CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Holland Community Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $82
Cash Discount Price: $89
vs. Medicare Baseline: 0.77x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Holland Community Hospital is $82. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $89. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.77x the Medicare baseline. Located in 602 Michigan Ave, Holland, MI.

Cash / Self-Pay

$89

Average discount available for prompt cash payment at this facility.

Insurance Median

$82

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: $89 (83%)

Insurance Median: $82 (77%)

Cash: $89 (83% of Medicare)

Ins. Median: $82 (77% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
UnitedHealthcare	$18 - $305	17%
Life Circles-All Plans	$25 - $99	23%
Health Alliance Mcr Adv	$26 - $104	24%
Molina Mcaid - All Plans	$26 - $98	24%
Ph Mcaid	$26 - $98	24%
Ph Mcr Adv	$26 - $104	24%
Va Ccn - All Plans	$26 - $104	24%
Aetna	$27 - $136	25%
Longevity Health Plan-All Plans	$28 - $112	26%
First Health-All Plans	$34 - $274	32%
Cofinity -All Plans	$39 - $184	37%
Blue Care Network - All Plans	$40	37%
Priority Health - All Other Plans	$40 - $201	37%
Cigna	$41 - $181	38%
Blue Cross Blue Shield	$43 - $208	40%
Multiplan - All Plans	$49 - $265	46%
Sisco-All Other Plans	$55 - $199	51%
Asr - All Plans	$58 - $247	54%
Health Alliance Ahl - All Other Plans	$58 - $247	54%
Health Alliance Hmo	$58 - $236	54%
Meridian Mcaid Profee Only-All Plans	$70	66%
Benefit Source Inc-All Plans	$74 - $274	69%
Usa Managed Care-All Plans	$74 - $274	69%
Integrated Health Plans-All Plans	$78 - $290	73%
Nomi Health - All Plans	$84 - $625	79%
Sisco Epi	$199	186%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $89.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76536.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Holland Community Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76536.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.