PayerPrice
Data Platform
Who We Serve
Use Cases
More
Check Local Rates
Childrens HospitalVoluntary Non-Profit - Other

Shriners Hospitals For Children

Shriners Hospitals for Children · Houston, TX

6977 Main Street, Houston, TX 77030(713) 797-1616

11

In-network payers

92

Disclosed rate categories

40

Beds

About this hospital

Shriners Hospitals For Children is a 40-bed voluntary non-profit - other hospital in Houston, TX, affiliated with Shriners Hospitals for Children. Below you'll find publicly disclosed negotiated rates and facility details, including 11 in-network payers and 92 disclosed rate categories.

CCN (Medicare provider number)

453312

NPI

1518000306

Type

Childrens Hospital

Ownership

Voluntary Non-Profit - Other

Beds

40

Insurance Accepted

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.

Medicare
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Johns Hopkins Health PlansKaiser PermanenteMVP Health CareMedCostMedicaMedical Mutual

Negotiated Rates

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

Book a call about hospital compliance MRFs
PayerCategoryCode Type & GroupContract Typevs. State Average

Cigna

Outpatient

CPT Category III Codes

Range: 0042T - 0810T

Negotiated

Very Low

Cigna

Outpatient

CPT Evaluation and Management

Range: 99091 - 99499

40% negotiated 60% percentage

Average

Cigna

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Negotiated

Very Low

Cigna

Outpatient

CPT Multianalyte Assay

Range: 0002M - 0018M

Negotiated

Very Low

Cigna

Outpatient

CPT Pathology and Laboratory Procedures

Range: 80047 - 89398

Negotiated

Very Low

Cigna

Outpatient

CPT Proprietary Laboratory Analyses

Range: 0001U - 0401U

Negotiated

Very Low

Cigna

Outpatient

CPT Radiology Procedures

Range: 70010 - 79999

Negotiated

Very Low

Cigna

Outpatient

CPT Surgery

Range: 10004 - 69990

Negotiated

Very Low

Cigna

Outpatient

HCPCS Outpatient PPS

Range: C1713 - C9899

Negotiated

Very Low

Cigna

Outpatient

HCPCS Pathology and Laboratory Services

Range: P2028 - P9615

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.

Showing 1 - 10 of 92

View all hospital rates
...

Location

6977 Main Street, Houston, TX 77030

(713) 797-1616

Get directions

Frequently asked questions

About Shriners Hospitals For Children's rates and hospital price transparency.

How many beds does Shriners Hospitals For Children have?

Shriners Hospitals For Children has 40 beds. Facility type: Childrens Hospital.

Where is Shriners Hospitals For Children and what is its phone number?

Shriners Hospitals For Children is located at 6977 Main Street, Houston, TX 77030. Its main phone number is (713) 797-1616.

What is Shriners Hospitals For Children's CCN (Medicare provider number)?

Shriners Hospitals For Children's CMS Certification Number (CCN), also called its Medicare provider number, is 453312.

What is Shriners Hospitals For Children's NPI number?

The National Provider Identifier (NPI) on file for Shriners Hospitals For Children is 1518000306.

Which insurance plans are in network at Shriners Hospitals For Children?

Shriners Hospitals For Children lists 11 in-network payers, including Cigna, Johns Hopkins Health Plans, Kaiser Permanente, MVP Health Care, 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 Shriners Hospitals For Children?

92 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.

What is a hospital price transparency MRF?

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.

What is a chargemaster review?

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.

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
Talk to us about your MRF
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
Talk to us about your chargemaster