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Childrens HospitalVoluntary Non-Profit - Other

St. Louis Children S Hospital

BJC Healthcare · Saint Louis, MO

One Children's Place, Saint Louis, MO 63110(314) 454-6000

Not rated by CMS

CMS star rating

467

Beds

12,305

Inpatient discharges a year

$1.1B

Net patient revenue a year

37

In-network payers

About this hospital

St. Louis Children S Hospital is a 467-bed voluntary non-profit - other hospital in Saint Louis, MO, affiliated with BJC Healthcare. Below you'll find publicly disclosed negotiated rates and facility details, including 37 in-network payers and 278 disclosed rate categories.

  • 340B participant
CCN
263301
NPI
1992727663
Health system
BJC Healthcare
County
St. Louis city
Metro area
St. Louis, MO-IL MSA
Medicare contractor
Jurisdiction 5, WPS Government Health Administrators (05901)
In Medicare since
1984
Last CMS survey
2003

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 Category II Codes

Range: 0001F - 9007F

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Category II Codes

Range: 0001F - 9007F

Negotiated

Very High

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

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Negotiated

Very High

Aetna

Outpatient

CPT Multianalyte Assay

Range: 0002M - 0018M

Percentage of Bill Charged

-

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

-

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 St. Louis 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
43-0654870St Louis Childrens Hospital65Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 60 more1336635499 St. Louis Childrens Hospital1992727663 St. Louis Children's Hospital1194246728 St. Louis Childrens Hospitaland 41 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

One Children's Place, Saint Louis, MO 63110

(314) 454-6000

Get directions

Frequently asked questions

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

How many patients does St. Louis Children S Hospital admit?

St. Louis Children S Hospital reported 12,305 inpatient discharges and 107,345 inpatient days from Jan 1, 2025 to Dec 31, 2025.

How many employees does St. Louis Children S Hospital have?

St. Louis Children S Hospital reported 3,656 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.

How much revenue does St. Louis Children S Hospital make?

St. Louis Children S Hospital reported $1.1B in net patient revenue on $2.3B of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of 12.8%, and net income of $178.8M.

Who is the CEO of St. Louis Children S Hospital?

St. Louis Children S Hospital's Medicare enrollment lists Scott Hawig as Vice President, Finance since 2026.

What is St. Louis Children S Hospital's tax ID (EIN)?

Insurers' price transparency files list St. Louis Children S Hospital under employer identification number 43-0654870 (St Louis Childrens Hospital). 65 health plans and networks list 43-0654870 for it.

Does St. Louis Children S Hospital participate in the 340B drug pricing program?

Yes. HRSA's 340B database lists St. Louis Children S Hospital (340B ID PED263301-00) as a participating children's hospital since 2013, with 2 active contract pharmacies.

How many doctors are affiliated with St. Louis Children S Hospital?

55 clinicians who bill Medicare list St. Louis Children S Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are diagnostic radiology physician (10), hospitalist physician (8), pediatric nephrology physician (6).

Is St. Louis Children S Hospital accredited?

Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for St. Louis Children S Hospital, effective 2022.

Who owns St. Louis Children S Hospital?

In its Medicare enrollment, St. Louis Children S Hospital reports St Louis Childrens Hospital as Operational/managerial control.

What services does St. Louis Children S Hospital offer?

CMS lists 28 services at St. Louis Children S Hospital, including Acute Renal Dialysis, Anesthesia, Burn Care Unit, Cardiac Thoracic Surgery, Clinical Laboratory, Dental Care.

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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