CMS Price Transparency Data

X-ray, foot

Facility: Holland Community Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $149
Cash Discount Price: $152
vs. Medicare Baseline: 1.68x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Holland Community Hospital is $149. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $152. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.68x the Medicare baseline. Located in 602 Michigan Ave, Holland, MI.

Cash / Self-Pay

$152

Average discount available for prompt cash payment at this facility.

Insurance Median

$149

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)

Cash / Self-Pay: $152 (171%)

Insurance Median: $149 (168%)

Cash: $152 (171% of Medicare)

Ins. Median: $149 (168% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 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
Aetna	$42 - $89	47%
Cofinity -All Plans	$54	61%
Molina Mcaid - All Plans	$55 - $107	62%
Ph Mcaid	$55 - $107	62%
Blue Cross Blue Shield	$66	74%
Cigna	$74	83%
Sisco Epi	$80	90%
Sisco-All Other Plans	$80	90%
Life Circles-All Plans	$82	92%
Priority Health - All Other Plans	$82	92%
Health Alliance Mcr Adv	$87	98%
Ph Mcr Adv	$87	98%
Va Ccn - All Plans	$87	98%
Longevity Health Plan-All Plans	$94	106%
Multiplan - All Plans	$149 - $291	168%
Benefit Source Inc-All Plans	$154 - $301	173%
First Health-All Plans	$154 - $301	173%
Usa Managed Care-All Plans	$154 - $301	173%
Integrated Health Plans-All Plans	$162 - $317	182%
UnitedHealthcare	$171 - $334	192%
Health Alliance Hmo	$196	220%
Asr - All Plans	$205	231%
Health Alliance Ahl - All Other Plans	$205	231%
Nomi Health - All Plans	$351 - $685	395%

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 $152.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73630.

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 73630.
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.