Methodist Le Bonheur Healthcare · Memphis, TN
33
In-network payers
379
Disclosed rate categories
255
Beds
4
Care quality
Le Bonheur Childrens Hospital is a 255-bed voluntary non-profit - church hospital in Memphis, TN, affiliated with Methodist Le Bonheur Healthcare. Below you'll find publicly disclosed negotiated rates and facility details, including 33 in-network payers and 379 disclosed rate categories.
CCN (Medicare provider number)
440049
NPI
1386709871
Type
Childrens Hospital
Ownership
Voluntary Non-Profit - Church
Beds
255
Care Quality
4
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Le Bonheur Childrens Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Childbirth · Inpatient
MS-DRG 807
$7,579 - $28,028
from 3 insurers · median $9,118
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 470
$27,457 - $210,538
from 3 insurers · median $27,527
307 Medicare discharges for this DRG in CMS hospital data
Childbirth · Inpatient
MS-DRG 788
$9,980 - $41,921
from 3 insurers · median $12,967
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Gynecology
CPT 58558
$2,768 - $16,215
from 3 insurers · median $4,868
29 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 460
$49,527 - $158,966
from 3 insurers · median $49,973
29 Medicare discharges for this DRG in CMS hospital data
Gynecology
CPT 58571
$8,717 - $27,451
from 3 insurers · median $15,941
78 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45380
$1,757 - $12,327
from 4 insurers · median $4,519
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$7,919 - $15,483
from 3 insurers · median $8,717
163 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 43239
$1,629 - $12,718
from 4 insurers · median $3,018
Common here, based on CMS Medicare volume
CT imaging
CPT 74177
$506 - $925
from 3 insurers · median $611
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$7,579 - $28,028
from 3 insurers · median $9,118
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Digestive procedures
CPT 49650
$8,717 - $17,270
from 3 insurers · median $8,933
163 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45385
$1,757 - $12,973
from 3 insurers · median $2,240
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$398 - $6,488
from 4 insurers · median $779
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$96 - $403
from 4 insurers · median $181
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$797 - $7,877
from 4 insurers · median $1,831
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 216
$128,366 - $457,671
from 3 insurers · median $139,610
Hospital reports cardiac thoracic surgery services to CMS
Medicine & Surgery
CPT 49505
$3,704 - $18,717
from 3 insurers · median $6,133
77 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Ear, nose and throat
CPT 69436
$2,240 - $11,936
from 4 insurers · median $4,323
13 Medicare claims in Level 3 ENT Procedures (CMS 2024)
Lung function and sleep
CPT 95810
$2,856 - $4,203
from 4 insurers · median $3,937
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$160 - $296
from 3 insurers · median $179
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$245 - $458
from 3 insurers · median $373
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$292 - $855
from 3 insurers · median $461
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$496 - $1,042
from 3 insurers · median $611
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 7 | 479% | 6 | 1 |
| Insurer B* | 24 | 309% | 20 | 1 |
| Insurer C* | 24 | 158% | 13 | 7 |
| Insurer D* | 24 | 146% | 5 | 8 |
How we chose these services: 8 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 4 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Le Bonheur Childrens Hospital.
848 Adams Ave, Memphis, TN 38103
None
The nearest hospitals of similar type and size. Their rates are compared with Le Bonheur Childrens Hospital for the same insurers and services above.
Shelby County Health Care Corporation
▼ Rates typically 39% lower than Le Bonheur Childrens Hospital (20 services)
Baptist Memorial Hospital - Memphis
▼ Rates typically 28% lower than Le Bonheur Childrens Hospital (21 services)
Saint Francis Hospital - Memphis
▼ Rates typically 31% lower than Le Bonheur Childrens Hospital (16 services)
Baptist Memorial Hospital - Desoto
▼ Rates typically 35% lower than Le Bonheur Childrens Hospital (21 services)
St. Bernards Medical Center
▼ Rates typically 58% lower than Le Bonheur Childrens Hospital (21 services)
Jackson-Madison Co. General Hospital
▼ Rates typically 24% lower than Le Bonheur Childrens Hospital (21 services)
Baptist Memorial Hospital For Women
St. Jude Children S Research Hospital
East Tennessee Childrens Hospital
Children S Hospital At Erlanger
About Le Bonheur Childrens Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Le Bonheur Childrens Hospital range from $496 to $1,042 across 3 insurers. Cigna's rate is $496. The median at nearby comparable hospitals is $603. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Le Bonheur Childrens Hospital range from $506 to $925 across 3 insurers. UnitedHealthcare's rate is $611. The median at nearby comparable hospitals is $496. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Le Bonheur Childrens Hospital range from $1,757 to $12,327 across 4 insurers. Cigna's rate is $1,757. The median at nearby comparable hospitals is $1,721. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Le Bonheur Childrens Hospital range from $7,579 to $28,028 across 3 insurers. Blue Cross Blue Shield's rate is $28,028. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Le Bonheur Childrens Hospital range from $96 to $403 across 4 insurers. Aetna's rate is $96. The median at nearby comparable hospitals is $142. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Le Bonheur Childrens Hospital range from $27,457 to $210,538 across 3 insurers. Blue Cross Blue Shield's rate is $210,538. The median at nearby comparable hospitals is $22,748. What a patient pays depends on their plan's deductible, coinsurance and network status.
Le Bonheur Childrens Hospital has 255 beds. Facility type: Childrens Hospital.
Le Bonheur Childrens Hospital is located at 848 Adams Ave, Memphis, TN 38103. Its main phone number is None.
Le Bonheur Childrens Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 440049.
The National Provider Identifier (NPI) on file for Le Bonheur Childrens Hospital is 1386709871.
Le Bonheur Childrens Hospital is affiliated with Methodist Le Bonheur Healthcare.
Le Bonheur Childrens Hospital lists 33 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.
379 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.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"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
}
]
}]
}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