Otolaryngo binocular microscopy 92504 at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$10.85
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$30.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$6.68 with HAP vs $100.28 with Blue Cross — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $6.68 | ↓ -38% |
| Humana Military | Tricare-NonPhysician-FAC | $7.25 | ↓ -33% |
| Pace SE MI | Medicare Advantage-FAC | $7.47 | ↓ -31% |
| Amerihealth Caritas | Dual Products-FAC | $7.70 | ↓ -29% |
| United Healthcare | Medicare Advantage-FAC | $7.86 | ↓ -28% |
| McLaren | Medicare Advantage-FAC | $7.86 | ↓ -28% |
| United Healthcare | Medicare-Behavioral Health-FAC | $7.86 | ↓ -28% |
| Molina | Dual Product-FAC | $7.86 | ↓ -28% |
| Molina | Medicare Advantage-FAC | $7.86 | ↓ -28% |
| Priority Health | Medicare Advantage-FAC | $7.86 | ↓ -28% |
| Blue Cross | BCN Medicare Advantage -FAC | $7.86 | ↓ -28% |
| Aetna | Medicare Advantage-FAC | $7.86 | ↓ -28% |
| Blue Cross | Medicare Plus Blue-FAC | $7.86 | ↓ -28% |
| HAP | HAP Dual Products-FAC | $7.86 | ↓ -28% |
| Meridian | Ambetter From Meridian-FAC | $7.86 | ↓ -28% |
| HAP | Medicare Advantage-FAC | $7.86 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $7.86 | ↓ -28% |
| HAP | Medicare Advantage-Physician-FAC | $7.86 | ↓ -28% |
| WellCare | Medicare Advantage-FAC | $7.86 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage-FAC | $7.86 | ↓ -28% |
| Humana | Medicare Advantage-FAC | $7.86 | ↓ -28% |
| Humana Military | Tricare | $8.53 | ↓ -21% |
| Humana Military | Tricare-Physician-FAC | $8.53 | ↓ -21% |
| Humana | Medicare Advantage-Physician-FAC | $9.36 | ↓ -14% |
| Blue Cross | GM Connected Care | $10.58 | ↓ -2% |
| Nomi | All Products | $11.00 | ↑ +1% |
| Blue Cross | BCN Commercial-FAC | $11.76 | ↑ +8% |
| Priority Health | All Products | $12.86 | ↑ +19% |
| Priority Health | Priority Cigna | $14.15 | ↑ +30% |
| United Healthcare | All Products-Prof | $18.29 | ↑ +69% |
| United Healthcare | All Products-Midlevel | $19.44 | ↑ +79% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $23.94 | ↑ +121% |
| Pace SE MI | Medicare Advantage-NONFAC | $26.76 | ↑ +147% |
| Amerihealth Caritas | Dual Products-NONFAC | $27.61 | ↑ +154% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $27.76 | ↑ +156% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $28.17 | ↑ +160% |
| Aetna | Medicare Advantage-NONFAC | $28.17 | ↑ +160% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $28.17 | ↑ +160% |
| Blue Cross | Medicare Plus Blue-NONFAC | $28.17 | ↑ +160% |
| HAP | HAP Dual Products-NONFAC | $28.17 | ↑ +160% |
| HAP | Medicare Advantage-NONFAC | $28.17 | ↑ +160% |
| HAP | Medicare Advantage-Physician-NONFAC | $28.17 | ↑ +160% |
| McLaren | Medicare Advantage-NONFAC | $28.17 | ↑ +160% |
| Meridian | Ambetter From Meridian-NONFAC | $28.17 | ↑ +160% |
| Molina | Dual Product-NONFAC | $28.17 | ↑ +160% |
| Molina | Medicare Advantage-NONFAC | $28.17 | ↑ +160% |
| Priority Health | Medicare Advantage-NONFAC | $28.17 | ↑ +160% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $28.17 | ↑ +160% |
| United Healthcare | Medicare Advantage-NONFAC | $28.17 | ↑ +160% |
| WellCare | Medicare Advantage-NONFAC | $28.17 | ↑ +160% |
| Humana | Medicare Advantage-NONFAC | $28.73 | ↑ +165% |
| Blue Cross | BCN Commercial-NONFAC | $36.12 | ↑ +233% |
| Blue Cross | BCBSM Commercial | $36.54 | ↑ +237% |
| HAP | HAP HMO_AHL_Fully-Insured | $40.10 | ↑ +270% |
| Aetna | All Products-NONFAC | $41.19 | ↑ +280% |
| HAP | HAP HMO_AHL_Fully Insured | $46.25 | ↑ +326% |
| HAP | Self-Funded | $46.82 | ↑ +332% |
| BCN | HMO | $63.47 | ↑ +485% |
| Blue Cross | BCN Commercial | $63.47 | ↑ +485% |
| Priority Health | Commercial | $79.83 | ↑ +636% |
| Blue Cross | BCBSM GM Connected Care | $100.28 | ↑ +824% |
| United Healthcare | Commercial-Behavioral Health-PhD | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MA | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MD | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-RN | not published by hospital | — |
Visitor-reported prices
Comments
Otolaryngo binocular microscopy 92504 at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $10.85 | $5.34 – $63.00 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $10.85 | $5.34 – $63.00 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $10.85 | $6.68 – $73.34 |
| Corewell Health Lakeland St. Joseph | St Joseph | not published | $74.29 – $74.29 |
| Corewell Health Butterworth Hospital | Grand Rapids | not published | $41.76 – $41.76 |
| Corewell Health Blodgett Hospital | East Grand Rapids | not published | $41.76 – $41.76 |
| Corewell Health Gross Pointe | Grosse Pointe | not published | $22.17 – $42.45 |
| Corewell Health Taylor | Taylor | not published | $39.02 – $39.02 |