Does Lucile Salter Packard Children's Hospital At Stanf publish its standard charges and chargemaster?

Yes. Lucile Salter Packard Children's Hospital At Stanf publishes a machine-readable file with 4,001 standard-charge rows — gross charges, cash prices, and payer-negotiated rates, earning a CMS price transparency compliance grade of A. Browse the negotiated rates by procedure and payer on this page.

How much does Lucile Salter Packard Children's Hospital At Stanf charge for procedures?

Lucile Salter Packard Children's Hospital At Stanf publishes a separately negotiated rate for each insurance payer, plus a discounted cash price and a gross (list) charge, for every procedure in its price transparency file. This page compares each procedure's negotiated median against the national median so you can see whether a price is above or below market.

▸ Hospital · · CCN 059804

Lucile Salter Packard Children's Hospital At Stanf

Compliance grade

97/100

Rates published

4,001

last crawl 2026-05-22

Procedures tracked

141

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitalsJSON

The report bundles all published codes × every payer rate + compliance grade as a downloadable PDF + CSV with a data-version manifest.

Source MRF: https://www.stanfordchildrens.org/content/dam/sch/config-public/charges/770003859-lucile-salter-packard-childrens-hospital-at-stanford-standardcharges.json · JSON

Procedures & rates

vs nat'l shows this hospital's negotiated median against the national median for that code (green = at/below market, amber = 1–1.5×, red = >1.5× the national median).

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	vs nat'l	Neg max
behavioral
Psychoses	MS-DRG	885	8	—	$107,253	$29.32	$9,871	0.77×	$17,000
Psychiatric diagnostic evaluation	CPT	90791	5	$654	—	$221.55	$486.6	2.7×	$654
Psychiatric eval with medical services	CPT	90792	5	$728	—	$342.4	$538.9	3.1×	$714.35
Psychotherapy 30 minutes	CPT	90832	5	$318	—	$100.71	$207.08	1.4×	$311.46
Psychotherapy 45 minutes	CPT	90834	5	$436	—	$161.13	$265.61	1.7×	$427.82
Psychotherapy 60 minutes	CPT	90837	5	$632	—	$171.2	$470.57	2.5×	$632
Crisis psychotherapy 60 minutes	CPT	90839	5	$1,024	—	$186.01	$491.47	3.1×	$647.96
emergency
Critical care, first hour	CPT	99291	5	$1,093	—	$546.5	$765.1	0.71×	$1,093
imaging
CT head without contrast	CPT	70450	8	$8,648	$4,324	$3,649.46	$6,101.03	29.5×	$28,538
CT head with contrast	CPT	70460	8	$9,512	$4,756	$4,014.06	$6,310.94	27.0×	$28,538
CT head with and without contrast	CPT	70470	8	$9,946	$4,973	$4,197.21	$6,416.38	24.0×	$28,538
CT neck with contrast	CPT	70491	8	$12,682	$6,341	$5,351.8	$7,081.09	25.9×	$28,538
MRI brain without contrast	CPT	70551	8	$12,294	$6,147	$1,354.2	$5,188.07	12.8×	$28,538
MRI brain with contrast	CPT	70552	8	$14,139	$7,069.5	$5,966.66	$7,435.07	15.6×	$28,538
MRI brain with and without contrast	CPT	70553	8	$15,635	$7,817.5	$1,691.8	$7,480.57	12.7×	$28,538
Chest X-ray single view	CPT	71045	8	$2,073	$1,036.5	$874.81	$4,503.64	47.6×	$28,538
Chest X-ray 2 views	CPT	71046	8	$2,373	$1,186.5	$874.81	$1,117.68	11.4×	$28,538
Chest X-ray 3 views	CPT	71047	8	$2,546	$1,273	$1,074.41	$4,618.55	48.3×	$28,538
CT chest without contrast	CPT	71250	8	$11,530	$5,765	$4,865.66	$6,801.22	31.6×	$28,538
CT chest with contrast	CPT	71260	8	$12,682	$6,341	$5,351.8	$7,081.09	25.2×	$28,538
CT chest with and without contrast	CPT	71270	8	$13,259	$6,629.5	$5,595.3	$7,221.28	24.8×	$28,538
MRI chest without contrast	CPT	71550	8	$12,294	$6,147	$1,354.2	$5,790.47	13.5×	$28,538
MRI chest with contrast	CPT	71551	8	$14,139	$7,069.5	$5,966.66	$7,435.07	9.1×	$28,538
MRI chest with and without contrast	CPT	71552	8	$15,366	$7,683	$1,691.8	$7,237.39	12.0×	$28,538
Lumbosacral spine X-ray	CPT	72100	8	$1,706	$853	$719.93	$4,414.48	42.7×	$28,538
CT cervical spine without contrast	CPT	72125	8	$8,646	$4,323	$3,648.61	$6,100.55	30.3×	$28,538
CT thoracic spine without contrast	CPT	72128	8	$8,646	$4,323	$3,648.61	$6,100.55	30.6×	$28,538
CT lumbar spine without contrast	CPT	72131	8	$8,646	$4,323	$3,648.61	$6,100.55	30.0×	$28,538
MRI cervical spine without contrast	CPT	72141	8	$12,294	$6,147	$3,476.44	$5,790.47	14.6×	$28,538
MRI thoracic spine without contrast	CPT	72146	8	$12,294	$6,147	$3,476.44	$5,790.47	15.5×	$28,538
MRI lumbar spine without contrast	CPT	72148	8	$12,294	$6,147	$3,476.44	$5,790.47	15.4×	$28,538
MRI lumbar spine with and without contrast	CPT	72149	8	$14,139	$7,069.5	$5,966.66	$7,435.07	16.4×	$28,538
MRI cervical spine with and without contrast	CPT	72156	8	$15,366	$7,683	$6,484.45	$7,733.17	14.3×	$28,538
MRI lumbar spine with contrast	CPT	72158	8	$15,366	$7,683	$6,484.45	$7,733.17	14.1×	$28,538
CT pelvis without contrast	CPT	72192	8	$11,530	$5,765	$4,865.66	$6,801.22	34.0×	$28,538
CT pelvis with contrast	CPT	72193	8	$12,682	$6,341	$5,351.8	$7,081.09	25.2×	$28,538
Shoulder X-ray	CPT	73030	8	$2,047	$1,023.5	$863.83	$4,497.32	48.4×	$28,538
Humerus X-ray	CPT	73060	8	$1,563	$781.5	$659.59	$4,379.73	49.0×	$28,538
Hand X-ray 3 views	CPT	73130	8	$1,635	$817.5	$689.97	$4,397.23	47.3×	$28,538
MRI upper extremity joint without contrast	CPT	73221	8	$12,294	$6,147	$1,729.78	$5,790.47	13.9×	$28,538
MRI upper extremity joint with and without contrast	CPT	73223	8	$15,366	$7,683	$6,484.45	$7,733.17	12.7×	$28,538
Knee X-ray 1-2 views	CPT	73560	8	$1,781	$890.5	$751.58	$4,432.7	47.5×	$28,538
Ankle X-ray 3 views	CPT	73610	8	$1,635	$817.5	$689.97	$4,397.23	47.7×	$28,538
MRI lower extremity joint without contrast	CPT	73721	8	$12,294	$6,147	$1,729.78	$3,671.92	7.8×	$28,538
MRI lower extremity joint with and without contrast	CPT	73723	7	$15,366	$7,683	$6,484.45	$7,466.34	11.8×	$28,538
CT abdomen without contrast	CPT	74150	8	$11,530	$5,765	$4,865.66	$6,801.22	36.1×	$28,538
CT abdomen with contrast	CPT	74160	8	$12,682	$6,341	$5,351.8	$7,081.09	24.7×	$28,538
CT abdomen with and without contrast	CPT	74170	8	$12,392	$6,196	$5,229.42	$7,010.64	21.0×	$28,538
CT abdomen and pelvis without contrast	CPT	74176	8	$15,374	$7,687	$6,487.83	$7,735.12	21.2×	$28,538
CT abdomen and pelvis with contrast	CPT	74177	8	$16,912	$8,456	$7,136.86	$8,108.77	14.8×	$28,538
CT abdomen and pelvis with and without contrast	CPT	74178	8	$17,683	$8,841.5	$7,462.23	$8,460.43	14.7×	$28,538
MRI abdomen without contrast	CPT	74181	8	$13,725	$6,862.5	$1,354.2	$5,973.65	15.3×	$28,538
MRI abdomen with and without contrast	CPT	74183	8	$15,366	$7,683	$1,691.8	$7,237.39	12.8×	$28,538
Abdominal ultrasound complete	CPT	76700	8	$4,273	$2,136.5	$1,685.05	$2,012.58	13.5×	$28,538
Abdominal ultrasound limited	CPT	76705	8	$3,192	$1,596	$895.48	$1,427.22	9.8×	$28,538
Retroperitoneal ultrasound complete	CPT	76770	8	$3,186	$1,593	$1,344.49	$4,774.04	33.2×	$28,538
Obstetric ultrasound first trimester	CPT	76801	8	$2,567	$1,283.5	$1,083.27	$4,623.66	32.7×	$28,538
Obstetric ultrasound after first trimester	CPT	76805	8	$2,665	$1,332.5	$1,124.63	$4,647.46	30.4×	$28,538
Obstetric ultrasound with fetal anatomy	CPT	76811	7	$3,254	$1,627	$1,373.19	$1,581.12	6.7×	$28,538
Transvaginal ultrasound	CPT	76830	8	$2,736	$1,368	$1,154.59	$4,664.71	31.6×	$28,538
Pelvic ultrasound complete	CPT	76856	8	$3,192	$1,596	$1,347.02	$4,775.5	33.3×	$28,538
Scrotal ultrasound	CPT	76870	8	$3,192	$1,596	$1,347.02	$4,775.5	36.4×	$28,538
EKG tracing only	CPT	93005	8	$2,067	$1,033.5	$871.01	$1,074.06	9.1×	$28,538
Transthoracic echocardiogram complete	CPT	93306	8	$9,251	$4,625.5	$4,495.06	$6,587.04	11.0×	$28,538
Transthoracic echocardiogram	CPT	93307	8	$4,642	$2,321	$1,871.69	$2,204.99	8.9×	$28,538
Stress echocardiogram	CPT	93350	8	$8,339	$4,169.5	$4,051.92	$6,332	12.5×	$28,538
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	8	—	$115,908	$36.02	$19,312	0.96×	$24,970
Intracranial hemorrhage/CVA w CC	MS-DRG	065	8	—	$156,137	$36.02	$19,312	1.8×	$24,970
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	8	—	$289,775	$36.02	$24,970	3.3×	$43,000
Respiratory infections & inflammations w MCC	MS-DRG	177	8	—	$267,176	$36.02	$24,970	1.6×	$38,730
COPD w MCC	MS-DRG	190	8	—	$292,290	$36.02	$24,970	2.2×	$38,730
COPD w CC	MS-DRG	191	8	—	$17,388	$29.32	$9,871	1.1×	$12,858
COPD w/o CC/MCC	MS-DRG	192	8	—	$176,902	$36.02	$9,871	1.4×	$17,000
Simple pneumonia & pleurisy w CC	MS-DRG	194	8	—	$30,036	$29.32	$9,871	1.2×	$12,858
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	8	—	$15,328	$29.32	$9,871	1.5×	$12,858
Heart failure & shock w MCC	MS-DRG	291	8	—	—	$43.14	$38,730	3.0×	$45,673
Heart failure & shock w CC	MS-DRG	292	8	—	$74,426	$29.32	$9,871	1.1×	$17,000
Cardiac arrhythmia w MCC	MS-DRG	308	8	—	$92,635	$29.32	$9,871	0.82×	$17,000
Cardiac arrhythmia w CC	MS-DRG	309	8	—	$32,035	$29.32	$9,871	1.3×	$12,858
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	8	—	$25,222	$29.32	$9,871	1.6×	$12,858
GI hemorrhage w CC	MS-DRG	378	8	—	$43,223	$29.32	$9,871	0.99×	$12,858
GI hemorrhage w/o CC/MCC	MS-DRG	379	8	—	$17,673	$29.32	$9,871	1.4×	$12,858
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	8	—	$50,357	$29.32	$9,871	1.2×	$12,858
Fractures of femur w/o MCC	MS-DRG	533	8	—	$58,778	$29.32	$9,871	0.65×	$12,858
Kidney/UTI w MCC	MS-DRG	689	8	—	$46,253	$29.32	$9,871	0.85×	$12,858
Kidney/UTI w/o MCC	MS-DRG	690	8	—	$47,437	$29.32	$9,871	1.2×	$12,858
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	8	—	$332,988	$36.02	$38,730	2.1×	$45,673
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	8	—	$58,792	$29.32	$9,871	0.95×	$12,858
Initial hospital care, low complexity	CPT	99221	5	$390	—	$195	$342.94	3.7×	$390
Initial hospital care, moderate complexity	CPT	99222	5	$534	—	$267	$466.49	2.8×	$534
Initial hospital care, high complexity	CPT	99223	5	$786	—	$393	$688.31	3.1×	$786
Hospital discharge, <30 min	CPT	99238	5	$280	—	$140	$252.81	3.0×	$280
Hospital discharge, >30 min	CPT	99239	5	$418	—	$209	$382.4	3.2×	$418
lab
Basic metabolic panel (BMP)	CPT	80048	4	$1,035	$517.5	$219.25	$364	11.2×	$8,000
Electrolyte panel	CPT	80051	4	$1,428	$714	$372.1	$551.21	23.2×	$8,000
Comprehensive metabolic panel	CPT	80053	4	$1,243	$621.5	$304.55	$429.54	9.7×	$8,000
Lipid panel	CPT	80061	4	$662	$331	$255.53	$288.6	7.6×	$8,000
Renal function panel	CPT	80069	4	$1,006	$503	$388.32	$438.57	16.1×	$8,000
Hepatic function panel	CPT	80076	4	$861	$430.5	$158.26	$332.35	12.5×	$8,000
Urinalysis non-automated	CPT	81002	4	$186	$93	$28.56	$38.63	5.6×	$8,000
Urinalysis automated	CPT	81003	4	$366	$183	$141.28	$159.56	11.5×	$8,000
Glucose quantitative	CPT	82947	4	$389	$194.5	$92.64	$150.15	8.5×	$8,000
Hemoglobin A1c	CPT	83036	4	$315	$157.5	$23.16	$121.59	4.5×	$8,000
Thyroid stimulating hormone (TSH)	CPT	84443	4	$661	$330.5	$7.79	$35.42	0.75×	$8,000
Complete blood count with automated differential	CPT	85025	4	$821	$410.5	$4.89	$171.77	6.5×	$8,000
Complete blood count without differential	CPT	85027	4	$717	$358.5	$135.87	$171.38	7.9×	$8,000
Urine culture bacterial	CPT	87086	4	$1,016	$508	$231.21	$379.25	16.3×	$8,000
Urine culture identification	CPT	87088	4	$555	$277.5	$214.23	$241.95	10.9×	$8,000
Tissue exam by pathologist level IV	CPT	88305	4	$1,938	$969	$748.07	$844.87	8.3×	$8,000
maternity
Fetal non-stress test	CPT	59025	7	$1,352	$676	$570.54	$703.04	3.7×	$28,538
Routine obstetric care including vaginal delivery	CPT	59400	5	$8,136	—	$4,068	$7,171.43	3.1×	$8,136
Routine obstetric care with C-section	CPT	59510	5	$9,101	—	$4,429.11	$7,879.75	3.1×	$9,101
office
Office visit, new patient, 15-29 min	CPT	99202	9	$886	$443	$51.06	$287.65	3.3×	$28,538
Office visit, new patient, 30-44 minutes	CPT	99203	9	$424	$77.5	$65.41	$350.95	2.9×	$28,538
Office visit, new patient, 45-59 min	CPT	99204	9	$644	$95	$80.18	$438.33	2.5×	$28,538
Office visit, new patient, 60-74 min	CPT	99205	9	$799	$107.5	$90.73	$685.16	3.1×	$28,538
Office visit, established patient, 5 min	CPT	99211	9	$623	$311.5	$27.43	$106	1.6×	$28,538
Office visit, established patient, 10-19 min	CPT	99212	9	$179	$44	$37.14	$167.1	2.1×	$28,538
Office visit, established patient, 20-29 minutes	CPT	99213	9	$623	$311.5	$51.06	$270.37	2.4×	$28,538
Office visit, established patient, 30-39 minutes	CPT	99214	9	$423	$74	$62.46	$389.21	2.6×	$28,538
Office visit, established patient, 40-54 min	CPT	99215	9	$566	$89	$75.12	$459.04	2.4×	$28,538
surgery
Major small/large bowel procedures w MCC	MS-DRG	329	8	—	$289,009	$36.02	$12,858	0.30×	$38,730
Major small/large bowel procedures w CC	MS-DRG	330	8	—	$159,276	$36.02	$9,871	0.43×	$17,000
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	8	—	$107,061	$29.32	$9,871	0.60×	$17,000
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	8	—	$221,844	$36.02	$9,871	0.60×	$17,000
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	8	—	$87,672	$29.32	$9,871	0.73×	$17,000
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	8	—	$381,831	$43.14	$38,730	1.2×	$45,673
Major joint replacement w MCC	MS-DRG	469	8	—	$392,770	$43.14	$12,858	0.43×	$38,730
Major joint replacement w/o MCC	MS-DRG	470	8	—	$371,367	$43.14	$12,858	0.68×	$38,730
Hip & femur procedures except major joint w MCC	MS-DRG	480	8	—	$191,925	$36.02	$9,871	0.35×	$17,000
Hip & femur procedures except major joint w CC	MS-DRG	481	8	—	$138,732	$36.02	$9,871	0.49×	$17,000
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	8	—	$85,299	$29.32	$9,871	0.62×	$17,000
OR procedure for obesity w MCC	MS-DRG	619	8	—	$103,815	$29.32	$12,858	0.47×	$72,407
OR procedure for obesity w CC	MS-DRG	620	8	—	$89,148	$29.32	$12,858	0.79×	$72,407
OR procedure for obesity w/o CC/MCC	MS-DRG	621	8	—	$92,471	$29.32	$12,858	0.85×	$72,407
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	8	—	$55,895	$29.32	$9,871	0.80×	$12,858
PCI single major coronary artery	CPT	92920	3	$36,642	$18,321	$6,362.86	$8,000	1.4×	$20,494
PCI with drug-eluting stent	CPT	92928	3	$36,642	$18,321	$4,762.31	$8,000	0.80×	$20,494
Left heart catheterization	CPT	93452	5	$36,642	$18,321	$8,000	$20,494	6.6×	$63,035
Coronary angiography with cath	CPT	93455	5	$155,376	$77,688	$8,000	$63,035	20.1×	$86,902
Coronary angiography with bypass cath	CPT	93458	5	$24,871	$12,436	$8,000	$13,910	4.5×	$63,035

Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.

Payer mix (top 9)

Payer	Codes covered	Median rate
Blue Cross Blue Shield	141	$435.33
Aetna	139	$1,880.7
Health Net	127	$8,000
Meritain Health	125	$4,072.27
Cigna	125	$895.48
UnitedHealthcare	120	$28,538
umr	106	$28,538
sutter	103	$28,538
optum	23	$275

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