CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: University of Michigan Health - West

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$764
about 0.8× the $927 Medicare rate · typically $393–$1,312
modeled estimate · not a bill or quote
What this hospital charges insurers
$552
Below the fair price — a good deal
about $212 under the fair price · 0.6× Medicare
Medicare pays $927 Fair price $764 This hospital $552 Cash price $264 Hospital's list price $661

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

Highest price of the 9 MI hospitals we have prices for — worth calling around.

Cheapest $118 Priciest $552

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 $764 (about 0.8× the $927 Medicare rate). University of Michigan Health - West charges insurers about $552, or about $264 in cash — below the fair price — a good deal. Located in Wyoming, MI.

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✓ Aetna✓ Humana Blue Cross Blue ShieldCignaKaiser 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 $477 51%
Aetnamajor $443 48%
Humanamajor $496 - $927 54%
HealthPartners $552 60%
Medica $477 51%
Molina $497 - $927 54%
Priority Health $290 31%
+ 10 smaller / regional plans $443 - $927
Government programs also on file: Medicare, Medicaid.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 5900 Byron Center Avenue, Sw, Wyoming, MI 49519
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals