Eye exam, new patient, comprehensive at Ascension Providence Hospital, Southfield and Novi
CPT 92004 · Southfield, MI
These are Ascension Providence Hospital, Southfield and Novi's own posted figures from its standard-charges file dated January 1, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
Across 3 Michigan hospitals we index that post a cash price for this service: lowest $107.90, median $107.90, highest $107.90. See every hospital.
Nearby hospitals, same service
| Hospital | Distance | Cash price | Gross charge | File date |
|---|---|---|---|---|
| Henry Ford Health West Bloomfield Hospital W Bloomfield, MI | 9.5 mi | $107.90 | $237.00 | 2026-06-28 |
| Henry Ford Health Hospital Detroit, MI | 9.8 mi | $107.90 | $237.00 | 2026-06-28 |
| Henry Ford Macomb Hospital Clinton Township, MI | 17.7 mi | $107.90 | $237.00 | 2026-06-28 |
| Westfield Memorial Hospital, Inc Westfield, NY | 187.1 mi | $56.98 | $259.00 | 2026-04-14 |
| Niagara Falls Memorial Medical Center Niagara Falls, NY | 216.5 mi | $137.47 | $196.39 | 2026-06-17 |
| Erie County Medical Center Buffalo, NY | 226.8 mi | $453.01 | 2026-08-25 | |
| Ann & Robert H Lurie Childrens Hospital of Chicago Chicago, IL | 227.9 mi | $175.00 | $250.00 | 2026-09-01 |
| The University of Chicago Medical Center Chicago, IL | 229.0 mi | $745.00 | $745.00 | 2026-04-01 |
Distances are straight-line from ZIP code centers. Each hospital's figures come from its own file; files are updated on different dates.
Every row for CPT 92004 in this hospital's file
| Row in the hospital's file | Setting | Cash | Gross | Insurer min – max |
|---|---|---|---|---|
| COMPRE OPH EXAM NEW PT 1/> line 159358 | outpatient | $73.23 – $174.24 | ||
| COMPRE OPH EXAM NEW PT 1/> line 159357 | inpatient | $73.23 – $174.24 | ||
| COMPRE OPH EXAM NEW PT 1/> line 315286 | both | $53.72 – $248,998.92 | ||
| COMPRE OPH EXAM NEW PT 1/> line 372807 | outpatient | $53.72 – $248,998.92 |
The first row is the one used above. A price for one code usually covers the hospital's facility charge only; the doctor, anesthesia, pathology and other services can be billed separately. Ask the hospital for a good faith estimate before a scheduled service: if you pay yourself and the bill comes in $400 or more above the estimate, you can dispute it under the No Surprises Act.
Check a bill from this hospital All Ascension Providence Hospital, Southfield and Novi prices