Upper GI endoscopy with biopsy at Trinity Health Livingston Hospital. CPT 43239.
What Trinity Health Livingston Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$4,173cash price (self-pay)
—list price
$43.67–$2,038range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid - Mi | Medicaid | $43.67 |
| Molina Medicaid | Molina Medicaid | $43.67 |
| County Care Medicaid Advantage | Medicaid | $43.67 |
| Maryland Healthy Smiles - Scion Dental | Medicaid | $43.67 |
| Cencal Health Plan | Medicaid | $43.67 |
| Blue Cross - Id Medicaid Advantage | Medicaid | $43.67 |
| Inland Empire Health Plan | Medicaid | $43.67 |
| Moda Plus Medicaid Advantage | Medicaid | $43.67 |
| Kern Family Health Plan | Medicaid | $43.67 |
| Keystone First | Medicaid | $43.67 |
| Mclaren Health Medicaid | Mclaren Medicaid | $45.85 |
| Rx Allwin | Medicare | $59.56 |
| Blue Care Network Advantage | Bcn Medicare Advantage | $59.56 |
| Hap Medicare Advantage | Hap Medicare Advantage | $59.56 |
| Molina Medicare Advantage | Molina Medicare Advantage | $59.56 |
| Blue Cross - Mi Medicare Advantage | BCBS Medicare Advantage | $59.56 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $59.56 |
| Priority Health Medicare Advantage | Priority Health Medicare Advantag | $59.56 |
| Gpa Croell Redi Mix | Medicare | $59.56 |
| Careplus Health Plans | Medicare | $59.56 |
| Longevity Health Plan | Medicare | $59.56 |
| Longevity Ipa Of Michigan LLC Health Plan Isnp | Longevity Ipa Medicar | $68.50 |
| Wellpath | Wellpath | $82.05 |
| Wc Praxis Health Network | Workers Comp | $103 |
| Wc Paradigm | Workers Comp | $103 |
| Wc Velocity | Workers Comp | $103 |
| Wc Comp One Admin C/O Manageability | Workers Comp | $103 |
| Wc Mdia | Workers Comp | $103 |
| Genex Wc | Workers Comp | $103 |
| Blue Cross - Ct (Anthem) | BCBS Trust Trad | $109 |
Inpatient
—cash price (self-pay)
$301list price
$43.67–$273range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid - Mi | Medicaid | $43.67 |
| Blue Cross - Oh (Anthem) Medicaid Advantage | Medicaid | $43.67 |
| County Care Medicaid Advantage | Medicaid | $43.67 |
| Keystone First | Medicaid | $43.67 |
| Total Health Care Medicaid | Medicaid | $43.67 |
| Moda Plus Medicaid Advantage | Medicaid | $43.67 |
| Maryland Healthy Smiles - Scion Dental | Medicaid | $43.67 |
| Rx Allwin | Medicare | $59.56 |
| Humana Medicare Advantage | Humana Medicare Advantage | $59.56 |
| Dean Health Medicare Select | Medicare | $59.56 |
| The Health Plan | Medicare | $59.56 |
| Peak Pace Solutions | Medicare | $59.56 |
| Gpa Croell Redi Mix | Medicare | $59.56 |
| Cigna Medicare Advantage | Medicare | $59.56 |
| Health America Advantra | Medicare | $59.56 |
| Phoenix Medicare Advantage | Medicare | $59.56 |
| Fidelis Medicare | Medicare | $59.56 |
| Blue Cross - Wi (Anthem) Medicare Advantage | Medicare | $59.56 |
| Blue Cross - MA Medicare Advantage | Medicare | $59.56 |
| Meridian Complete | Medicare | $59.56 |
| Wc Hartford | Cofinity Workers Comp | $97.61 |
| Wc First Agency/Occunet | Workers Comp | $103 |
| Wc Encore Health Network | Workers Comp | $103 |
| Wc Secura | Workers Comp | $103 |
| Wc Paradigm | Workers Comp | $103 |
| Wc Michigan Millers Mutual | Workers Comp | $103 |
| Wc Great West Casualty | Workers Comp | $103 |
| Healthsmart Workers Comp | Workers Comp | $103 |
| Wc Cirma | Workers Comp | $103 |
| Wc Winnebago Industries | Workers Comp | $103 |
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