▸ Compare · PriceTransparency
Upper GI endoscopy with biopsy
CPT 43239 · negotiated-rate distribution across hospitals in MI
Hospitals
28
Min
$191.19
Median
$969.33
Max
$1,852.97
Range multiplier
9.7×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Medicare | 13 | 85 | $121.55 | $865.08 | $1,463.01 | 12.0× |
| Medicaid | 13 | 81 | $87.33 | $512.85 | $3,268.30 | 37.4× |
| UnitedHealthcare | 21 | 77 | $87.33 | $899.68 | $3,319.00 | 38.0× |
| Aetna | 22 | 64 | $158.31 | $1,001.09 | $11,584 | 73.2× |
| Humana | 19 | 41 | $121.55 | $914.38 | $1,075.06 | 8.8× |
| Blue Cross Blue Shield | 15 | 40 | $218.37 | $791.79 | $3,268.30 | 15.0× |
| priority health op rate | 10 | 18 | $228.83 | $1,275.75 | $3,851.76 | 16.8× |
| 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× |
| facility billing - op | 7 | 14 | $941.10 | $941.10 | $941.10 | 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× |
| healthspring mcr replacement | 7 | 14 | $950.51 | $955.22 | $959.92 | 1.0× |
| hap preferred op rate | 4 | 11 | $243.24 | $1,022.96 | $4,094.31 | 16.8× |
| TRICARE | 10 | 11 | $826.74 | $899.68 | $1,977.27 | 2.4× |
| priority health | 9 | 10 | $40.00 | $207.95 | $482.25 | 12.1× |
| First Health | 8 | 10 | $200.81 | $1,888.41 | $3,838.71 | 19.1× |
| mclaren health op rate | 4 | 9 | $142.44 | $571.81 | $2,397.69 | 16.8× |
| u of m health plan | 8 | 8 | $139.78 | $139.78 | $139.78 | 1.0× |
| hap - hmo op rate | 5 | 8 | $765.03 | $1,392.73 | $2,086.45 | 2.7× |
| mclaren commercial ins | 8 | 8 | $276.56 | $276.56 | $276.56 | 1.0× |
| hap - hmo | 8 | 8 | $131.84 | $131.84 | $131.84 | 1.0× |
| mi amish medical board | 7 | 7 | $914.38 | $914.38 | $914.38 | 1.0× |
| hap ahl op rate | 2 | 7 | $243.24 | $887.78 | $4,094.31 | 16.8× |
| hap hmo op rate | 2 | 7 | $224.01 | $877.99 | $3,770.69 | 16.8× |
| cofinity - auto op rate | 4 | 7 | $1,177.36 | $1,709.24 | $2,200.86 | 1.9× |
| health plus hmo op rate | 2 | 7 | $269.01 | $969.92 | $4,528.13 | 16.8× |
| Cigna | 2 | 7 | $225.74 | $949.39 | $3,799.83 | 16.8× |
| hp - ppo op rate | 4 | 6 | $1,182.55 | $1,799.83 | $2,571.03 | 2.2× |
| hp - hmo op rate | 4 | 6 | $888.63 | $1,351.81 | $1,852.97 | 2.1× |
| detroit medical center op rate | 1 | 6 | $138.83 | $509.84 | $2,336.89 | 16.8× |
| cofinity ppom op rate | 1 | 6 | $296.10 | $1,087.39 | $4,984.11 | 16.8× |
| cofinity - ppom op rate | 3 | 5 | $1,017.83 | $1,477.64 | $3,861.29 | 3.8× |
| mhp - hmo op rate | 2 | 4 | $667.40 | $860.72 | $968.91 | 1.5× |
| harbor health plan | 1 | 4 | $482.25 | $530.48 | $899.68 | 1.9× |
| health advantage - ppo op rate | 2 | 4 | $667.40 | $860.72 | $968.91 | 1.5× |
| bsbs bcn op rate | 1 | 4 | $376.24 | $758.82 | $1,079.62 | 2.9× |
| hap/ahl op rate | 1 | 3 | $765.03 | $871.43 | $1,110.65 | 1.5× |
| hcap op rate | 3 | 3 | $1,310.70 | $2,709.68 | $2,709.68 | 2.1× |
| cofinity wc op rate | 1 | 3 | $1,017.83 | $1,159.39 | $1,477.64 | 1.5× |
| total health care priority health | 1 | 3 | $482.25 | $885.55 | $899.68 | 1.9× |
| mclaren health advantage op rate | 2 | 3 | $836.58 | $1,455.64 | $1,495.21 | 1.8× |
| hurley medical center op rate | 1 | 3 | $581.62 | $662.51 | $844.37 | 1.5× |
| hap - ppo op rate | 3 | 3 | $1,882.87 | $2,894.84 | $2,894.84 | 1.5× |
| cofinity - wc/auto op rate | 1 | 3 | $1,177.36 | $1,341.11 | $1,709.24 | 1.5× |
| Multiplan | 2 | 2 | $1,403.67 | $1,623.44 | $1,843.20 | 1.3× |
| cofinity op rate | 2 | 2 | $1,291.35 | $1,320.69 | $1,350.02 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Genesys Regional Medical Ctr. | Grand Blanc | 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 |
| Ascension Providence Rochester Hospi | Rochester | MI | 12 | — | — | $941.10 | $969.33 | $11,584 |
| Mclaren Flint | Flint | MI | 26 | $6,308.72 | $3,154.36 | $87.33 | $914.38 | $2,563.26 |
| Mclaren Lapeer Region | Lapeer | MI | 24 | $7,454.41 | $3,727.21 | $87.33 | $912.30 | $3,268.30 |
| Garden City Hospital Osteopathic | Garden City | MI | 19 | $7,529.17 | $899.00 | $40.00 | $899.68 | $1,394.50 |
| Karmanos Cancer Hospital | Detroit | MI | 15 | — | $3,166.52 | $138.83 | $765.67 | $4,984.11 |
| Mclaren Port Huron | Port Huron | MI | 29 | $5,447.20 | $2,723.60 | $87.33 | $649.56 | $1,747.60 |
| Bay Regional Medical Center | Bay City | MI | 24 | $4,467.61 | $2,258.07 | $87.33 | $624.84 | $3,861.29 |
| Mclaren Central Michigan | Mt Pleasant | MI | 17 | $6,469.76 | $3,234.88 | $87.33 | $520.54 | $1,549.62 |
| Mclaren Northern Michigan | Petoskey | MI | 15 | $3,946.39 | $1,973.20 | $87.33 | $512.85 | $1,463.01 |
| Mclaren Greater Lansing | Lansing | MI | 20 | $6,639.51 | $3,319.76 | $87.33 | $512.85 | $1,463.01 |
| Ascension St John Hospital | Detroit | MI | 3 | — | — | $158.31 | $370.51 | $370.51 |
| Mclaren Thumb Region | Bad Axe | MI | 11 | $5,564.63 | $2,782.32 | $87.33 | $191.19 | $1,977.27 |
| Mclaren Bay Special Care | Bay City | MI | 17 | — | $2,258.07 | $410.95 | $1,852.97 | $3,861.29 |
| Mclaren Oakland | Pontiac | MI | 14 | — | $1,417.53 | $481.71 | $1,847.84 | $2,835.06 |
| Mclaren Macomb | Mt. Clemens | MI | 20 | — | $1,246.00 | $135.00 | $1,355.90 | $2,073.60 |
| Tawas St. Joseph Hospital | Tawas | MI | 9 | $3,966.00 | $1,308.78 | $977.33 | $1,050.63 | $1,864.02 |
| North Ottawa Community Hospital | Grand Haven | MI | 0 | $8,561.99 | $5,993.39 | — | — | — |
| Sparrow Clinton Hospital | St. Johns | MI | 0 | $735.00 | $367.50 | — | — | — |
| Sparrow Eaton | Charlotte | MI | 0 | $735.00 | $367.50 | — | — | — |
| Mackinac Straits Health System Inc | St. Ignace | MI | 0 | $551.00 | $385.70 | — | — | — |
| Carson City Hospital | Carson City | MI | 0 | $735.00 | $367.50 | — | — | — |
| Mckenzie Health System | Sandusky | MI | 0 | $2,239.00 | $1,791.20 | — | — | — |
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.