Upper GI endoscopy diagnostic in Michigan
What Michigan hospitals charge for upper gi endoscopy diagnostic (CPT 43235). Rates sourced from federally-mandated machine-readable files.
Hospitals
28
Rate rows
1,034
Neg. median
$914.38
Min
$40
Max
$11,584
Cash median
$567.45
Across 28 Michigan hospitals, the negotiated rate for Upper GI endoscopy diagnostic ranges from $40 to $11,584, with a median of $914.38. The interquartile range is $507.03 to $1,154.68. Cash-pay patients typically pay $567.45; gross charges median $751.4.
By payer in Michigan
Top 30 payers for Upper GI endoscopy diagnostic in Michigan.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Aetna | 22 | 62 | $977.33 |
| UnitedHealthcare | 21 | 77 | $866.32 |
| Humana | 19 | 41 | $914.38 |
| Blue Cross Blue Shield | 15 | 41 | $765.21 |
| Medicare | 13 | 85 | $865.08 |
| Medicaid | 13 | 81 | $512.85 |
| priority health op rate | 10 | 17 | $976.96 |
| TRICARE | 10 | 11 | $899.68 |
| priority health | 9 | 10 | $184.1 |
| Medicare Advantage | 9 | 16 | $941.1 |
| mclaren commercial ins | 8 | 8 | $233.16 |
| Ambetter | 8 | 16 | $1,552.82 |
| u of m health plan | 8 | 8 | $124.89 |
| smarthealth | 8 | 16 | $1,317.54 |
| First Health | 8 | 9 | $2,004.3 |
| hap - hmo | 8 | 8 | $116.6 |
| healthspring mcr replacement | 7 | 14 | $955.22 |
| Oscar Health | 7 | 14 | $1,505.76 |
| blue mcr replacement | 7 | 14 | $941.1 |
| WellCare | 7 | 14 | $941.1 |
| mi amish medical board | 7 | 7 | $914.38 |
| facility billing - op | 7 | 14 | $941.1 |
| occunet | 7 | 14 | $1,929.26 |
| hap - hmo op rate | 5 | 8 | $957.89 |
| hp - ppo op rate | 4 | 5 | $1,656.83 |
| hp - hmo op rate | 4 | 5 | $1,245.03 |
| hap preferred op rate | 4 | 9 | $1,136.4 |
| mclaren health op rate | 4 | 8 | $525.83 |
| cofinity - auto op rate | 4 | 7 | $1,244.67 |
| hcap op rate | 3 | 3 | $2,305.06 |
Hospital comparison — Upper GI endoscopy diagnostic in Michigan
Sorted by lowest negotiated median rate. Up to 100 hospitals.
| Hospital | City | Negotiated median | Cash rate | Gross charge |
|---|---|---|---|---|
| Mclaren Thumb Region | Bad Axe | $169.33 | $1,427.75 | $2,855.49 |
| Ascension St John Hospital | Detroit | $313.57 | — | — |
| Mclaren Northern Michigan | Petoskey | $512.85 | $729.68 | $1,582.8 |
| Mclaren Greater Lansing | Lansing | $512.85 | $622.55 | $1,339.6 |
| Mclaren Central Michigan | Mt Pleasant | $520.54 | $971.4 | $2,094.9 |
| Bay Regional Medical Center | Bay City | $621.63 | $1,310.24 | $1,399.2 |
| Mclaren Port Huron | Port Huron | $643.78 | $913.98 | $1,966.7 |
| Mclaren Lapeer Region | Lapeer | $745.6 | $1,249.53 | $2,913.5 |
| Karmanos Cancer Hospital | Detroit | $792.95 | $687.03 | — |
| Mclaren Oakland | Pontiac | $835.45 | $643.55 | — |
| Garden City Hospital Osteopathic | Garden City | $899.68 | $899 | $7,486.04 |
| Mclaren Flint | Flint | $914.38 | $1,513.35 | $3,554.2 |
| Borgess-Pipp Health Center | Plainwell | $969.33 | — | — |
| Ascension Borgess Hospital | Kalamazoo | $969.33 | — | — |
| Genesys Regional Medical Ctr. | Grand Blanc | $969.33 | — | — |
| Ascension Providence Rochester Hospi | Rochester | $969.33 | — | — |
| Ascension Standish Hospital | Standish | $969.33 | — | — |
| Ascension Borgess-Lee Hospital | Dowagiac | $969.33 | — | — |
| Ascension Allegan Hospital | Allegan | $969.33 | — | — |
| Tawas St. Joseph Hospital | Tawas | $1,026.2 | — | — |
| Mclaren Macomb | Mt. Clemens | $1,242.91 | $1,142.2 | — |
| Mclaren Bay Special Care | Bay City | $1,576.27 | $1,920.88 | — |
| Sparrow Clinton Hospital | St. Johns | — | $131.88 | $406 |
| Sparrow Eaton | Charlotte | — | $94 | $188 |
| North Ottawa Community Hospital | Grand Haven | — | $3,934.35 | $5,620.5 |
| Carson City Hospital | Carson City | — | $94 | $188 |
| Mackinac Straits Health System Inc | St. Ignace | — | $366.1 | $523 |
| Mckenzie Health System | Sandusky | — | $457.6 | $572 |