CMS Price Transparency Data

X-ray, pelvis

Facility: Holland Community Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $22
  • Cash Discount Price: $26
  • vs. Medicare Baseline: 0.21x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Holland Community Hospital is $22. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $26. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.21x the Medicare baseline. Located in 602 Michigan Ave, Holland, MI.
Cash / Self-Pay
$26

Average discount available for prompt cash payment at this facility.

Insurance Median
$22

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: $26 (24%)
Insurance Median: $22 (21%)
Cash: $26 (24% of Medicare)
Ins. Median: $22 (21% 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 $6 - $184 6%
Molina Mcaid - All Plans $7 - $59 7%
Ph Mcaid $7 - $59 7%
Aetna $8 - $107 7%
Health Alliance Mcr Adv $8 - $104 7%
Life Circles-All Plans $8 - $99 7%
Ph Mcr Adv $8 - $104 7%
Va Ccn - All Plans $8 - $104 7%
Longevity Health Plan-All Plans $9 - $112 8%
First Health-All Plans $11 - $166 10%
Blue Care Network - All Plans $12 11%
Cofinity -All Plans $12 - $40 11%
Blue Cross Blue Shield $13 - $50 12%
Cigna $13 - $132 12%
Priority Health - All Other Plans $13 - $147 12%
Multiplan - All Plans $16 - $160 15%
Meridian Mcaid Profee Only-All Plans $18 17%
Sisco-All Other Plans $18 - $145 17%
Asr - All Plans $19 - $247 18%
Health Alliance Ahl - All Other Plans $19 - $247 18%
Health Alliance Hmo $19 - $236 18%
Benefit Source Inc-All Plans $20 - $166 19%
Usa Managed Care-All Plans $20 - $166 19%
Integrated Health Plans-All Plans $21 - $175 20%
Nomi Health - All Plans $45 - $377 42%
Sisco Epi $145 136%

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