CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Beloit Health System

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$64
about 0.7× the $95 Medicare rate · typically $58–$125
modeled estimate · not a bill or quote
What this hospital charges insurers
$63
About the fair price
about $1 under the fair price · 0.7× Medicare
Medicare pays $95 Fair price $64 This hospital $63 Cash price $105 Hospital's list price $352

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

A typical price — 5 charge more and 3 charge less, among the 9 WI hospitals compared.

Cheapest $60 Priciest $70

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

A fair price for a Office visit, established patient (20-29 min) is about $64 (about 0.7× the $95 Medicare rate). Beloit Health System charges insurers about $63, or about $105 in cash — about the fair price. Located in Beloit, WI.

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 $57 - $2,970 60%
Blue Cross Blue Shieldmajor $57 - $2,574 60%
Aetnamajor $57 - $3,564 60%
Cignamajor $118 - $3,643 124%
Humanamajor $204 - $2,970 214%
Dean Health Plan $57 - $2,216 60%
Quartz $54 - $2,574 57%
+ 6 smaller / regional plans $57 - $3,643
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1969 W Hart Rd, Beloit, WI 53511
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals