CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Cook Childrens Medical Center Prosper

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82947
Insurance Median: $53
Cash Discount Price: $108
vs. Medicare Baseline: 13.49x Medicare

The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Cook Childrens Medical Center Prosper is $53. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $108. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 13.49x the Medicare baseline. Located in 4100 W University Drive, Prosper, TX.

Cash / Self-Pay

$108

Average discount available for prompt cash payment at this facility.

Insurance Median

$53

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$3.93

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $3.93 (100%)

Cash / Self-Pay: $108 (2748%)

Insurance Median: $53 (1349%)

Cash: $108 (2748% of Medicare)

Ins. Median: $53 (1349% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $3.93 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1349% of the Medicare baseline (a markup of 1249%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Aetna	$4 - $123	102%
Beacon	$4 - $78	102%
Blue Cross Blue Shield	$4 - $130	102%
El Paso Health First	$4 - $78	102%
Firstcare	$4 - $115	102%
Health Plan W. Uhrip	$4	102%
Health Plan W/O Uhrip	$4 - $78	102%
Superior Health	$4	102%
Tx Children Health	$4 - $78	102%
United Community	$4 - $53	102%
Wellpoint	$4	102%
UnitedHealthcare	$64 - $123	1628%
S&W Health	$121	3079%
Cigna	$123	3130%
Healthscope	$123	3130%
Imagine Health	$123	3130%
Humana	$126 - $127	3206%
Multiplan	$126	3206%
First Health	$127	3232%
Galaxy Health	$130	3308%
Healthsmart	$130	3308%
Usamco	$133	3384%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $108.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 82947.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Cook Childrens Medical Center Prosper is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 82947.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.