CMS Price Transparency Data
Upper endoscopy with biopsy
Facility: Memorial Healthcare
Billing Code: 43239 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$690
about 0.7× the $927 Medicare rate · typically $549–$1,165
modeled estimate · not a bill or quote
Medicare pays $927 Fair price $690 Cash price $267 Hospital's list price $334
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser Permanente
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 | $3,000 | 324% |
| Blue Cross Blue Shieldmajor | $1,088 | 117% |
| Aetnamajor | $904 | 98% |
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Other Procedures at Memorial Healthcare
Compare: Upper endoscopy with biopsy at other MI hospitals
- St Joe Mercy Hospital System Livonia · Livonia $118
- 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
Insurance negotiated median for the same procedure, sorted lowest first.