CMS Price Transparency Data

X-ray, lower back

Facility: Holland Community Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $70
  • Cash Discount Price: $121
  • vs. Medicare Baseline: 0.66x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Holland Community Hospital is $70. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $121. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.66x the Medicare baseline. Located in 602 Michigan Ave, Holland, MI.
Cash / Self-Pay
$121

Average discount available for prompt cash payment at this facility.

Insurance Median
$70

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: $121 (113%)
Insurance Median: $70 (66%)
Cash: $121 (113% of Medicare)
Ins. Median: $70 (66% 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
UnitedHealthcare $9 - $290 8%
Health Alliance Mcr Adv $12 - $104 11%
Life Circles-All Plans $12 - $99 11%
Ph Mcr Adv $12 - $104 11%
Va Ccn - All Plans $12 - $104 11%
Aetna $13 - $107 12%
Longevity Health Plan-All Plans $13 - $112 12%
First Health-All Plans $16 - $261 15%
Cofinity -All Plans $18 - $78 17%
Blue Care Network - All Plans $19 18%
Cigna $19 - $101 18%
Priority Health - All Other Plans $19 - $112 18%
Blue Cross Blue Shield $20 - $99 19%
Multiplan - All Plans $24 - $252 22%
Sisco-All Other Plans $32 - $276 30%
Meridian Mcaid Profee Only-All Plans $33 31%
Molina Mcaid - All Plans $33 - $93 31%
Ph Mcaid $33 - $93 31%
Asr - All Plans $34 - $247 32%
Health Alliance Ahl - All Other Plans $34 - $247 32%
Health Alliance Hmo $34 - $236 32%
Nomi Health - All Plans $84 - $594 79%
Benefit Source Inc-All Plans $90 - $261 84%
Usa Managed Care-All Plans $261 244%
Integrated Health Plans-All Plans $276 258%
Sisco Epi $276 258%

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