CMS Price Transparency Data

X-ray, hip

Facility: Holland Community Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $53
Cash Discount Price: $39
vs. Medicare Baseline: 0.60x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Holland Community Hospital is $53. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $39. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.60x the Medicare baseline. Located in 602 Michigan Ave, Holland, MI.

Cash / Self-Pay

$39

Average discount available for prompt cash payment at this facility.

Insurance Median

$53

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: $39 (44%)

Insurance Median: $53 (60%)

Cash: $39 (44% of Medicare)

Ins. Median: $53 (60% 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
UnitedHealthcare	$7 - $171	8%
Health Alliance Mcr Adv	$10 - $87	11%
Life Circles-All Plans	$10 - $82	11%
Ph Mcr Adv	$10 - $87	11%
Va Ccn - All Plans	$10 - $87	11%
Aetna	$11 - $89	12%
Longevity Health Plan-All Plans	$11 - $94	12%
Molina Mcaid - All Plans	$11 - $55	12%
Ph Mcaid	$11 - $55	12%
First Health-All Plans	$14 - $154	16%
Cofinity -All Plans	$15 - $73	17%
Blue Care Network - All Plans	$16	18%
Cigna	$16 - $113	18%
Priority Health - All Other Plans	$16 - $125	18%
Blue Cross Blue Shield	$17 - $93	19%
Multiplan - All Plans	$20 - $149	22%
Sisco-All Other Plans	$22 - $123	25%
Benefit Source Inc-All Plans	$27 - $154	30%
Meridian Mcaid Profee Only-All Plans	$30	34%
Usa Managed Care-All Plans	$32 - $154	36%
Integrated Health Plans-All Plans	$33 - $162	37%
Nomi Health - All Plans	$72 - $351	81%
Asr - All Plans	$98 - $205	110%
Health Alliance Ahl - All Other Plans	$98 - $205	110%
Health Alliance Hmo	$98 - $196	110%
Sisco Epi	$123	138%

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 $39.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73502.

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 73502.
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.