Holland Community Hospital
602 Michigan Ave, Holland, MI 49423 · 116 Priced Procedures · 77% Patient Recommendation
Typical commercial prices here are +21% above the fair benchmark (1.21×) even after accounting for local nurse/doctor wages and patient complexity.
4-Star CMS clinical quality rating paired with 1.21× fair market pricing.
Consolidated System Premium Pricer
Operating in a concentrated regional market (CBSA HHI 3,149), Holland Community Hospital commands a 1.21× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.98× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 47% of shoppable procedures (99/100 Cash Honesty)
- 5-Star CMS clinical rating with 77% patient recommendation (75/100 safety score)
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (49.3% AGB cap)
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (1.21× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
- Commercial insurance median sits at 1.31× Fair BaseRate (1.5× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Specialty infusion drugs (J-codes) average 1.3× Medicare — verify per-unit billing on itemized statements
- Consolidated metro market (HHI 3,149) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Holland Community Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 116 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $37,207 | 1.2× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $25,413 | 1.3× |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $21,554 | 1.1× |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $20,796 | 1.2× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $10,304 | 1.3× |
| Vaginal delivery (full package) CPT Code: 59400 | $3,360 | unverified |
| Trauma team activation HCPCS Code: G0390 | $2,309 | unverified |
| Total hip replacement CPT Code: 27130 | $1,635 | 0.1× |
| Total knee replacement CPT Code: 27447 | $1,635 | 0.1× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $1,023 | 0.2× |
| Blood transfusion CPT Code: 36430 | $991 | unverified |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $834 | 0.2× |
| Inguinal hernia repair CPT Code: 49505 | $811 | 0.2× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $788 | unverified |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $790 | unverified |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $691 | unverified |
| MRI, brain (no contrast) CPT Code: 70551 | $539 | unverified |
| MRI, lower back (no contrast) CPT Code: 72148 | $539 | unverified |
| MRI, knee or other leg joint CPT Code: 73721 | $563 | unverified |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $539 | unverified |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $456 | 1.5× |
| CT scan, head (with contrast) CPT Code: 70460 | $396 | 1.6× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $396 | 1.5× |
| Upper endoscopy with biopsy CPT Code: 43239 | $348 | 0.4× |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $236 | 1.6× |
Audit a Bill or Quote at Holland Community Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $50,530
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (49.3% of gross = $50,530).
Self-Pay Cash Rate ($61,485) Beats Your Bill
Holland Community Hospital's published 45 CFR § 180 self-pay cash rate is $61,485 (vs. $37,207 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)
Your bill ($102,474) is $71,699 above the denoised Fair BaseRate ($30,775) and 4.4× the $23,504 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (49.3% of gross charges)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)Source: CMS Hospital Care Compare (303 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Holland Community Hospital.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.