CMS Price Transparency Data

Family therapy session

Facility: Cook Childrens Medical Center Prosper

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $396
Cash Discount Price: $580
vs. Medicare Baseline: 2.18x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Cook Childrens Medical Center Prosper is $396. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $580. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 2.18x the Medicare baseline. Located in 4100 W University Drive, Prosper, TX.

Cash / Self-Pay

$580

Average discount available for prompt cash payment at this facility.

Insurance Median

$396

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$181.34

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $181.34 (100%)

Cash / Self-Pay: $580 (320%)

Insurance Median: $396 (218%)

Cash: $580 (320% of Medicare)

Ins. Median: $396 (218% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $181.34 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 218% of the Medicare baseline (a markup of 118%). 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
Health Plan W. Uhrip	$86	47%
Health Plan W/O Uhrip	$86 - $487	47%
Aetna	$123 - $766	68%
Superior Health	$214 - $300	118%
Wellpoint	$225 - $315	124%
Blue Cross Blue Shield	$232 - $812	128%
United Community	$239 - $396	132%
UnitedHealthcare	$284 - $766	157%
Beacon	$297 - $487	164%
El Paso Health First	$297 - $487	164%
Tx Children Health	$297 - $487	164%
Firstcare	$312 - $721	172%
S&W Health	$542 - $757	299%
Cigna	$548 - $766	302%
Healthscope	$548 - $766	302%
Imagine Health	$548 - $766	302%
Humana	$561 - $794	309%
Multiplan	$561 - $785	309%
First Health	$568 - $794	313%
Galaxy Health	$580 - $812	320%
Healthsmart	$580 - $812	320%
Usamco	$593 - $830	327%

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 $580.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90847.

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 90847.
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.