Upper GI endoscopy with biopsy at Henry Ford Jackson Hospital. CPT 43239.
What Henry Ford Jackson Hospital publishes for this service, straight from its standard-charges file, last updated June 28, 2026.
Outpatient / ER
$168cash price (self-pay)
$460list price
$78.81–$4,029range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana Military | Tricare | $124 |
| HAP | Commercial | $349 |
| Blue Cross | Blue Cross Complete | $485 |
| HAP | HAP Caresource Medicaid | $485 |
| McLaren | Medicaid HMO | $485 |
| Meridian | Medicaid HMO | $485 |
| Priority Health | Medicaid HMO | $485 |
| Aetna Better Health | Medicaid HMO | $509 |
| Molina | Medicaid HMO | $513 |
| Veterans Evaluation Services | All Products | $755 |
| Nomi | All Products | $867 |
| Aetna | Medicare Advantage | $908 |
| Blue Cross | Medicare Plus Blue | $908 |
| Blue Cross | BCN Advantage | $908 |
| Cascade Thome Pace | All Products | $908 |
| Humana | Medicare Advantage | $908 |
| McLaren | Medicare Advantage | $908 |
| Molina | Dual MI Coordinated Health | $908 |
| Priority Health | Medicare Advantage | $908 |
| Priority Health | Dual Premier_HIDE-SNP | $908 |
| United Healthcare | VACCN | $908 |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $908 |
| HAP | HAP Dual Products | $917 |
| HAP | Medicare Advantage | $917 |
| Meridian | Ambetter From Meridian | $999 |
| Priority Health | Priority Cigna | $1,010 |
| McLaren | Commercial | $1,012 |
| Jackson County Sheriff | Jackson County Jail | $1,048 |
| HAP | Henry Ford Select -HPN commercial | $1,089 |
| FrontPath | All Products | $1,114 |
Inpatient
—cash price (self-pay)
$2,016list price
$1,012–$1,814range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | UHC Commercial | $1,486 |
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