Illinois / Uw Health
CMS certification 140228 · Rockford, IL
Uw Health: charges and Medicare payments
Uw Health reported 2,222 Medicare inpatient stays across 66 DRGs in 2024. Across them it charged 5.54 times what it was paid — among the higher ratios in Illinois, number 11 of 106 hospitals with at least 100 stays (state median 4.06×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 376 stays at an average charge of $100,191, 11% above the national average. It also billed 2,628 outpatient services, charging 15.23 times what Medicare paid.
- 1Medicare inpatient stays 2,222
- 2Charge ÷ paid, inpatient 5.54×
- 3Rank in IL (highest ratio = 1) 11 of 106
- 4CMS price-transparency actions 0
Inpatient stays
For the 66 DRGs that can be compared with the national average, Uw Health charged more than the national average in 52 (79%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 376 | $100,191 | +11% | $19,103 |
| 193 Simple Pneumonia and Pleurisy with MCC | 143 | $62,122 | +4% | $10,926 |
| 291 Heart Failure and Shock with MCC | 134 | $58,998 | +5% | $10,818 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 100 | $75,821 | 0% | $14,236 |
| 189 Pulmonary Edema and Respiratory Failure | 81 | $56,577 | -2% | $10,711 |
| 885 Psychoses | 66 | $36,035 | -18% | $12,417 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 61 | $55,284 | +13% | $9,679 |
| 177 Respiratory Infections and Inflammations with MCC | 60 | $80,758 | +14% | $13,594 |
| 682 Renal Failure with MCC | 56 | $66,784 | +1% | $13,595 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 52 | $79,325 | +8% | $13,602 |
| 683 Renal Failure with CC | 46 | $46,366 | +14% | $10,034 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 44 | $269,500 | +18% | $55,490 |
| 603 Cellulitis without MCC | 40 | $44,132 | +18% | $10,968 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 35 | $54,811 | -9% | $10,713 |
| 689 Kidney and Urinary Tract Infections with MCC | 35 | $49,582 | -3% | $9,537 |
| 070 Other Cerebrovascular Disorders with MCC | 32 | $74,413 | -2% | $17,808 |
| 378 Gastrointestinal Hemorrhage with CC | 32 | $57,536 | +19% | $11,766 |
| 637 Diabetes with MCC | 29 | $68,511 | +3% | $11,764 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 28 | $191,867 | +17% | $31,473 |
| 377 Gastrointestinal Hemorrhage with MCC | 27 | $96,725 | +13% | $15,315 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 26 | $238,205 | +52% | $30,787 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 26 | $46,786 | +16% | $8,168 |
| 690 Kidney and Urinary Tract Infections without MCC | 24 | $42,857 | +13% | $9,116 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 23 | $61,577 | +22% | $10,933 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 23 | $147,310 | +29% | $16,497 |
| 389 Gastrointestinal Obstruction with CC | 23 | $42,586 | +9% | $12,920 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 22 | $66,607 | +20% | $8,694 |
| 314 Other Circulatory System Diagnoses with MCC | 22 | $103,083 | +9% | $16,729 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 21 | $145,386 | +30% | $18,677 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 21 | $46,267 | +25% | $7,111 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 20 | $44,428 | +23% | $8,272 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 19 | $85,664 | -14% | $21,201 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 19 | $69,907 | +7% | $11,781 |
| 481 Hip and Femur Procedures except Major Joint with CC | 19 | $275,804 | +174% | $21,655 |
| 393 Other Digestive System Diagnoses with MCC | 18 | $89,957 | +17% | $41,127 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 18 | $310,761 | -4% | $49,227 |
| 602 Cellulitis with MCC | 17 | $58,741 | -2% | $13,054 |
| 394 Other Digestive System Diagnoses with CC | 16 | $56,694 | +20% | $11,249 |
| 552 Medical Back Problems without MCC | 16 | $55,102 | +13% | $8,342 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 15 | $52,722 | +4% | $9,481 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 15 | $149,141 | +10% | $21,964 |
| 444 Disorders of The Biliary Tract with MCC | 15 | $83,400 | 0% | $26,355 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 15 | $57,972 | +22% | $8,603 |
| 811 Red Blood Cell Disorders with MCC | 15 | $70,088 | +3% | $11,810 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 15 | $237,975 | +10% | $36,162 |
| 252 Other Vascular Procedures with MCC | 14 | $132,567 | -22% | $33,934 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 14 | $82,327 | +29% | $10,695 |
| 312 Syncope and Collapse | 14 | $58,122 | +28% | $7,665 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 14 | $145,271 | +48% | $29,197 |
| 917 Poisoning and Toxic Effects of Drugs with MCC | 14 | $106,217 | +42% | $12,622 |
| 186 Pleural Effusion with MCC | 13 | $62,657 | -12% | $13,990 |
| 300 Peripheral Vascular Disorders with CC | 13 | $57,695 | +17% | $8,981 |
| 305 Hypertension without MCC | 13 | $43,561 | +9% | $6,717 |
| 330 Major Small and Large Bowel Procedures with CC | 13 | $211,663 | +78% | $22,218 |
| 441 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic... | 13 | $84,323 | -2% | $17,625 |
| 194 Simple Pneumonia and Pleurisy with CC | 12 | $40,554 | +6% | $6,945 |
| 253 Other Vascular Procedures with CC | 12 | $201,673 | +53% | $27,943 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 12 | $69,203 | +22% | $15,558 |
| 329 Major Small and Large Bowel Procedures with MCC | 12 | $359,101 | +67% | $37,659 |
| 374 Digestive Malignancy with MCC | 12 | $92,918 | -7% | $18,380 |
Showing the 60 most frequent of 66 DRGs.
Outpatient services
Against the Illinois average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Uw Health charged $100,191 on average, 35% more than the Illinois average of $73,987, and was paid $19,103 against a state average of $17,651. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Uw Health charged $62,122 on average, 27% more than the Illinois average of $49,081, and was paid $10,926 against a state average of $11,857. For Heart Failure and Shock with MCC (DRG 291), Uw Health charged $58,998 on average, 27% more than the Illinois average of $46,293, and was paid $10,818 against a state average of $11,813. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Uw Health charged $75,821 on average, 18% more than the Illinois average of $64,281, and was paid $14,236 against a state average of $14,664. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $33,403 was 55% above the state average of $21,498. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $19,602 was 66% above the state average of $11,818. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $188,863 was 181% above the state average of $67,146. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $55,257 was 133% above the state average of $23,744.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.