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Upper endoscopic ultrasound in Michigan: what insurers pay

Posted commercial rates at 6 Michigan hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 43259

HospitalMedian across insurers× MedicareInsurersFile date
Corewell Health Beaumont Grosse Pointe Hospital Grosse Pointe$1,1310.6×12026-05-01
Corewell Health William Beaumont University Hospit Royal Oak$1,1310.6×12026-05-01
Corewell Health Beaumont Troy Hospital Troy$1,1310.6×12026-05-01
Trinity Health Oakland Hospital Pontiac$1,5230.8×162026-03-31
Henry Ford Health Rochester Hospital Rochester$1,7930.9×12026-01-01
Harper University Hospital Detroit$5,0852.7×12026-09-02

CPT 43242

HospitalMedian across insurers× MedicareInsurersFile date
Corewell Health Beaumont Grosse Pointe Hospital Grosse Pointe$1,1310.6×12026-05-01
Corewell Health William Beaumont University Hospit Royal Oak$1,1310.6×12026-05-01
Corewell Health Beaumont Troy Hospital Troy$1,1310.6×12026-05-01
Trinity Health Oakland Hospital Pontiac$1,9651.0×162026-03-31
Henry Ford Health Rochester Hospital Rochester$2,3131.2×12026-01-01
Harper University Hospital Detroit$5,0852.7×12026-09-02

CPT 43237

HospitalMedian across insurers× MedicareInsurersFile date
Corewell Health Beaumont Grosse Pointe Hospital Grosse Pointe$1,1310.6×12026-05-01
Corewell Health William Beaumont University Hospit Royal Oak$1,1310.6×12026-05-01
Corewell Health Beaumont Troy Hospital Troy$1,1310.6×12026-05-01
Trinity Health Oakland Hospital Pontiac$1,6680.9×162026-03-31
Henry Ford Health Rochester Hospital Rochester$1,9631.0×12026-01-01
Harper University Hospital Detroit$5,0852.7×12026-09-02

Questions

How much do insurers pay for upper endoscopic ultrasound in Michigan?

6 Michigan hospitals post usable commercial rates for upper endoscopic ultrasound in their federal price-transparency files. For CPT 43259, hospital outpatient, the median across 6 hospitals is $1,327, 0.7× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.