Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
PR BINAURAL ITC LVL 4 BCN
West Bloomfield, MI
See all hospitals reporting HCPCS V5259 →Price type
Henry Ford Health System’s median price of $1.7k is 45% below the median hospital's median price ($3.1k), higher than 21% of the 297 hospitals reporting HCPCS V5259. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 12 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Amerihealth Caritas dual products-fac professional · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.2k | $703 | 59% | — | $160 – $2.5k |
| 2 | Amerihealth Caritas dual products-nonfac professional · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.2k | $703 | 59% | — | $160 – $2.5k |
| 3 | Blue Cross Blue Shield bcbsm commercial professional · fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 4 | Blue Cross Blue Shield bcn medicare advantage -fac professional · percent of total billed charges · outpatientfrom % of charges | $1.8k | $1.9k | $1.1k | 59% | — | $260 – $4.1k |
| 5 | Blue Cross Blue Shield bcn medicare advantage -nonfac professional · percent of total billed charges · outpatientfrom % of charges | $1.8k | $1.9k | $1.1k | 59% | — | $260 – $4.1k |
| 6 | Blue Cross Blue Shield medicare plus blue-fac professional · percent of total billed charges · outpatientfrom % of charges | $1.8k | $1.9k | $1.1k | 59% | — | $260 – $4.1k |
| 7 | Blue Cross Blue Shield medicare plus blue-nonfac professional · percent of total billed charges · outpatientfrom % of charges | $1.8k | $1.9k | $1.1k | 59% | — | $260 – $4.1k |
| 8 | Humana tricare-nonphysician-fac professional · percent of total billed charges · outpatientfrom % of charges | $1.9k | $2.1k | $1.2k | 59% | — | $280 – $4.4k |
| 9 | UnitedHealthcare vaccn-nonfac professional · fee schedule · outpatient | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 10 | Aetna all products-nonfac professional · fee schedule · outpatient | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 11 | UnitedHealthcare all products-midlevel professional · fee schedule · outpatient | $5k | $5k | — | — | — | $5k – $5k |
| 12 | UnitedHealthcare all products-prof professional · fee schedule · outpatient | $5k | $5k | — | — | — | $5k – $5k |
Last updated: Jun 28, 2026
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