CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Henry Ford Health West Bloomfield Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$182
about 0.2× the $927 Medicare rate · typically $69–$590
modeled estimate · not a bill or quote
What this hospital charges insurers
$247
Above the fair price
about $65 over the fair price · 0.3× Medicare
Medicare pays $927 Fair price $182 This hospital $247 Hospital's list price $1,181

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 $247

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 $182 (about 0.2× the $927 Medicare rate). Henry Ford Health West Bloomfield Hospital charges insurers about $247 — above the fair price. Located in W Bloomfield, 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 $182. 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.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $139 - $1,360 15%
Blue Cross Blue Shieldmajor $74 - $1,353 8%
Aetnamajor $74 - $2,740 8%
Cignamajor $460 - $1,546 50%
Humanamajor $116 - $937 13%
AmeriHealth $87 - $900 9%
CareSource $87 - $919 9%
Meridian $74 - $1,240 8%
Molina $91 - $1,240 10%
Priority Health $74 - $1,397 8%
WellCare $139 - $928 15%
+ 14 smaller / regional plans $74 - $2,113
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 6777 West Maple Road, W Bloomfield, MI 48322
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals