Upper endoscopy with biopsy
Facility: St Joe Mercy Hospital System Livonia
Billing Code: 43239 (CPT)
Lowest price of the 9 MI hospitals we have prices for — a strong deal.
Black dot = this hospital, among the 9 MI hospitals with a price for this procedure. Full list below.
A fair price for a Upper endoscopy with biopsy is about $73 (about 0.1× the $927 Medicare rate). St Joe Mercy Hospital System Livonia charges insurers about $118 — above the fair price. Located in Livonia, MI.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $73. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
6 of 6 major insurers have a published price at this hospital
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $44 - $931 | 5% |
| Blue Cross Blue Shieldmajor | $44 - $1,106 | 5% |
| Aetnamajor | $44 - $886 | 5% |
| Cignamajor | $44 - $375 | 5% |
| Humanamajor | $44 - $259 | 5% |
| Kaiser Permanentemajor | $998 | 108% |
| Ambetter (Centene) | $44 - $118 | 5% |
| AmeriHealth | $164 - $259 | 18% |
| CareSource | $1,025 | 111% |
| Clover Health | $63 - $203 | 7% |
| Dean Health Plan | $87 - $279 | 9% |
| Health Net | $44 - $266 | 5% |
| HealthPartners | $44 - $183 | 5% |
| MagnaCare | $164 - $259 | 18% |
| Medical Mutual | $164 - $259 | 18% |
| Meridian | $44 - $203 | 5% |
| Molina | $44 - $1,175 | 5% |
| MVP Health Care | $87 - $279 | 9% |
| Paramount | $44 - $118 | 5% |
| Presbyterian | $44 - $203 | 5% |
| Priority Health | $105 - $499 | 11% |
| Tufts Health Plan | $44 - $183 | 5% |
| UniCare | $164 - $259 | 18% |
| WellMed | $63 - $203 | 7% |
| WellSense | $44 - $118 | 5% |
| + 426 smaller / regional plans | $44 - $2,034 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at St Joe Mercy Hospital System Livonia
Compare: Upper endoscopy with biopsy at other MI hospitals
- Chelsea Hospital · Chelsea $118
- Charlevoix Area Hospital · Charlevoix $130
- Munson Healthcare Otsego Memorial Hospital · Gaylord $131
- Hurley Medical Center · Flint $174
- Munson Healthcare Cadillac Hospital · Cadillac $192
- Munson Healthcare Manistee Hospital · Manistee $192
- Munson Healthcare Grayling Hospital · Grayling $193
- Mackinac Straits Hospital and Health Center · Saint Ignace $204
Insurance negotiated median for the same procedure, sorted lowest first.