CMS Price Transparency Data

Group therapy session

Facility: Cook Childrens Medical Center Prosper

Billing Code: 90853 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$70
about 0.7× the $104 Medicare rate · typically $22–$183
modeled estimate · not a bill or quote
What this hospital charges insurers
$25
Below the fair price — a good deal
about $45 under the fair price · 0.2× Medicare
Medicare pays $104 Fair price $70 This hospital $25

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $17 Priciest $25

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

A fair price for a Group therapy session is about $70 (about 0.7× the $104 Medicare rate). Cook Childrens Medical Center Prosper charges insurers about $25 — below the fair price — a good deal. Located in Prosper, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

1 of 6 major insurers have a published price at this hospital

✓ Aetna UnitedHealthcareBlue Cross Blue ShieldCignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
Aetnamajor $29 28%
+ 2 smaller / regional plans $20

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 4100 W University Drive, Prosper, TX 75078
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens