Upper GI endoscopy with biopsy at Trinity Health Grand Rapids. CPT 43239.
What Trinity Health Grand Rapids publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$5,132cash price (self-pay)
$301list price
$39.41–$2,004range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Albany County Correctional Facility | Medicaid | $39.41 |
| Cmh Kalamazoo | Medicaid | $39.41 |
| Mclaren Health Medicaid | Mclaren Medicaid | $41.38 |
| Blue Cross Complete - Mi | Blue Cross Complete Medicaid | $41.38 |
| Medicaid - Mi | Medicaid | $43.67 |
| Molina Medicaid | Molina Medicaid | $43.67 |
| Rx Allwin | Medicare | $59.56 |
| Blue Cross - Mi Medicare Advantage | BCBS Medicare Advantage | $59.56 |
| Blue Care Network Advantage | Bcn Medicare Advantage | $59.56 |
| Hap Medicare Advantage | Hap Medicare Advantage | $59.56 |
| Priority Health Medicare Advantage | Priority Health Medicare Advantag | $59.56 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $59.56 |
| Molina Medicare Advantage | Molina Medicare Advantage | $59.56 |
| Highmark Health Options Dual Plan | Medicare | $59.56 |
| Health New England Medicare Advantage | Medicare | $59.56 |
| Healthfirst Medicare Advantage | Medicare | $59.56 |
| Gold Advantage | Medicare | $59.56 |
| Humana Medicare Transplant | Medicare | $59.56 |
| Evercare | Medicare | $59.56 |
| Georgia Health Advantage | Medicare | $59.56 |
| Medicare | Medicare | $59.56 |
| Community Pace At Home | Medicare | $59.56 |
| Us Family Health Plan | Tricare | $63.78 |
| Access Health | Access Health | $68.07 |
| Longevity Ipa Of Michigan LLC Health Plan Isnp | Longevity Ipa Medicar | $68.50 |
| Wellpath | Wellpath | $82.05 |
| Kent County Jail | Vitalcore Health | $94.20 |
| Wc Accident Fund | Cofinity Workers Comp | $97.61 |
| Wc Tristar | Cofinity Workers Comp | $97.61 |
| Wc Ace | Workers Comp | $103 |
Inpatient
—cash price (self-pay)
$335list price
$39.41–$194range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Delaware County Department Of Health | Medicaid | $39.41 |
| Stephenson Cty Health | Medicaid | $39.41 |
| Nextlevel Health | Medicaid | $39.41 |
| Aetna Medicaid | Medicaid | $39.41 |
| County Care Medicaid | Medicaid | $39.41 |
| Allwell Medicaid Advantage | Medicaid | $39.41 |
| Upper Peninsula Health Plan (Uphp) Medicaid | Medicaid | $39.41 |
| Dean Wi Badgercare | Medicaid | $39.41 |
| Cigna Medicaid Advantage | Medicaid | $39.41 |
| Keystone First | Medicaid | $39.41 |
| Blue Cross - Oh (Anthem) Medicaid Advantage | Medicaid | $39.41 |
| Moda Plus Medicaid Advantage | Medicaid | $39.41 |
| Medicaid - Mi | Medicaid | $43.67 |
| Molina Medicaid | Molina Medicaid | $43.67 |
| Rx Allwin | Medicare | $59.56 |
| Positive Healthcare Partners Medicare | Medicare | $59.56 |
| Central Health Medicare Advantage | Medicare | $59.56 |
| Georgia Health Advantage | Medicare | $59.56 |
| Todays Options | Medicare | $59.56 |
| Wc Michigan | Cofinity Workers Comp | $97.61 |
| Wc Guard Insurance Company | Cofinity Workers Comp | $97.61 |
| Wc York Risk | Workers Comp | $103 |
| Wc First Agency/Occunet | Workers Comp | $103 |
| Andrie Inc | Workers Comp | $103 |
| Wc Winnebago Industries | Workers Comp | $103 |
| Wc Great West Casualty | Workers Comp | $103 |
| Wc Chubb | Workers Comp | $103 |
| Wc Acuity | Workers Comp | $103 |
| Wc Acs Federal Employees | Workers Comp | $103 |
| Wc Guarantee Insurance | Workers Comp | $103 |
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