Upper endoscopy with biopsy
Facility: Henry Ford Health Hospital
Billing Code: 43239 (CPT)
- CPT Billing Code: 43239
- Insurance Median: $360
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.39x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $926.63 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Aetna | $74 - $2,740 | 8% |
| Hap | $74 - $1,136 | 8% |
| Mclaren | $74 | 8% |
| Meridian Health Plan Of Mi | $74 - $1,240 | 8% |
| Priority Health | $74 - $1,397 | 8% |
| Blue Cross Blue Shield | $81 - $1,801 | 9% |
| Amerihealth Michigan | $87 - $900 | 9% |
| Hap Caresource | $87 - $919 | 9% |
| Mclaren Health Plan Inc. | $87 - $360 | 9% |
| Meridian | $87 - $360 | 9% |
| Molina | $91 - $1,240 | 10% |
| Priority | $92 - $360 | 10% |
| Humana | $116 - $1,236 | 13% |
| Pace Se Mi | $132 - $342 | 14% |
| Bcn | $139 - $919 | 15% |
| Cca Health Mi | $139 - $360 | 15% |
| Health Alliance Plan Of Michigan | $139 - $360 | 15% |
| Mount Carmel Health Plan | $139 - $919 | 15% |
| United Behavioral Health, Inc. | $139 - $360 | 15% |
| UnitedHealthcare | $139 - $1,360 | 15% |
| Wellcare Ma | $139 | 15% |
| Vitalcore Physicians Group Of Mi | $181 - $2,113 | 20% |
| Cofinity | $429 | 46% |
| Cigna | $460 - $1,282 | 50% |
| Pace Of Se Mi | $873 | 94% |
| Cca Health Michigan | $919 | 99% |
| Erickson | $919 | 99% |
| Mclaren Health | $919 - $1,156 | 99% |
| Molina Mi Health Link | $919 | 99% |
| Wellcare | $928 | 100% |
| Ontario Ministry Of Health And Long-Term Care | $1,141 - $3,250 | 123% |
| Multiplan, Inc. | $1,274 | 137% |
| University Of Michigan | $1,522 | 164% |
| Cofinity Group Health | $1,594 | 172% |