All procedures / Upper Endoscopy (EGD) / Detroit, MI
Upper Endoscopy (EGD) Cost in Detroit, MI (2026): Negotiated Rates by Insurance TypeNPI VERIFIED
Across 10 hospitals in the Detroit, MI area that publish federally required price files, the median negotiated rate under commercial insurance is $689 (middle half of hospitals: $175–$1,935) and the median self-pay (cash) price is $637 for an upper endoscopy (EGD). The Medicare outpatient baseline for the same procedure family is $926.
Source: hospital machine-readable files (45 CFR §180), file dates 2024-08-06 to 2026-09-02 · Medicare baseline: CMS OPPS Addendum B · Data extracted 2026-10-31 · Page updated 2026-10-31
Area covered: hospitals in Wayne, Oakland and Macomb counties, Michigan. Hospitals outside these places are not in this table, even if they serve the area.
Median insured rate
$689
commercial plans · 8 of 10 hospitals
Middle half
$175–$1,935
25th–75th percentile of hospitals
Median cash
$637
self-pay price · 6 hospitals list one
Medicare baseline
$926
CMS OPPS national
1 of 10 hospital files were more than 12 months old at extraction (flagged in the table). Hospitals must update these files yearly; older figures may not reflect current contracts.
This is the hospital's facility fee. The physician performing the procedure, anesthesia and any pathology are billed separately.
These are contract reference rates, not your bill. A plan-type median is not a quote for your specific plan or network. Your out-of-pocket cost depends on your deductible, coinsurance and network status. Rates shown are facility charges only — physician/radiologist fees are billed separately.
| Hospital | Insured median | PPO | HMO | Commercial | Medicare Adv. | ACA Exchange | Medicare | Cash | List (gross) |
|---|
Mclaren Oakland
Pontiac · CMS 2★ · file updated 2025-12-31 | $174 | — | $1160.1× Medicare | $2330.3× Medicare | — | — | $9141.0× Medicare | $375 | $751 |
Mclaren Port Huron
Port Huron · CMS 2★ · file updated 2025-12-31 | $174 | — | $1160.1× Medicare | $2330.3× Medicare | — | — | $9141.0× Medicare | $375 | $751 |
Mclaren Macomb
Mount Clemens · CMS 1★ · file updated 2025-12-31 | $174 | — | $1160.1× Medicare | $2330.3× Medicare | — | — | $1110.1× Medicare | $375 | $751 |
Corewell Health Wayne Hospital
Wayne · CMS 2★ · file updated 2026-04-01 | $688 | $1,1301.2× Medicare | — | $6880.7× Medicare | — | $6880.7× Medicare | $9521.0× Medicare | — | — |
Corewell Health Trenton Hospital
Trenton · CMS 3★ · file updated 2026-04-01 | $688 | $1,1301.2× Medicare | — | $6880.7× Medicare | — | $6880.7× Medicare | $9521.0× Medicare | — | — |
Garden City Hospital
Garden City · CMS 2★ · file updated 2026-03-17 | $885 | — | — | $8851.0× Medicare | $8991.0× Medicare | — | $8991.0× Medicare | $899 | $7,486 |
Harper University Hospital
Detroit · CMS 1★ · file updated 2026-09-02 | $5,085 | $5,0855.5× Medicare | — | — | — | — | — | — | — |
Huron Valley-Sinai Hospital
Commerce Township · CMS 3★ · file updated 2026-05-20 | $5,085 | $5,0855.5× Medicare | — | — | — | — | — | — | — |
Karmanos Cancer Center
Detroit · CMS 3★ · file updated 2025-12-31 | — | — | — | — | — | — | $9141.0× Medicare | $2,227 | $4,455 |
Surgeons Choice Medical Center
Southfield · file updated 2024-08-06file >12 mo old | — | — | — | — | $7950.9× Medicare | — | $7950.9× Medicare | $1,036 | $4,850 |
Each figure is the median of that hospital's published rates for the procedure's code family under that plan type. "Insured median" is the median of the hospital's commercial-plan rates (PPO, HMO, EPO, POS, ACA marketplace and plans not labelled by type); the headline figure is the median of that column. Hospitals label plan types differently, so compare the Insured median column across hospitals rather than a single plan-type column. "×Medicare" compares to the CMS national outpatient rate. Blank cells mean the hospital's file discloses no dollar rate for that plan type.
Reuse: the price statistics on this page are licensed CC BY 4.0 — use them for anything, including commercial work, crediting "HospitalPriceGrid (ArtiLabs)". Site text, design and paid data extracts are not covered.
Frequently asked questions
- How much does an upper endoscopy (EGD) cost without insurance in Detroit, MI?
- Of the 10 hospitals in this table, 6 publish a self-pay (cash) price; their median is $637. That is the hospital's facility charge — a separately billed doctor's fee may apply. Ambulatory surgery and endoscopy centers aren't in these hospital files and are often cheaper for self-pay patients.
- How much does an upper endoscopy (EGD) cost with insurance in Detroit, MI?
- With insurance, the hospital's negotiated rate is what your plan is billed. Across 8 hospitals here the median commercial-plan rate is $689, and the middle half fall between $175 and $1,935. Until you meet your deductible you typically pay that negotiated amount; after it, your coinsurance or copay applies.
- Why do Upper Endoscopy (EGD) prices differ so much between Detroit, MI hospitals?
- Each hospital negotiates separately with each insurer, and hospitals in the same health system often share one rate sheet. In this table the cheapest quarter of hospitals negotiated $175 or less, while the priciest quarter negotiated $1,935 or more — 11.1 times as much for the same procedure code.
- What is the Medicare rate shown here?
- $927 is the CMS national outpatient (OPPS) payment rate for this procedure family. We show it as a government baseline so you can see each hospital's multiple of it.
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