Upper GI endoscopy with biopsy at University of Michigan Health-Sparrow St. Lawrence. CPT 43239.
What University of Michigan Health-Sparrow St. Lawrence publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$74.00cash price (self-pay)
$174list price
$87.33–$2,223range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid | Professional Facility | $87.33 |
| BCBS | Professional Facility | $218 |
| Medicaid | Professional | $235 |
| Priority | PPO | $259 |
| McLaren Commercial | PPO | $296 |
| United Health Care | PPO | $322 |
| Medicare | Professional | $335 |
| Health Alliance Plan | PPO | $353 |
| Health Alliance Plan | HMO | $353 |
| Aetna | PPO | $437 |
| Asr | PPO | $484 |
| Medicaid | CAID | $503 |
| Priority Health Medicaid | HMO | $503 |
| Blue Cross Complete Medicaid | HMO | $503 |
| McLaren Medicaid | HMO | $503 |
| Aetna Medicaid | HMO | $523 |
| Molina Medicaid | HMO | $553 |
| Cigna | PPO | $559 |
| Great West Healthcare | PPO | $559 |
| BCBS | Professional | $588 |
| Cofinity | PPO | $595 |
| Humana | PPO | $595 |
| Blue Care Network | PPO | $750 |
| Blue Shield Blue Cross | PPO | $750 |
| Medicare | Part A & B | $938 |
| Covenant Advantage | HMO | $938 |
| MediGold | HMO | $938 |
| Senior Community Care | HMO | $938 |
| BCN Medicare Advantage | HMO | $938 |
| Medicare Plus Blue | HMO | $938 |
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All common services at University of Michigan Health-Sparrow St. Lawrence