Upper GI endoscopy with biopsy at Henry Ford Wyandotte Hospital:. CPT 43239.
What Henry Ford Wyandotte Hospital: publishes for this service, straight from its standard-charges file, last updated June 28, 2026.
Outpatient / ER
$177cash price (self-pay)
$460list price
$78.81–$2,877range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| ScriptGuideRX | All Products | $94.91 |
| Humana Military | Tricare | $128 |
| Cofinity | All Products | $331 |
| Blue Cross | GM Connected Care | $363 |
| HAP | HAP Caresource Medicaid | $485 |
| McLaren | Medicaid HMO | $485 |
| Meridian | Medicaid HMO | $485 |
| Priority Health | Medicaid HMO | $485 |
| Aetna Better Health | Medicaid HMO | $494 |
| Molina | Medicaid HMO | $510 |
| Cofinity | Commercial | $660 |
| HAP | Self-Funded | $795 |
| Priority Health | Priority Cigna | $796 |
| Pace SE MI | Medicare Advantage | $859 |
| Amerihealth Caritas | Dual Products | $886 |
| Aetna | Medicare Advantage | $904 |
| Blue Cross | Medicare Plus Blue | $904 |
| Blue Cross | BCN Advantage | $904 |
| HAP | HAP Dual Products | $904 |
| HAP | Medicare Advantage | $904 |
| McLaren | Medicare Advantage | $904 |
| Molina | Dual MI Coordinated Health | $904 |
| Priority Health | Dual Premier_HIDE-SNP | $904 |
| Priority Health | Medicare Advantage | $904 |
| Trinity Health Plan | Medicare Advantage | $904 |
| United Healthcare | VACCN | $904 |
| Humana | Medicare Advantage | $913 |
| Nomi | All Products | $921 |
| HAP | HAP HMO_AHL_Fully Insured | $964 |
| Aetna | Dual Products | $994 |
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