Upper GI endoscopy with biopsy in Michigan
What Michigan hospitals charge for upper gi endoscopy with biopsy (CPT 43239). Rates sourced from federally-mandated machine-readable files.
Hospitals
28
Rate rows
1,057
Neg. median
$941.1
Min
$40
Max
$11,584
Cash median
$756.98
Across 28 Michigan hospitals, the negotiated rate for Upper GI endoscopy with biopsy ranges from $40 to $11,584, with a median of $941.1. The interquartile range is $512.85 to $1,310.02. Cash-pay patients typically pay $756.98; gross charges median $888.2.
By payer in Michigan
Top 30 payers for Upper GI endoscopy with biopsy in Michigan.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Aetna | 22 | 64 | $1,001.09 |
| UnitedHealthcare | 21 | 77 | $899.68 |
| Humana | 19 | 41 | $914.38 |
| Blue Cross Blue Shield | 15 | 40 | $791.79 |
| Medicare | 13 | 85 | $865.08 |
| Medicaid | 13 | 81 | $512.85 |
| priority health op rate | 10 | 18 | $1,275.75 |
| TRICARE | 10 | 11 | $899.68 |
| priority health | 9 | 10 | $207.95 |
| Medicare Advantage | 9 | 16 | $941.1 |
| mclaren commercial ins | 8 | 8 | $276.56 |
| Ambetter | 8 | 16 | $1,552.82 |
| u of m health plan | 8 | 8 | $139.78 |
| smarthealth | 8 | 16 | $1,317.54 |
| First Health | 8 | 10 | $1,888.41 |
| hap - hmo | 8 | 8 | $131.84 |
| 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 | $1,392.73 |
| hp - ppo op rate | 4 | 6 | $1,799.83 |
| hp - hmo op rate | 4 | 6 | $1,351.81 |
| hap preferred op rate | 4 | 11 | $1,022.96 |
| mclaren health op rate | 4 | 9 | $571.81 |
| cofinity - auto op rate | 4 | 7 | $1,709.24 |
| hcap op rate | 3 | 3 | $2,709.68 |
Hospital comparison — Upper GI endoscopy with biopsy 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 | $191.19 | $1,613.21 | $3,226.42 |
| Ascension St John Hospital | Detroit | $370.51 | — | — |
| Mclaren Northern Michigan | Petoskey | $512.85 | $728.75 | $1,731 |
| Mclaren Greater Lansing | Lansing | $512.85 | $671.8 | $1,445.6 |
| Mclaren Central Michigan | Mt Pleasant | $520.54 | $971.4 | $2,094.9 |
| Bay Regional Medical Center | Bay City | $624.84 | $1,446.18 | $1,317.1 |
| Mclaren Port Huron | Port Huron | $649.56 | $983.43 | $2,116.2 |
| Karmanos Cancer Hospital | Detroit | $765.67 | $690.85 | — |
| Garden City Hospital Osteopathic | Garden City | $899.68 | $899 | $5,827.61 |
| Mclaren Lapeer Region | Lapeer | $912.3 | $1,555.05 | $2,821.2 |
| Mclaren Flint | Flint | $914.38 | $1,399.23 | $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 | $1,050.63 | $1,308.78 | $3,966 |
| Mclaren Macomb | Mt. Clemens | $1,355.9 | $1,246 | — |
| Mclaren Oakland | Pontiac | $1,847.84 | $1,398.77 | — |
| Mclaren Bay Special Care | Bay City | $1,852.97 | $2,258.07 | — |
| Sparrow Clinton Hospital | St. Johns | — | $136.5 | $273 |
| Carson City Hospital | Carson City | — | $136.5 | $273 |
| Sparrow Eaton | Charlotte | — | $136.5 | $273 |
| North Ottawa Community Hospital | Grand Haven | — | $4,755.1 | $4,723 |
| Mackinac Straits Health System Inc | St. Ignace | — | $385.7 | $551 |
| Mckenzie Health System | Sandusky | — | $600.8 | $751 |