▸ Compare · PriceTransparency
Upper GI endoscopy diagnostic
CPT 43235 · negotiated-rate distribution across hospitals in MI
Hospitals
28
Min
$169.33
Median
$914.38
Max
$1,576.27
Range multiplier
9.3×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Medicare | 13 | 85 | $108.60 | $865.08 | $1,463.01 | 13.5× |
| Medicaid | 13 | 81 | $77.75 | $512.85 | $2,004.30 | 25.8× |
| UnitedHealthcare | 21 | 77 | $77.75 | $866.32 | $3,319.00 | 42.7× |
| Aetna | 22 | 62 | $139.96 | $977.33 | $11,584 | 82.8× |
| Blue Cross Blue Shield | 15 | 41 | $194.40 | $765.21 | $2,004.30 | 10.3× |
| Humana | 19 | 41 | $108.60 | $914.38 | $1,075.06 | 9.9× |
| priority health op rate | 10 | 17 | $232.32 | $976.96 | $3,112.70 | 13.4× |
| smarthealth | 8 | 16 | $1,317.54 | $1,317.54 | $1,368.26 | 1.0× |
| Ambetter | 8 | 16 | $1,552.82 | $1,552.82 | $1,583.27 | 1.0× |
| Medicare Advantage | 9 | 16 | $798.67 | $941.10 | $941.10 | 1.2× |
| healthspring mcr replacement | 7 | 14 | $950.51 | $955.22 | $959.92 | 1.0× |
| WellCare | 7 | 14 | $941.10 | $941.10 | $941.10 | 1.0× |
| Oscar Health | 7 | 14 | $1,505.76 | $1,505.76 | $1,505.76 | 1.0× |
| occunet | 7 | 14 | $1,741.04 | $1,929.26 | $2,117.47 | 1.2× |
| blue mcr replacement | 7 | 14 | $941.10 | $941.10 | $941.10 | 1.0× |
| facility billing - op | 7 | 14 | $941.10 | $941.10 | $941.10 | 1.0× |
| TRICARE | 10 | 11 | $826.74 | $899.68 | $1,762.28 | 2.1× |
| priority health | 9 | 10 | $40.00 | $184.10 | $482.25 | 12.1× |
| hap preferred op rate | 4 | 9 | $246.95 | $1,136.40 | $3,308.72 | 13.4× |
| First Health | 8 | 9 | $169.45 | $2,004.30 | $3,265.50 | 19.3× |
| mclaren commercial ins | 8 | 8 | $233.16 | $233.16 | $233.16 | 1.0× |
| mclaren health op rate | 4 | 8 | $144.62 | $525.83 | $1,937.63 | 13.4× |
| hap - hmo | 8 | 8 | $116.60 | $116.60 | $116.60 | 1.0× |
| hap - hmo op rate | 5 | 8 | $647.98 | $957.89 | $1,774.89 | 2.7× |
| u of m health plan | 8 | 8 | $124.89 | $124.89 | $124.89 | 1.0× |
| cofinity - auto op rate | 4 | 7 | $835.45 | $1,244.67 | $1,649.56 | 2.0× |
| mi amish medical board | 7 | 7 | $914.38 | $914.38 | $914.38 | 1.0× |
| hap ahl op rate | 2 | 6 | $246.95 | $856.72 | $3,308.72 | 13.4× |
| hap hmo op rate | 2 | 6 | $227.43 | $817.06 | $3,047.19 | 13.4× |
| health plus hmo op rate | 2 | 6 | $273.11 | $941.95 | $3,659.29 | 13.4× |
| Cigna | 2 | 6 | $229.18 | $887.30 | $3,070.73 | 13.4× |
| cofinity ppom op rate | 1 | 5 | $300.61 | $1,081.39 | $4,027.78 | 13.4× |
| detroit medical center op rate | 1 | 5 | $140.95 | $507.03 | $1,888.50 | 13.4× |
| hp - hmo op rate | 4 | 5 | $866.86 | $1,245.03 | $1,576.27 | 1.8× |
| hp - ppo op rate | 4 | 5 | $1,154.68 | $1,656.83 | $2,187.11 | 1.9× |
| mclaren health advantage op rate | 2 | 4 | $567.59 | $709.79 | $783.93 | 1.4× |
| cofinity - ppom op rate | 3 | 4 | $1,358.13 | $2,355.38 | $3,284.70 | 2.4× |
| harbor health plan | 1 | 4 | $482.25 | $530.48 | $899.68 | 1.9× |
| hap - ppo op rate | 3 | 3 | $1,154.68 | $2,462.57 | $2,462.57 | 2.1× |
| health advantage - ppo op rate | 2 | 3 | $589.46 | $890.55 | $935.08 | 1.6× |
| total health care priority health | 1 | 3 | $482.25 | $885.55 | $899.68 | 1.9× |
| oakland county community mental health op rate | 1 | 3 | $1,076.20 | $1,237.60 | $1,486.40 | 1.4× |
| oc inmates correct care solutions llc op rate | 1 | 3 | $678.01 | $779.69 | $936.43 | 1.4× |
| cofinity and wc op rate | 1 | 3 | $748.93 | $861.25 | $1,034.39 | 1.4× |
| hcap op rate | 3 | 3 | $1,218.15 | $2,305.06 | $2,305.06 | 1.9× |
| mhp - hmo op rate | 2 | 3 | $589.46 | $890.55 | $935.08 | 1.6× |
| hap - preferred op rate | 1 | 3 | $818.88 | $941.69 | $1,131.00 | 1.4× |
| bsbs bcn op rate | 1 | 3 | $338.17 | $381.97 | $1,070.02 | 3.2× |
| cofinity op rate | 2 | 2 | $1,254.69 | $1,273.02 | $1,291.35 | 1.0× |
| mi amish medical board op rate | 2 | 2 | $930.32 | $930.32 | $930.32 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Ascension Providence Rochester Hospi | Rochester | MI | 12 | — | — | $941.10 | $969.33 | $11,584 |
| Borgess-Pipp Health Center | Plainwell | MI | 12 | — | — | $941.10 | $969.33 | $11,584 |
| Ascension Allegan Hospital | Allegan | MI | 12 | — | — | $941.10 | $969.33 | $11,584 |
| Ascension Borgess-Lee Hospital | Dowagiac | MI | 12 | — | — | $941.10 | $969.33 | $11,584 |
| Ascension Borgess Hospital | Kalamazoo | MI | 12 | — | — | $941.10 | $969.33 | $11,584 |
| Ascension Standish Hospital | Standish | MI | 12 | — | — | $941.10 | $969.33 | $11,584 |
| Genesys Regional Medical Ctr. | Grand Blanc | MI | 12 | — | — | $941.10 | $969.33 | $11,584 |
| Mclaren Flint | Flint | MI | 26 | $4,807.97 | $2,403.99 | $77.75 | $914.38 | $2,473.76 |
| Garden City Hospital Osteopathic | Garden City | MI | 19 | $7,486.04 | $899.00 | $40.00 | $899.68 | $1,394.50 |
| Mclaren Oakland | Pontiac | MI | 14 | — | $772.95 | $493.86 | $835.45 | $1,486.40 |
| Karmanos Cancer Hospital | Detroit | MI | 15 | — | $2,558.95 | $140.95 | $792.95 | $4,027.78 |
| Mclaren Lapeer Region | Lapeer | MI | 24 | $8,105.90 | $4,052.95 | $77.75 | $745.60 | $2,004.30 |
| Mclaren Port Huron | Port Huron | MI | 29 | $5,408.63 | $2,704.32 | $77.75 | $643.78 | $1,624.20 |
| Bay Regional Medical Center | Bay City | MI | 24 | $10,441 | $5,220.66 | $77.75 | $621.63 | $3,284.70 |
| Mclaren Central Michigan | Mt Pleasant | MI | 17 | $5,872.08 | $2,936.04 | $77.75 | $520.54 | $1,549.62 |
| Mclaren Northern Michigan | Petoskey | MI | 15 | $3,999.77 | $1,999.89 | $77.75 | $512.85 | $1,463.01 |
| Mclaren Greater Lansing | Lansing | MI | 20 | $6,631.05 | $3,315.53 | $77.75 | $512.85 | $1,463.01 |
| Ascension St John Hospital | Detroit | MI | 3 | — | — | $139.96 | $313.57 | $313.57 |
| Mclaren Thumb Region | Bad Axe | MI | 11 | $4,959.58 | $2,479.79 | $77.75 | $169.33 | $1,762.28 |
| Mclaren Bay Special Care | Bay City | MI | 17 | — | $1,920.88 | $410.95 | $1,576.27 | $3,284.70 |
| Mclaren Macomb | Mt. Clemens | MI | 20 | — | $1,142.20 | $135.00 | $1,242.91 | $1,900.80 |
| Tawas St. Joseph Hospital | Tawas | MI | 9 | — | — | $977.33 | $1,026.20 | $1,583.27 |
| Mackinac Straits Health System Inc | St. Ignace | MI | 0 | $523.00 | $366.10 | — | — | — |
| North Ottawa Community Hospital | Grand Haven | MI | 0 | $6,616.00 | $4,631.20 | — | — | — |
| Carson City Hospital | Carson City | MI | 0 | $569.00 | $284.50 | — | — | — |
| Mckenzie Health System | Sandusky | MI | 0 | $572.00 | $457.60 | — | — | — |
| Sparrow Clinton Hospital | St. Johns | MI | 0 | $2,128.00 | $532.00 | — | — | — |
| Sparrow Eaton | Charlotte | MI | 0 | $569.00 | $284.50 | — | — | — |
Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.