Upper GI endoscopy with biopsy at Franciscan Health Michigan City. CPT 43239.
What Franciscan Health Michigan City publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$1,666cash price (self-pay)
$8,556list price
$153–$7,001range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid Illinois [1091] | In Mcd-Nir-Michigan City | $402 |
| Medicaid [1092] | In Mcd-Nir-Michigan City | $402 |
| Mdwise [1175] | In Mcd-Nir-Michigan City | $402 |
| Alt Traditional Medicaid Secondary [109200] | In Mcd-Nir-Michigan City | $402 |
| Managed Health Services [1302] | In Mcd Michigan City Mhs 112% Of In M | $414 |
| Medicaid [1092] | In Mdc Mi City Caresource 120% Of In Mcd | $482 |
| Medicare [1099] | Medicare-Nir-Michigan City | $960 |
| Medicare Replacement [2003] | Medicare-Nir-Michigan City | $960 |
| Workers Comp [1172] | Workers Comp - Nir - Michigan City | $1,919 |
| Blue Cross [1014] | Anthem Franciscan Employee Copps- All Locations | $2,320 |
| Blue Cross [1014] | Anthem Healthsync POS With Copps - Michigan City/L | $2,962 |
| Blue Cross [1014] | Anthem Blue Access PPO With Copps - Michigan City/ | $3,309 |
| Unicare [1150] | Anthem Blue Access PPO With Copps - Michigan City/Lap | $3,309 |
| Blue Cross Illinois [1210] | Anthem Blue Access PPO With Copps - Michi | $3,309 |
| Blue Cross Out Of State [1211] | Anthem Blue Access PPO With Copps - M | $3,309 |
| Alt Payer Illinois Blue Cross [121002] | Anthem Blue Access PPO With C | $3,309 |
| Alt Payer Indiana Blue Cross [121003] | Anthem Blue Access PPO With Co | $3,309 |
| Managed Care [2000] | Encore - Cid & Nid & Wid & Sscd | $4,106 |
| Commercial [2001] | Encore - Cid & Nid & Wid & Sscd | $4,106 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.