CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: UW Health

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$6,944

about 1.2× the $5,676 Medicare rate · typically $4,830–$7,617

modeled estimate · not a bill or quote

What this hospital charges insurers

$6,772

About the fair price

about $172 under the fair price · 1.2× Medicare

Medicare pays $5,676 Fair price $6,944 This hospital $6,772 Cash price $6,809 Hospital's list price $42,557

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

Highest price of the 9 IL hospitals we have prices for — worth calling around.

Cheapest $4,941 Priciest $6,772

Black dot = this hospital, among the 9 IL hospitals with a price for this procedure. Full list below.

A fair price for a Digestive disorders treatment (inpatient stay) is about $6,944 (about 1.2× the $5,676 Medicare rate). UW Health charges insurers about $6,772, or about $6,809 in cash — about the fair price. Located in Rockford, IL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$5,548 - $12,112	98%
Blue Cross Blue Shieldmajor	$5,548 - $9,853	98%
Aetnamajor	$5,548 - $8,647	98%
Cignamajor	$9,511	168%
Humanamajor	$5,548	98%
Quartz	$6,526 - $7,019	115%
+ 3 smaller / regional plans	$5,548 - $15,680

Government programs also on file: Medicare.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 6,809), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 392.

Insurance Before you use insurance

Call your insurance company to confirm UW Health is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 392.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at UW Health

Compare: Digestive disorders treatment (inpatient stay) at other IL hospitals

Insurance negotiated median for the same procedure, sorted lowest first.