CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: UW Health

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$83
about 0.9× the $95 Medicare rate · typically $63–$176
modeled estimate · not a bill or quote
What this hospital charges insurers
$93
About the fair price
about $10 over the fair price · 1.0× Medicare
Medicare pays $95 Fair price $83 This hospital $93 Cash price $30 Hospital's list price $185

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 $48 Priciest $93

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

A fair price for a Office visit, established patient (20-29 min) is about $83 (about 0.9× the $95 Medicare rate). UW Health charges insurers about $93, or about $30 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 $45 - $115 47%
Blue Cross Blue Shieldmajor $45 - $95 47%
Aetnamajor $45 - $93 47%
Cignamajor $101 - $136 106%
Humanamajor $58 - $93 61%
Quartz $79 - $139 83%
+ 6 smaller / regional plans $58 - $143
Government programs also on file: Medicare, Medicaid.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1401 East State Street, Rockford, IL 61104
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals