Price Transparency

Know your out-of-pocket cost for care.

search
Charge Type Setting Price  
Hospital Charge Code 2959986
Hospital Revenue Code 360
Min. Negotiated Rate $281.68
Max. Negotiated Rate $4,024.00
Rate for Payer: Aetna Commercial $905.40
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $865.16
Rate for Payer: Aetna Managed Medicare $281.68
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $653.90
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $503.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $482.88
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $533.18
Rate for Payer: Cash Price $301.80
Rate for Payer: Cigna Commercial $925.52
Rate for Payer: Dean Health DHI/DHP/ASO $562.96
Rate for Payer: Health EOS Commercial $895.34
Rate for Payer: HFN Commercial $925.52
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $754.50
Rate for Payer: Multiplan Commercial $804.80
Rate for Payer: NAPHCARE Commercial $603.60
Rate for Payer: Preferred Network Access Commercial $925.52
Rate for Payer: Quartz Beloit One Network $492.94
Rate for Payer: Quartz Commercial $653.90
Rate for Payer: Quartz Medicare Advantage $603.60
Rate for Payer: The Alliance Commercial $4,024.00
Rate for Payer: WEA Trust Commercial $553.30
Rate for Payer: WPS Commercial $745.14
Hospital Charge Code 2959976
Hospital Revenue Code 360
Min. Negotiated Rate $1,248.80
Max. Negotiated Rate $17,840.00
Rate for Payer: Aetna Commercial $4,014.00
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $3,835.60
Rate for Payer: Aetna Managed Medicare $1,248.80
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $2,899.00
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $2,230.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $2,140.80
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $2,363.80
Rate for Payer: Cash Price $1,338.00
Rate for Payer: Cigna Commercial $4,103.20
Rate for Payer: Dean Health DHI/DHP/ASO $2,495.82
Rate for Payer: Health EOS Commercial $3,969.40
Rate for Payer: HFN Commercial $4,103.20
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $3,345.00
Rate for Payer: Multiplan Commercial $3,568.00
Rate for Payer: NAPHCARE Commercial $2,676.00
Rate for Payer: Preferred Network Access Commercial $4,103.20
Rate for Payer: Quartz Beloit One Network $2,185.40
Rate for Payer: Quartz Commercial $2,899.00
Rate for Payer: Quartz Medicare Advantage $2,676.00
Rate for Payer: The Alliance Commercial $17,840.00
Rate for Payer: WEA Trust Commercial $2,453.00
Rate for Payer: WPS Commercial $3,303.52
Hospital Charge Code 2959976
Hospital Revenue Code 360
Min. Negotiated Rate $2,185.40
Max. Negotiated Rate $4,103.20
Rate for Payer: Aetna Commercial $4,014.00
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $3,835.60
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $2,363.80
Rate for Payer: Cash Price $1,338.00
Rate for Payer: Cigna Commercial $4,103.20
Rate for Payer: Health EOS Commercial $3,969.40
Rate for Payer: HFN Commercial $4,103.20
Rate for Payer: Multiplan Commercial $3,568.00
Rate for Payer: NAPHCARE Commercial $2,676.00
Rate for Payer: Preferred Network Access Commercial $4,103.20
Rate for Payer: Quartz Beloit One Network $2,185.40
Rate for Payer: Quartz Commercial $2,676.00
Rate for Payer: WEA Trust Commercial $2,453.00
Rate for Payer: WPS Commercial $3,303.52
Service Code CPT 42104
Hospital Charge Code 3014623
Hospital Revenue Code 510
Min. Negotiated Rate $235.82
Max. Negotiated Rate $637.45
Rate for Payer: Aetna Commercial $637.45
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $577.06
Rate for Payer: Cash Price $201.30
Rate for Payer: Cash Price $201.30
Rate for Payer: Cigna Commercial $637.45
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $235.82
Rate for Payer: Dean Health DHI/DHP/ASO $402.60
Rate for Payer: Health EOS Commercial $610.61
Rate for Payer: HFN Commercial $637.45
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $451.35
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $451.35
Rate for Payer: Multiplan Commercial $536.80
Rate for Payer: Preferred Network Access Commercial $637.45
Rate for Payer: Quartz Beloit One Network $295.24
Rate for Payer: Quartz Commercial $382.47
Rate for Payer: The Alliance Commercial $335.50
Rate for Payer: United Healthcare Medicaid $235.82
Rate for Payer: WEA Trust Commercial $369.05
Rate for Payer: WPS Commercial $497.01
Service Code CPT 42106
Hospital Charge Code 3014624
Hospital Revenue Code 510
Min. Negotiated Rate $225.72
Max. Negotiated Rate $560.60
Rate for Payer: Aetna Commercial $487.35
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $441.18
Rate for Payer: Cash Price $153.90
Rate for Payer: Cash Price $153.90
Rate for Payer: Cigna Commercial $487.35
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $235.82
Rate for Payer: Dean Health DHI/DHP/ASO $307.80
Rate for Payer: Health EOS Commercial $466.83
Rate for Payer: HFN Commercial $487.35
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $560.60
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $560.60
Rate for Payer: Multiplan Commercial $410.40
Rate for Payer: Preferred Network Access Commercial $487.35
Rate for Payer: Quartz Beloit One Network $225.72
Rate for Payer: Quartz Commercial $292.41
Rate for Payer: The Alliance Commercial $256.50
Rate for Payer: United Healthcare Medicaid $235.82
Rate for Payer: WEA Trust Commercial $282.15
Rate for Payer: WPS Commercial $379.98
Service Code CPT 42107
Hospital Charge Code 3990002
Hospital Revenue Code 510
Min. Negotiated Rate $802.12
Max. Negotiated Rate $1,731.85
Rate for Payer: Aetna Commercial $1,731.85
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $1,567.78
Rate for Payer: Cash Price $546.90
Rate for Payer: Cash Price $546.90
Rate for Payer: Cigna Commercial $1,731.85
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $875.07
Rate for Payer: Dean Health DHI/DHP/ASO $1,093.80
Rate for Payer: Health EOS Commercial $1,658.93
Rate for Payer: HFN Commercial $1,731.85
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $1,132.49
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $1,132.49
Rate for Payer: Multiplan Commercial $1,458.40
Rate for Payer: Preferred Network Access Commercial $1,731.85
Rate for Payer: Quartz Beloit One Network $802.12
Rate for Payer: Quartz Commercial $1,039.11
Rate for Payer: The Alliance Commercial $911.50
Rate for Payer: United Healthcare Medicaid $875.07
Rate for Payer: WEA Trust Commercial $1,002.65
Rate for Payer: WPS Commercial $1,350.30
Hospital Charge Code 2960029
Hospital Revenue Code 360
Min. Negotiated Rate $281.68
Max. Negotiated Rate $4,024.00
Rate for Payer: Aetna Commercial $905.40
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $865.16
Rate for Payer: Aetna Managed Medicare $281.68
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $653.90
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $503.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $482.88
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $533.18
Rate for Payer: Cash Price $301.80
Rate for Payer: Cigna Commercial $925.52
Rate for Payer: Dean Health DHI/DHP/ASO $562.96
Rate for Payer: Health EOS Commercial $895.34
Rate for Payer: HFN Commercial $925.52
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $754.50
Rate for Payer: Multiplan Commercial $804.80
Rate for Payer: NAPHCARE Commercial $603.60
Rate for Payer: Preferred Network Access Commercial $925.52
Rate for Payer: Quartz Beloit One Network $492.94
Rate for Payer: Quartz Commercial $653.90
Rate for Payer: Quartz Medicare Advantage $603.60
Rate for Payer: The Alliance Commercial $4,024.00
Rate for Payer: WEA Trust Commercial $553.30
Rate for Payer: WPS Commercial $745.14
Hospital Charge Code 2960029
Hospital Revenue Code 360
Min. Negotiated Rate $492.94
Max. Negotiated Rate $925.52
Rate for Payer: Aetna Commercial $905.40
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $865.16
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $533.18
Rate for Payer: Cash Price $301.80
Rate for Payer: Cigna Commercial $925.52
Rate for Payer: Health EOS Commercial $895.34
Rate for Payer: HFN Commercial $925.52
Rate for Payer: Multiplan Commercial $804.80
Rate for Payer: NAPHCARE Commercial $603.60
Rate for Payer: Preferred Network Access Commercial $925.52
Rate for Payer: Quartz Beloit One Network $492.94
Rate for Payer: Quartz Commercial $603.60
Rate for Payer: WEA Trust Commercial $553.30
Rate for Payer: WPS Commercial $745.14
Service Code CPT 11642
Hospital Revenue Code 360
Min. Negotiated Rate $695.42
Max. Negotiated Rate $4,218.22
Rate for Payer: Aetna Managed Medicare $695.42
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $2,914.00
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $2,297.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $2,183.00
Rate for Payer: Anthem Medicare Advantage $695.42
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $695.42
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $695.42
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $695.42
Rate for Payer: Dean Health DHI/DHP/ASO $4,218.22
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $695.42
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $2,586.96
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $695.42
Rate for Payer: Independent Care Health Plan Medicare $695.42
Rate for Payer: Managed Health Services Medicare Advantage $695.42
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $695.42
Rate for Payer: NAPHCARE Commercial $1,043.13
Rate for Payer: Quartz Medicare Advantage $695.42
Rate for Payer: The Alliance Commercial $2,781.68
Rate for Payer: United Healthcare Medicare Advantage $695.42
Rate for Payer: United Healthcare PPO $2,257.00
Rate for Payer: Wellcare Medicare $695.42
Service Code CPT 11626
Hospital Revenue Code 360
Min. Negotiated Rate $2,808.55
Max. Negotiated Rate $11,234.20
Rate for Payer: Aetna Managed Medicare $2,808.55
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $9,907.00
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $8,043.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $7,639.00
Rate for Payer: Anthem Medicare Advantage $2,808.55
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $2,808.55
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $2,808.55
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $2,808.55
Rate for Payer: Dean Health DHI/DHP/ASO $4,757.59
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $2,808.55
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $10,447.81
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $2,808.55
Rate for Payer: Independent Care Health Plan Medicare $2,808.55
Rate for Payer: Managed Health Services Medicare Advantage $2,808.55
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $2,808.55
Rate for Payer: NAPHCARE Commercial $4,212.82
Rate for Payer: Quartz Medicare Advantage $2,808.55
Rate for Payer: The Alliance Commercial $11,234.20
Rate for Payer: United Healthcare Medicare Advantage $2,808.55
Rate for Payer: United Healthcare PPO $4,103.00
Rate for Payer: Wellcare Medicare $2,808.55
Service Code CPT 11606
Hospital Revenue Code 360
Min. Negotiated Rate $1,602.49
Max. Negotiated Rate $6,409.96
Rate for Payer: Aetna Managed Medicare $1,602.49
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $3,496.00
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $2,871.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $2,726.00
Rate for Payer: Anthem Medicare Advantage $1,602.49
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $1,602.49
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $1,602.49
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $1,602.49
Rate for Payer: Dean Health DHI/DHP/ASO $4,757.59
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $1,602.49
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $5,961.26
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $1,602.49
Rate for Payer: Independent Care Health Plan Medicare $1,602.49
Rate for Payer: Managed Health Services Medicare Advantage $1,602.49
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $1,602.49
Rate for Payer: NAPHCARE Commercial $2,403.74
Rate for Payer: Quartz Medicare Advantage $1,602.49
Rate for Payer: The Alliance Commercial $6,409.96
Rate for Payer: United Healthcare Medicare Advantage $1,602.49
Rate for Payer: United Healthcare PPO $3,583.00
Rate for Payer: Wellcare Medicare $1,602.49
Hospital Charge Code 2960455
Hospital Revenue Code 360
Min. Negotiated Rate $1,928.15
Max. Negotiated Rate $3,620.20
Rate for Payer: Aetna Commercial $3,541.50
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $3,384.10
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $2,085.55
Rate for Payer: Cash Price $1,180.50
Rate for Payer: Cigna Commercial $3,620.20
Rate for Payer: Health EOS Commercial $3,502.15
Rate for Payer: HFN Commercial $3,620.20
Rate for Payer: Multiplan Commercial $3,148.00
Rate for Payer: NAPHCARE Commercial $2,361.00
Rate for Payer: Preferred Network Access Commercial $3,620.20
Rate for Payer: Quartz Beloit One Network $1,928.15
Rate for Payer: Quartz Commercial $2,361.00
Rate for Payer: WEA Trust Commercial $2,164.25
Rate for Payer: WPS Commercial $2,914.65
Hospital Charge Code 2960455
Hospital Revenue Code 360
Min. Negotiated Rate $1,101.80
Max. Negotiated Rate $15,740.00
Rate for Payer: Aetna Commercial $3,541.50
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $3,384.10
Rate for Payer: Aetna Managed Medicare $1,101.80
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $2,557.75
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $1,967.50
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $1,888.80
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $2,085.55
Rate for Payer: Cash Price $1,180.50
Rate for Payer: Cigna Commercial $3,620.20
Rate for Payer: Dean Health DHI/DHP/ASO $2,202.03
Rate for Payer: Health EOS Commercial $3,502.15
Rate for Payer: HFN Commercial $3,620.20
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $2,951.25
Rate for Payer: Multiplan Commercial $3,148.00
Rate for Payer: NAPHCARE Commercial $2,361.00
Rate for Payer: Preferred Network Access Commercial $3,620.20
Rate for Payer: Quartz Beloit One Network $1,928.15
Rate for Payer: Quartz Commercial $2,557.75
Rate for Payer: Quartz Medicare Advantage $2,361.00
Rate for Payer: The Alliance Commercial $15,740.00
Rate for Payer: WEA Trust Commercial $2,164.25
Rate for Payer: WPS Commercial $2,914.65
Service Code CPT 46922
Hospital Charge Code 3014848
Hospital Revenue Code 510
Min. Negotiated Rate $75.33
Max. Negotiated Rate $922.45
Rate for Payer: Aetna Commercial $922.45
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $835.06
Rate for Payer: Cash Price $291.30
Rate for Payer: Cash Price $291.30
Rate for Payer: Cigna Commercial $922.45
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $75.33
Rate for Payer: Dean Health DHI/DHP/ASO $582.60
Rate for Payer: Health EOS Commercial $883.61
Rate for Payer: HFN Commercial $922.45
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $451.88
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $451.88
Rate for Payer: Multiplan Commercial $776.80
Rate for Payer: Preferred Network Access Commercial $922.45
Rate for Payer: Quartz Beloit One Network $427.24
Rate for Payer: Quartz Commercial $553.47
Rate for Payer: The Alliance Commercial $485.50
Rate for Payer: United Healthcare Medicaid $75.33
Rate for Payer: WEA Trust Commercial $534.05
Rate for Payer: WPS Commercial $719.22
Service Code CPT 41899
Hospital Charge Code 5313634
Hospital Revenue Code 510
Min. Negotiated Rate $286.00
Max. Negotiated Rate $617.50
Rate for Payer: Aetna Commercial $617.50
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $559.00
Rate for Payer: Cash Price $195.00
Rate for Payer: Cash Price $195.00
Rate for Payer: Cigna Commercial $617.50
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $325.00
Rate for Payer: Dean Health DHI/DHP/ASO $390.00
Rate for Payer: Health EOS Commercial $591.50
Rate for Payer: HFN Commercial $617.50
Rate for Payer: Multiplan Commercial $520.00
Rate for Payer: Preferred Network Access Commercial $617.50
Rate for Payer: Quartz Beloit One Network $286.00
Rate for Payer: Quartz Commercial $370.50
Rate for Payer: The Alliance Commercial $325.00
Rate for Payer: WEA Trust Commercial $357.50
Rate for Payer: WPS Commercial $481.46
Service Code CPT 11440
Hospital Charge Code 1188921
Hospital Revenue Code 510
Min. Negotiated Rate $81.26
Max. Negotiated Rate $419.90
Rate for Payer: Aetna Commercial $419.90
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $380.12
Rate for Payer: Cash Price $132.60
Rate for Payer: Cash Price $132.60
Rate for Payer: Cigna Commercial $419.90
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $81.26
Rate for Payer: Dean Health DHI/DHP/ASO $265.20
Rate for Payer: Health EOS Commercial $402.22
Rate for Payer: HFN Commercial $419.90
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $350.32
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $350.32
Rate for Payer: Multiplan Commercial $353.60
Rate for Payer: Preferred Network Access Commercial $419.90
Rate for Payer: Quartz Beloit One Network $194.48
Rate for Payer: Quartz Commercial $251.94
Rate for Payer: The Alliance Commercial $221.00
Rate for Payer: United Healthcare Medicaid $81.26
Rate for Payer: WEA Trust Commercial $243.10
Rate for Payer: WPS Commercial $327.39
Service Code CPT 11441
Hospital Charge Code 1188922
Hospital Revenue Code 510
Min. Negotiated Rate $114.53
Max. Negotiated Rate $618.45
Rate for Payer: Aetna Commercial $618.45
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $559.86
Rate for Payer: Cash Price $195.30
Rate for Payer: Cash Price $195.30
Rate for Payer: Cigna Commercial $618.45
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $114.53
Rate for Payer: Dean Health DHI/DHP/ASO $390.60
Rate for Payer: Health EOS Commercial $592.41
Rate for Payer: HFN Commercial $618.45
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $439.03
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $439.03
Rate for Payer: Multiplan Commercial $520.80
Rate for Payer: Preferred Network Access Commercial $618.45
Rate for Payer: Quartz Beloit One Network $286.44
Rate for Payer: Quartz Commercial $371.07
Rate for Payer: The Alliance Commercial $325.50
Rate for Payer: United Healthcare Medicaid $114.53
Rate for Payer: WEA Trust Commercial $358.05
Rate for Payer: WPS Commercial $482.20
Service Code CPT 11442
Hospital Charge Code 3013547
Hospital Revenue Code 510
Min. Negotiated Rate $151.81
Max. Negotiated Rate $523.45
Rate for Payer: Aetna Commercial $523.45
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $473.86
Rate for Payer: Cash Price $165.30
Rate for Payer: Cash Price $165.30
Rate for Payer: Cigna Commercial $523.45
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $151.81
Rate for Payer: Dean Health DHI/DHP/ASO $330.60
Rate for Payer: Health EOS Commercial $501.41
Rate for Payer: HFN Commercial $523.45
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $484.00
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $484.00
Rate for Payer: Multiplan Commercial $440.80
Rate for Payer: Preferred Network Access Commercial $523.45
Rate for Payer: Quartz Beloit One Network $242.44
Rate for Payer: Quartz Commercial $314.07
Rate for Payer: The Alliance Commercial $275.50
Rate for Payer: United Healthcare Medicaid $151.81
Rate for Payer: WEA Trust Commercial $303.05
Rate for Payer: WPS Commercial $408.13
Service Code CPT 11443
Hospital Charge Code 3013548
Hospital Revenue Code 510
Min. Negotiated Rate $226.00
Max. Negotiated Rate $1,145.70
Rate for Payer: Aetna Commercial $1,145.70
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $1,037.16
Rate for Payer: Cash Price $361.80
Rate for Payer: Cash Price $361.80
Rate for Payer: Cigna Commercial $1,145.70
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $226.00
Rate for Payer: Dean Health DHI/DHP/ASO $723.60
Rate for Payer: Health EOS Commercial $1,097.46
Rate for Payer: HFN Commercial $1,145.70
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $592.30
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $592.30
Rate for Payer: Multiplan Commercial $964.80
Rate for Payer: Preferred Network Access Commercial $1,145.70
Rate for Payer: Quartz Beloit One Network $530.64
Rate for Payer: Quartz Commercial $687.42
Rate for Payer: The Alliance Commercial $603.00
Rate for Payer: United Healthcare Medicaid $226.00
Rate for Payer: WEA Trust Commercial $663.30
Rate for Payer: WPS Commercial $893.28
Service Code CPT 11444
Hospital Charge Code 3013549
Hospital Revenue Code 510
Min. Negotiated Rate $331.44
Max. Negotiated Rate $1,505.75
Rate for Payer: Aetna Commercial $1,505.75
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $1,363.10
Rate for Payer: Cash Price $475.50
Rate for Payer: Cash Price $475.50
Rate for Payer: Cigna Commercial $1,505.75
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $331.44
Rate for Payer: Dean Health DHI/DHP/ASO $951.00
Rate for Payer: Health EOS Commercial $1,442.35
Rate for Payer: HFN Commercial $1,505.75
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $750.44
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $750.44
Rate for Payer: Multiplan Commercial $1,268.00
Rate for Payer: Preferred Network Access Commercial $1,505.75
Rate for Payer: Quartz Beloit One Network $697.40
Rate for Payer: Quartz Commercial $903.45
Rate for Payer: The Alliance Commercial $792.50
Rate for Payer: United Healthcare Medicaid $331.44
Rate for Payer: WEA Trust Commercial $871.75
Rate for Payer: WPS Commercial $1,174.01
Service Code CPT 11446
Hospital Charge Code 3013550
Hospital Revenue Code 510
Min. Negotiated Rate $314.85
Max. Negotiated Rate $2,155.55
Rate for Payer: Aetna Commercial $2,155.55
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $1,951.34
Rate for Payer: Cash Price $680.70
Rate for Payer: Cash Price $680.70
Rate for Payer: Cigna Commercial $2,155.55
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $314.85
Rate for Payer: Dean Health DHI/DHP/ASO $1,361.40
Rate for Payer: Health EOS Commercial $2,064.79
Rate for Payer: HFN Commercial $2,155.55
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $1,068.95
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $1,068.95
Rate for Payer: Multiplan Commercial $1,815.20
Rate for Payer: Preferred Network Access Commercial $2,155.55
Rate for Payer: Quartz Beloit One Network $998.36
Rate for Payer: Quartz Commercial $1,293.33
Rate for Payer: The Alliance Commercial $1,134.50
Rate for Payer: United Healthcare Medicaid $314.85
Rate for Payer: WEA Trust Commercial $1,247.95
Rate for Payer: WPS Commercial $1,680.65
Service Code CPT 11420
Hospital Charge Code 3013541
Hospital Revenue Code 510
Min. Negotiated Rate $68.95
Max. Negotiated Rate $380.00
Rate for Payer: Aetna Commercial $380.00
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $344.00
Rate for Payer: Cash Price $120.00
Rate for Payer: Cash Price $120.00
Rate for Payer: Cigna Commercial $380.00
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $68.95
Rate for Payer: Dean Health DHI/DHP/ASO $240.00
Rate for Payer: Health EOS Commercial $364.00
Rate for Payer: HFN Commercial $380.00
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $275.90
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $275.90
Rate for Payer: Multiplan Commercial $320.00
Rate for Payer: Preferred Network Access Commercial $380.00
Rate for Payer: Quartz Beloit One Network $176.00
Rate for Payer: Quartz Commercial $228.00
Rate for Payer: The Alliance Commercial $200.00
Rate for Payer: United Healthcare Medicaid $68.95
Rate for Payer: WEA Trust Commercial $220.00
Rate for Payer: WPS Commercial $296.28
Service Code CPT 11421
Hospital Charge Code 3013542
Hospital Revenue Code 510
Min. Negotiated Rate $91.47
Max. Negotiated Rate $537.70
Rate for Payer: Aetna Commercial $537.70
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $486.76
Rate for Payer: Cash Price $169.80
Rate for Payer: Cash Price $169.80
Rate for Payer: Cigna Commercial $537.70
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $91.47
Rate for Payer: Dean Health DHI/DHP/ASO $339.60
Rate for Payer: Health EOS Commercial $515.06
Rate for Payer: HFN Commercial $537.70
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $365.57
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $365.57
Rate for Payer: Multiplan Commercial $452.80
Rate for Payer: Preferred Network Access Commercial $537.70
Rate for Payer: Quartz Beloit One Network $249.04
Rate for Payer: Quartz Commercial $322.62
Rate for Payer: The Alliance Commercial $283.00
Rate for Payer: United Healthcare Medicaid $91.47
Rate for Payer: WEA Trust Commercial $311.30
Rate for Payer: WPS Commercial $419.24
Service Code CPT 11422
Hospital Charge Code 3013543
Hospital Revenue Code 510
Min. Negotiated Rate $140.60
Max. Negotiated Rate $608.95
Rate for Payer: Aetna Commercial $608.95
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $551.26
Rate for Payer: Cash Price $192.30
Rate for Payer: Cash Price $192.30
Rate for Payer: Cigna Commercial $608.95
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $140.60
Rate for Payer: Dean Health DHI/DHP/ASO $384.60
Rate for Payer: Health EOS Commercial $583.31
Rate for Payer: HFN Commercial $608.95
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $451.28
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $451.28
Rate for Payer: Multiplan Commercial $512.80
Rate for Payer: Preferred Network Access Commercial $608.95
Rate for Payer: Quartz Beloit One Network $282.04
Rate for Payer: Quartz Commercial $365.37
Rate for Payer: The Alliance Commercial $320.50
Rate for Payer: United Healthcare Medicaid $140.60
Rate for Payer: WEA Trust Commercial $352.55
Rate for Payer: WPS Commercial $474.79
Service Code CPT 11423
Hospital Charge Code 3013544
Hospital Revenue Code 510
Min. Negotiated Rate $163.86
Max. Negotiated Rate $727.70
Rate for Payer: Aetna Commercial $727.70
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $658.76
Rate for Payer: Cash Price $229.80
Rate for Payer: Cash Price $229.80
Rate for Payer: Cigna Commercial $727.70
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $163.86
Rate for Payer: Dean Health DHI/DHP/ASO $459.60
Rate for Payer: Health EOS Commercial $697.06
Rate for Payer: HFN Commercial $727.70
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $517.67
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $517.67
Rate for Payer: Multiplan Commercial $612.80
Rate for Payer: Preferred Network Access Commercial $727.70
Rate for Payer: Quartz Beloit One Network $337.04
Rate for Payer: Quartz Commercial $436.62
Rate for Payer: The Alliance Commercial $383.00
Rate for Payer: United Healthcare Medicaid $163.86
Rate for Payer: WEA Trust Commercial $421.30
Rate for Payer: WPS Commercial $567.38