CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Holland Community Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $202
  • Cash Discount Price: $247
  • vs. Medicare Baseline: 1.89x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Holland Community Hospital is $202. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $247. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.89x the Medicare baseline. Located in 602 Michigan Ave, Holland, MI.
Cash / Self-Pay
$247

Average discount available for prompt cash payment at this facility.

Insurance Median
$202

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $247 (231%)
Insurance Median: $202 (189%)
Cash: $247 (231% of Medicare)
Ins. Median: $202 (189% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $97 - $107 91%
Life Circles-All Plans $99 93%
Health Alliance Mcr Adv $104 97%
Ph Mcr Adv $104 97%
Va Ccn - All Plans $104 97%
Longevity Health Plan-All Plans $112 105%
Cofinity -All Plans $129 121%
Molina Mcaid - All Plans $132 124%
Ph Mcaid $132 124%
Blue Cross Blue Shield $149 140%
Cigna $187 175%
Sisco Epi $202 189%
Sisco-All Other Plans $202 189%
Priority Health - All Other Plans $207 194%
Health Alliance Hmo $236 221%
Asr - All Plans $247 231%
Health Alliance Ahl - All Other Plans $247 231%
Multiplan - All Plans $358 335%
Benefit Source Inc-All Plans $371 347%
First Health-All Plans $371 347%
Usa Managed Care-All Plans $371 347%
Integrated Health Plans-All Plans $391 366%
UnitedHealthcare $412 386%
Nomi Health - All Plans $845 791%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 602 Michigan Ave, Holland, MI 49423
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals