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

Posted commercial rates at 51 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
Helen Newberry Joy Hospital Newberry$4980.6×12026-09-02
Oaklawn Hospital Marshall$5070.6×22026-03-27
Henry Ford Health -St John Hospital Detroit$5460.6×22026-01-01
Holland Hospital Holland$5550.6×72026-09-21
Henry Ford Health Providence Southfield Hospital Southfield$7480.8×12026-01-01
Henry Ford Genesys Hospital Grand Blanc$7590.8×52026-01-01
Trinity Health Oakland Hospital Pontiac$8761.0×252026-03-31
Munson Healthcare Grayling Hospital Grayling$9041.0×82026-04-17
Munson Healthcare Cadillac Hospital Cadillac$9041.0×72026-04-17
Munson Medical Center Traverse City$9101.0×82026-04-17
Henry Ford Health Rochester Hospital Rochester$9191.0×32026-01-01
Mclaren Bay Region Bay City$9291.0×12025-12-31
Trinity Health Ann Arbor Hospital Ann Arbor$9351.0×162026-03-31
Mclaren Port Huron Port Huron$9361.0×22025-12-31
Mclaren Northern Michigan Petoskey$9381.0×22025-12-31
Karmanos Cancer Center Detroit$9521.1×22025-12-31
Sturgis Hospital Sturgis$9731.1×12026-04-06
Mclaren Flint Flint$9761.1×22025-12-31
Trinity Health Muskegon Hospital Muskegon$9771.1×232026-03-31
Trinity Health Grand Rapids Hospital Grand Rapids$9921.1×232026-03-31
Trinity Health Livonia Hospital Livonia$9981.1×262026-03-31
Mclaren Greater Lansing Lansing$1,0021.1×22025-12-31
Mclaren Lapeer Region Lapeer$1,0081.1×22025-12-31
Garden City Hospital Garden City$1,0121.1×32026-09-01
Trinity Health Shelby Hospital Shelby$1,0561.2×22026-03-31
Corewell Health Lakeland Hospitals St Joseph Hospi St Joseph$1,1111.2×12026-05-01
Corewell Health Dearborn Hospital Dearborn$1,1311.3×12026-05-01
Corewell Health Beaumont Grosse Pointe Hospital Grosse Pointe$1,1311.3×32026-05-01
Corewell Health William Beaumont University Hospit Royal Oak$1,1311.3×32026-05-01
Corewell Health Wayne Hospital Wayne$1,1311.3×22026-05-01
Corewell Health Farmington Hills Hospital Farmington Hills$1,1311.3×22026-05-01
Corewell Health Trenton Hospital Trenton$1,1311.3×22026-05-01
Corewell Health Taylor Hospital Taylor$1,1311.3×22026-05-01
Mclaren Oakland Pontiac$1,1861.3×22025-12-31
Mclaren Macomb Mount Clemens$1,2771.4×22025-12-31
Munson Healthcare Manistee Hospital Manistee$1,3181.5×42026-04-17
Trinity Health Livingston Hospital Howell$1,3781.5×262026-03-31
Henry Ford Health West Bloomfield Hospital West Bloomfield$1,4061.6×92026-06-28
Henry Ford Health Macomb Hospital Clinton Township$1,4101.6×82026-06-28
Wyandotte Hospital And Medical Center Wyandotte$1,4171.6×92026-06-28
Henry Ford Health Hospital Detroit$1,5181.7×92026-06-28
Henry Ford Health Jackson Hospital Jackson$1,6701.9×82026-06-28
Munson Healthcare Otsego Memorial Hospital Gaylord$1,7311.9×22026-04-17
Corewell Health Zeeland Hospital Zeeland$1,8032.0×22026-05-01
Corewell Health Big Rapids Hospital Big Rapids$1,8032.0×22026-05-01
Corewell Health Ludington Hospital Ludington$1,8032.0×22026-05-01
Corewell Health Reed City Hospital Reed City$1,8032.0×22026-05-01
Corewell Health Gerber Hospital Fremont$1,8032.0×22026-05-01
Corewell Health Pennock Hospital Hastings$1,8032.0×22026-05-01
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?

51 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 51 hospitals is $1,111, 1.2× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.