CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Cook Childrens Medical Center Prosper

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$127
about 0.9× the $136 Medicare rate · typically $73–$193
modeled estimate · not a bill or quote
What this hospital charges insurers
$69
Below the fair price — a good deal
about $58 under the fair price · 0.5× Medicare
Medicare pays $136 Fair price $127 This hospital $69

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

A typical price — 4 charge more and 4 charge less, among the 9 TX hospitals compared.

Cheapest $48 Priciest $80

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

A fair price for a Office visit, established patient (30-39 min) is about $127 (about 0.9× the $136 Medicare rate). Cook Childrens Medical Center Prosper charges insurers about $69 — 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 $79 - $84 58%
+ 2 smaller / regional plans $56 - $59

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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