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Childrens HospitalVoluntary Non-Profit - Private

Shriners Hospitals For Children — St. Louis

Shriners Hospitals for Children · Saint Louis, MO

4400 Clayton Avenue, Saint Louis, MO 63110(314) 432-3600

Not rated by CMS

CMS star rating

12

Beds

34

In-network payers

About this hospital

Shriners Hospitals For Children — St. Louis is a 12-bed voluntary non-profit - private hospital in Saint Louis, MO, affiliated with Shriners Hospitals for Children. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 195 disclosed rate categories.

CCN
263304
NPI
1942343447
Health system
Shriners Hospitals for Children
County
St. Louis city
Metro area
St. Louis, MO-IL MSA
Medicare contractor
Jurisdiction 5, WPS Government Health Administrators (05001)
In Medicare since
2011
Last CMS survey
2011

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

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 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

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Proprietary Laboratory Analyses

Range: 0001U - 0401U

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)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

More about this hospital

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Shriners Hospitals For Children — St. Louis in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
36-2193608(multi-state) Shriners Hospitals For Children55Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 50 more1376656538 Shriners Hospitals For Children1326187097 Shriners Hospitals For Children1962530451 Shriners Hospitals For Childrenand 84 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

4400 Clayton Avenue, Saint Louis, MO 63110

(314) 432-3600

Get directions

Frequently asked questions

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

Who is the CEO of Shriners Hospitals For Children — St. Louis?

Shriners Hospitals For Children — St. Louis's Medicare enrollment lists Kevin R Costello as 1st Vice President since 2024.

What is Shriners Hospitals For Children — St. Louis's tax ID (EIN)?

Insurers' price transparency files list Shriners Hospitals For Children — St. Louis under employer identification number 36-2193608 ((multi-state) Shriners Hospitals For Children). 55 health plans and networks list 36-2193608 for it.

Is Shriners Hospitals For Children — St. Louis accredited?

Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Shriners Hospitals For Children — St. Louis, effective 2023.

Who owns Shriners Hospitals For Children — St. Louis?

In its Medicare enrollment, Shriners Hospitals For Children — St. Louis reports Shriners Hospitals for Children as 5% or greater direct ownership interest (100%).

What services does Shriners Hospitals For Children — St. Louis offer?

CMS lists 19 services at Shriners Hospitals For Children — St. Louis, including Anesthesia, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Clinical Laboratory, Diagnostic Radiology, Dietary Care, Inpatient Surgical.

How many beds does Shriners Hospitals For Children — St. Louis have?

Shriners Hospitals For Children — St. Louis has 12 beds. 80 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Childrens Hospital.

Where is Shriners Hospitals For Children — St. Louis and what is its phone number?

Shriners Hospitals For Children — St. Louis is located at 4400 Clayton Avenue, Saint Louis, MO 63110. Its main phone number is (314) 432-3600.

What is Shriners Hospitals For Children — St. Louis's CCN (Medicare provider number)?

Shriners Hospitals For Children — St. Louis's CMS Certification Number (CCN), also called its Medicare provider number, is 263304.

What is Shriners Hospitals For Children — St. Louis's NPI number?

The National Provider Identifier (NPI) on file for Shriners Hospitals For Children — St. Louis is 1942343447.

What health system is Shriners Hospitals For Children — St. Louis part of?

Shriners Hospitals For Children — St. Louis is affiliated with Shriners Hospitals for Children.

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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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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