CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Cook Childrens Medical Center Prosper

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $352
  • Cash Discount Price: $542
  • vs. Medicare Baseline: 1.94x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Cook Childrens Medical Center Prosper is $352. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $542. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.94x the Medicare baseline. Located in 4100 W University Drive, Prosper, TX.
Cash / Self-Pay
$542

Average discount available for prompt cash payment at this facility.

Insurance Median
$352

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: $542 (299%)
Insurance Median: $352 (194%)
Cash: $542 (299% of Medicare)
Ins. Median: $352 (194% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 $77 42%
Health Plan W/O Uhrip $77 - $432 42%
Aetna $110 - $681 61%
Superior Health $214 - $266 118%
Wellpoint $225 - $279 124%
Blue Cross Blue Shield $232 - $721 128%
United Community $239 - $352 132%
UnitedHealthcare $284 - $681 157%
Beacon $297 - $432 164%
El Paso Health First $297 - $432 164%
Tx Children Health $297 - $432 164%
Firstcare $312 - $641 172%
S&W Health $542 - $673 299%
Cigna $548 - $681 302%
Healthscope $548 - $681 302%
Imagine Health $548 - $681 302%
Humana $561 - $705 309%
Multiplan $561 - $697 309%
First Health $568 - $705 313%
Galaxy Health $580 - $721 320%
Healthsmart $580 - $721 320%
Usamco $593 - $737 327%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

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