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Upper endoscopy (EGD) with biopsy in Michigan: what insurers pay

Posted commercial rates at 17 Michigan hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 43239

HospitalMedian across insurers× MedicareInsurersFile date
Henry Ford Health -St John Hospital Detroit$5460.6×22026-01-01
Trinity Health Oakland Hospital Pontiac$8761.0×162026-03-31
Mclaren Port Huron Port Huron$9571.1×12025-12-31
Henry Ford Health Rochester Hospital Rochester$9761.1×22026-01-01
Trinity Health Livonia Hospital Livonia$9981.1×152026-03-31
Mclaren Lapeer Region Lapeer$1,1021.2×12025-12-31
Corewell Health Beaumont Grosse Pointe Hospital Grosse Pointe$1,1311.3×12026-05-01
Corewell Health William Beaumont University Hospit Royal Oak$1,1311.3×12026-05-01
Corewell Health Beaumont Troy Hospital Troy$1,1311.3×12026-05-01
Corewell Health Wayne Hospital Wayne$1,1311.3×12026-05-01
Corewell Health Farmington Hills Hospital Farmington Hills$1,1311.3×12026-05-01
Corewell Health Trenton Hospital Trenton$1,1311.3×12026-05-01
Henry Ford Health Hospital Detroit$1,2711.4×22026-06-28
Trinity Health Livingston Hospital Howell$1,3781.5×152026-03-31
Henry Ford Health Macomb Hospital Clinton Township$1,4101.6×32026-06-28
Huron Valley-Sinai Hospital Commerce Township$2,7753.1×22026-05-20
Harper University Hospital Detroit$2,7823.1×22026-09-02

Questions

How much do insurers pay for upper endoscopy (egd) with biopsy in Michigan?

17 Michigan hospitals post usable commercial rates for upper endoscopy (egd) with biopsy in their federal price-transparency files. For CPT 43239, hospital outpatient, the median across 17 hospitals is $1,131, 1.3× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.