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HOSPITALVoluntary non-profit - Private

Cook Children'S Medical Center - Prosper

Prosper, TX

4100 W UNIVERSITY DRIVE, Prosper, TX 75078945-204-4100

Not rated by CMS

CMS star rating

69

Beds

1,069

Inpatient discharges a year

$128.3M

Net patient revenue a year

29

In-network payers

About this hospital

Cook Children'S Medical Center - Prosper is a 69-bed voluntary non-profit - private hospital in Prosper, TX. Below you'll find publicly disclosed negotiated rates and facility details, including 29 in-network payers and 256 disclosed rate categories.

  • 340B participant
CCN
453317
NPI
1215609896
County
Collin County
Metro area
Dallas-Fort Worth-Arlington, TX MSA
Medicare contractor
Jurisdiction H, Novitas Solutions (04011)
In Medicare since
2023
Last CMS survey
2026

Negotiated Rates

The data below comes from CMS-mandated price transparency data. Learn more.

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PayerCategoryCode Type & GroupContract Typevs. State Average

Aetna

Outpatient

CPT Anesthesia

Range: 00100 - 01999

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Category III Codes

Range: 0042T - 0810T

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Evaluation and Management

Range: 99091 - 99499

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Pathology and Laboratory Procedures

Range: 80047 - 89398

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Proprietary Laboratory Analyses

Range: 0001U - 0401U

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Radiology Procedures

Range: 70010 - 79999

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Surgery

Range: 10004 - 69990

Percentage of Bill Charged

-

Aetna

Outpatient

HCPCS Administrative, Miscellaneous and Investigational

Range: A9150 - A9999

Percentage of Bill Charged

-

Aetna

Outpatient

HCPCS Alcohol and Drug Abuse Treatment

Range: H0001 - H2037

Percentage of Bill Charged

-

Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

...

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Aspirus Health PlanAvera Health PlansBanner HealthBaylor Scott & White Health PlanCenteneEMI Health

More about this hospital

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Cook Children'S Medical Center - Prosper in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
85-2354189Cook Childrens Medical Center50Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 45 more1215609896 Cook Childrens Medical Center - Prosper1508578121 Cook Children'S Medical Center - Prosper1336888023 Cook Childrens Medical Center - Prosperand 1 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

4100 W UNIVERSITY DRIVE, Prosper, TX 75078

945-204-4100

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Frequently asked questions

About Cook Children'S Medical Center - Prosper's rates and hospital price transparency.

How many patients does Cook Children'S Medical Center - Prosper admit?

Cook Children'S Medical Center - Prosper reported 1,069 inpatient discharges and 3,435 inpatient days from Oct 1, 2024 to Sep 30, 2025.

How many employees does Cook Children'S Medical Center - Prosper have?

Cook Children'S Medical Center - Prosper reported 534 full-time-equivalent employees on payroll from Oct 1, 2024 to Sep 30, 2025.

How much revenue does Cook Children'S Medical Center - Prosper make?

Cook Children'S Medical Center - Prosper reported $128.3M in net patient revenue on $231.6M of gross charges for Oct 1, 2024 to Sep 30, 2025, an operating margin of -29.3%, and net income of -$29.5M.

How much charity and uncompensated care does Cook Children'S Medical Center - Prosper provide?

Cook Children'S Medical Center - Prosper reported $20.5M of unreimbursed and uncompensated care for Oct 1, 2024 to Sep 30, 2025, including $3M of charity care at cost.

Who is the CEO of Cook Children'S Medical Center - Prosper?

Cook Children'S Medical Center - Prosper's 2024 IRS Form 990 lists Rick W Merrill as CEO.

What is Cook Children'S Medical Center - Prosper's tax ID (EIN)?

Insurers' price transparency files list Cook Children'S Medical Center - Prosper under employer identification number 85-2354189 (Cook Childrens Medical Center). 50 health plans and networks list 85-2354189 for it.

Does Cook Children'S Medical Center - Prosper participate in the 340B drug pricing program?

Yes. HRSA's 340B database lists Cook Children'S Medical Center - Prosper (340B ID PED453317-00) as a participating children's hospital since 2026, with 11 active contract pharmacies.

Is Cook Children'S Medical Center - Prosper accredited?

Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Cook Children'S Medical Center - Prosper, effective 2026.

Who owns Cook Children'S Medical Center - Prosper?

In its Medicare enrollment, Cook Children'S Medical Center - Prosper reports Cook Childrens Healthcare System as 5% or greater direct ownership interest (100%).

How many beds does Cook Children'S Medical Center - Prosper have?

Cook Children'S Medical Center - Prosper has 69 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. Facility type: HOSPITAL.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

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Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

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CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
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