Payer comparison · NDC 00301234454 · PROSPER, TX

00301234454 — Sodium Benzoate (bulk) Powder

What each payer pays COOK CHILDRENS MEDICAL CENTER PROSPER (CCN 453317) for this procedure, and where each sits versus the all-payer median at this facility. Find your plan to see whether you're above or below the market here.

$14,963 All-payer median here

$23,235 Cash / self-pay here

22 payer/plan-name variants

← This hospital National rates for 00301234454 →

Per-payer negotiated rate at this facility. Use the column headers to sort, the filter row to narrow results.
Payer / plan	Median negotiated	vs all-payer median	Rate rows

USAMCO	$28,502	90.5%	1
Galaxy Health Network	$27,882	86.3%	1
HEALTHSMART BENEFIT SOLUTIONS	$27,882	86.3%	1
First Health Network	$27,262	82.2%	1
Humana	$27,108	81.2%	2
MultiPlan	$26,953	80.1%	2
HealthSCOPE Benefits EHC Repricing	$26,333	76.0%	1
Cigna Healthcare	$26,333	76.0%	1
IMAGINE HEALTH	$26,333	76.0%	1
S&W HEALTH	$26,023	73.9%	1
UnitedHealthcare	$17,968	20.1%	3
FIRSTCARE	$17,566	17.4%	3
Beacon Health Strategies	$15,490	3.5%	8
El Paso Health	$15,490	3.5%	6
Blue Cross Blue Shield Association	$15,490	3.5%	8
TEXAS CHILDREN'S HEALTH PLAN	$15,490	3.5%	6
HEALTH PLAN w/o UHRIP	$13,513	-9.7%	4
UNITED COMMUNITY	$12,531	-16.3%	8
Aetna	$11,326	-24.3%	4
Anthem (Elevance Health)	$10,812	-27.7%	3
Superior HealthPlan	$10,298	-31.2%	3
HEALTH PLAN w. UHRIP	$10,298	-31.2%	1

Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.