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Childrens HospitalVoluntary Non-Profit - Private

Nemours Children S Hospital

Nemours Childrens Health System · Orlando, FL

13535 Nemours Parkway, Orlando, FL 32827(407) 567-4000

Not rated by CMS

CMS star rating

135

Beds

3,882

Inpatient discharges a year

$467.1M

Net patient revenue a year

33

In-network payers

Photo 1: Nemours Children's Hospital, Florida, CC BY-SA 2.0, via Wikimedia Commons · Photo 2: Public domain (USGS NAIP, CONUS), via USGS National Map / USDA NAIP

About this hospital

Nemours Children S Hospital is a 135-bed voluntary non-profit - private hospital in Orlando, FL, affiliated with Nemours Childrens Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 33 in-network payers and 270 disclosed rate categories.

  • 340B participant
CCN
103304
NPI
1245520386
Health system
Nemours Childrens Health System
County
Orange County
Metro area
Orlando-Kissimmee-Sanford, FL MSA
Medicare contractor
Jurisdiction N, First Coast Service Options (09001)
In Medicare since
2012
Last CMS survey
2012

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

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Category III Codes

Range: 0042T - 0810T

Negotiated

Very High

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 High

Aetna

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Multianalyte Assay

Range: 0002M - 0018M

Negotiated

Very High

Aetna

Outpatient

CPT Pathology and Laboratory Procedures

Range: 80047 - 89398

Negotiated

Very Low

Aetna

Outpatient

CPT Pathology and Laboratory Procedures

Range: 80047 - 89398

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Proprietary Laboratory Analyses

Range: 0001U - 0401U

Negotiated

Very High

Aetna

Outpatient

CPT Proprietary Laboratory Analyses

Range: 0001U - 0401U

Percentage of Bill Charged

-

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 HealthCenteneEMI Health

More about this hospital

Tax IDs and NPIs insurers list

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

Tax ID (EIN)Plans and networks listing itOrganization NPIs
59-0634433(multi-state) The Nemours Foundation60Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 55 more1467505073 The Nemours Foundation1366594699 The Nemours Foundation1245520386 The Nemours Foundationand 74 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

13535 Nemours Parkway, Orlando, FL 32827

(407) 567-4000

Get directions

Frequently asked questions

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

How many patients does Nemours Children S Hospital admit?

Nemours Children S Hospital reported 3,882 inpatient discharges and 27,806 inpatient days from Jan 1, 2025 to Dec 31, 2025.

How many employees does Nemours Children S Hospital have?

Nemours Children S Hospital reported 1,204 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.

How much revenue does Nemours Children S Hospital make?

Nemours Children S Hospital reported $467.1M in net patient revenue on $1.3B of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of 2.4%, and net income of -$16.8M.

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

Insurers' price transparency files list Nemours Children S Hospital under employer identification number 59-0634433 ((multi-state) The Nemours Foundation). 60 health plans and networks list 59-0634433 for it.

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

Yes. HRSA's 340B database lists Nemours Children S Hospital (340B ID PED103304-00) as a participating children's hospital since 2017, with 58 active contract pharmacies.

How many doctors are affiliated with Nemours Children S Hospital?

8 clinicians who bill Medicare list Nemours Children S Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are pediatric cardiology physician (3), pediatric nephrology physician (2), pediatric radiology physician (2).

Is Nemours Children S Hospital accredited?

Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Nemours Children S Hospital, effective 2025.

Who owns Nemours Children S Hospital?

In its Medicare enrollment, Nemours Children S Hospital reports The Nemours Foundation as 5% or greater direct ownership interest.

What services does Nemours Children S Hospital offer?

CMS lists 31 services at Nemours Children S Hospital, including Acute Renal Dialysis, Anesthesia, Chemotherapy, Clinical Laboratory, CT Scan, Dental Care.

How many beds does Nemours Children S Hospital have?

Nemours Children S Hospital has 135 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 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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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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