEO of Cincinnati Children S?

Cincinnati Children S's Medicare enrollment lists Stephen J Davis as CEO since 2021.

What is Cincinnati Children S's tax ID (EIN)?

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

Does Cincinnati Children S participate in the 340B drug pricing program?

Yes. HRSA's 340B database lists Cincinnati Children S (340B ID PED363300-00) as a participating children's hospital since 2010.

How many doctors are affiliated with Cincinnati Children S?

233 clinicians who bill Medicare list Cincinnati Children S as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are pediatric radiology physician (34), pediatric cardiology physician (23), pediatric pulmonology physician (19).

Is Cincinnati Children S accredited?

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

What services does Cincinnati Children S offer?

CMS lists 47 services at Cincinnati Children S, including Acute Renal Dialysis, Anesthesia, Audiology, Cardiac Catheterization Lab, Cardiac Thoracic Surgery, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation).

How many beds does Cincinnati Children S have?

Cincinnati Children S has 719 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 467 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Childrens Hospital.

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
      }
    ]
  }]
}
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  • 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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Chargemaster analysis

Get your chargemaster right for billing and payer contracts

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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